Hormone Therapy for Women

What is bio-identical hormone replacement therapy?

Bio – Identical Hormone Replacement Therapy (BHRT) is the process of restoring and maintaining hormone balance.

Hormones that are typically prescribed for BHRT are Estrogens (Estriol and Estradiol), Progesterone, Testosterone and DHEA. These precise components of each woman’s therapy needs to be determined upon completion of a physical examination, medical history and laboratory testing ordered by your doctor. Close monitoring is essential to ensure that appropriate dose adjustments are made if needed.

doctor speaking with female patient

BHRT may be able to help with conditions such as:

  • Chronic Fatigue Syndrome
  • Endometriosis
  • Female sexual disfunction
  • Fibromyalgia
  • Hypoadrenalism
  • Hypothyroidism

  • Infertility
  • Menopause
  • Osteoporosis
  • Postpartum depression
  • Premenstral syndrome

Every woman is unique, therefore it is a sensible approach for the patient to work together with her health care professionals to individualize Hormone Replacement Therapy.

With a valid prescription from a licensed prescriber, each formulation can be customized to meet each patient’s unique needs. BHRT requires a relationship with a trained physician who can order appropriate tests and monitor your treatment.

Types of Hormones

Estrogen

Some principle estrogens used in compounding are Estradiol (E2), and Estriol (E3). These are often prescribed in a combination to re-establish a normal physiologic state. Estrogen is responsible for:

  • the relief of menopausal symptoms, including vaginal dryness and thinning
  • may increase HDL, the “good” cholesterol and decrease LDL, the “bad” cholesterol
  • helps to decrease blood pressure and reduce plaque formation on arterial walls
  • reduces the risk of colorectal cancer

  • may improve mood, energy levels, and sleep patterns
  • may reduce the risk of developing type 2 diabetes
  • may improve memory and cognitive function
  • Postpartum depression
  • reduced bone loss

Progesterone

Progesterone – is a hormone commonly prescribed for peri-menopausal women to counteract the condition known as “estrogen dominance.” Estrogen dominance occurs when a woman produces smaller amounts of progesterone that normal, relative to estrogen levels. Progesterone is also responsible for:

  • improving Bone Mineral Density
  • is preferred by most women who have previously taken synthetic progestins
  • helps to decrease blood pressure and reduce plaque formation on arterial walls

  • minimize the risk of endometrial cancer in women who are receiving estrogen.
  • may enhance the beneficial effects of estrogen on lipid and cholesterol profiles and exercise-induced myocardial ischemia in post-menopausal women.

Testosterone

an androgen has been shown to:

  • help enhance libido
  • provide cardiovascular protection (lower cholesterol)
  • enhance bone building (increase calcium retention)
  • improve energy levels and mental alertness

DHEA

(dehydroepiandrosterone) is an adrenal steroid hormone
Dhea has been shown to help with

  • aging skin by increasing epidermal thickness and overall integrity of the skin
  • sense of well-being in those with adrenal and/or androgen insufficiency.
  • cognitive function and memory

Pregnenolone

is an endogenous steroid hormone. Its role in hormone therapy is to enhance energy, mood and memory. Pregnenolone can also be used to treat symptoms of menopause, premenstrual syndrome, and endometriosis.

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