Thank you for your interest in FIRMASKIN Med Spa & Wellness Bio-Identical Hormone Replacement Therapy (BHRT) service. Our highly experienced staff is available for consultations on Tuesdays and Thursdays by appointment. Contact FSMS office today at 855 937 6465 to schedule an appointment to determine whether BHRT might improve your quality of life.
Hormone Replacement Therapy (HRT) helps men and women combat a variety of issues that low levels of hormones due to normal aging or other causes can bring – fatigue, low stamina, depression, loss of memory, decreased motivation, challenges with sex drive, loss of muscle tone, atherosclerosis, low bone density and many other issues. First we need to understand what hormones do for us throughout our lifetimes.
Hormones regulate many bodily functions. Throughout their youth, women experience the impact of hormones. First during puberty estrogen and progesterone allow for the development of breast tissue, maturation of the eggs (follicles) in the ovaries, and regulate the menstrual cycle. Imbalance of these hormones can lead to moodiness, irritability, heavy periods, irregular cycles and breast tenderness. Usually by the time women head into their late 40s, the levels of hormones can begin to fluctuate and there may be a relative dominance of estrogen and normal to decreased levels of progesterone. This can impact the way she feels, her interest in sex, the silkiness of her hair, her energy, mood and sharpness of thinking. As women progress to menopause, which is defined as absence of a menstrual period for one year, related to the natural decrease in estrogen and progesterone hormone levels, women may see a change in a number of normal functions like sleep, a healthy sex life, mood changes and vaginal dryness, which could lead to pain on intercourse. Hormonal imbalance can also upset the normal functioning of many organs and systems, paving the way for many aging-related diseases.
Men face challenges from low DHEA and Testosterone that could include loss of libido, decrease in mental sharpness, decreased motivation, mood changes, and slower recovery after physical exercise among other issues. Men can also start seeing weight gain due to increased fat accumulation as muscle mass declines.
Hormone Replacement Therapy (HRT), also now being called Hormone Therapy (HT), refers to the supplementation of hormones to address the symptoms that can occur to due low hormone levels.
There are a variety of issues that can be related to hormone deficiencies, and they can worsen over time. You might experience some of the following symptoms:
Bio-identical hormone replacement (BHRT) provides positive health effects for a women and her well-being as she ages. It supports cardiovascular and bone health, and can help in cutting the risk of diabetes and dementia. In addition, BHRT consistently relieves symptoms of perimenopause and post-menopause. It can help with your sex life, stave off the effects of age-related ailments, and provide you with renewed energy.
Menopause is a time of hormone deficiency and imbalance. The body stops creating estradiol—a woman’s most important estrogen. At the same time, testosterone production slows to a trickle. During the slowdown/shut down process, the level of follicle stimulating hormone (FSH) generated by the pituitary gland steadily increases. This is an attempt to stimulate the ovaries into production. But healthy follicles (eggs in the ovaries) are in short supply, if any remain at all. It’s at this stage that the follicles proceed to atrophy and die. This halts the body’s ability to ovulate. The lining of the uterus thins in response to the sharp decline in estrogen. The monthly bleeding finally stops. This is when FSH levels usually soar.
Women of any age who have symptoms should consult a physician. A proper physician’s evaluation will help determine the diagnosis or if the symptoms could be due to causes other than hormonal imbalance or menopause.
Perimenopause is a transitional phase in the aging cycle for women. It usually begins 2-8 years before menopause and continues through the first 12 months after the last menstrual period. A woman’s ovaries stop producing normal levels of estrogen and progesterone, and secrete only small amounts of testosterone. While the ovaries stop making hormones, there are small amounts of hormones that are continued to be made by the adrenal glands. They never again reach the levels that they were prior to menopause and overall hormone levels remain low through the remainder of a woman’s life.
Symptoms of perimenopause may include:
While many women go through menopause or perimenopause without symptoms, in others, this can be an unsettling, disruptive and stressful time. In some instances, it may include challenges to their quality of life.
Testosterone is indeed a man’s most vital hormone. It defines him as a man, just as estrogen defines a woman. Testosterone is also central to good health. It provides the foundation for many of important body functions.
Every man experiences a gradual decline in hormone production as he gets older, just like women. HRT can help men similarly to the therapy’s impact on women. Men, at around age 30, start to manufacture less and less testosterone, losing roughly one to three percent of the hormone per year. Then, sometime between 40 and 55, testosterone levels drop dramatically and signal the onset of Andropause or Low Testosterone, often called Low T. After this happens, a man may find himself deficient in sexual desire, gaining weight, losing muscle mass and feeling unmotivated, depressed and moody.
Symptoms of andropause may include:
Low testosterone in men (hypogonadism) is the decreased production of hormone by the testes. This normally happens as a man ages. Andropause occurs when testosterone levels take a dramatic dip. This usually takes place somewhere between the ages of 40 and 55.
Researchers estimate that 1 in 4 men past the age of 30 have low testosterone. That amounts to millions of men yet not every man shows symptoms of deficiency. In fact, low testosterone is perhaps one of the most under-diagnosed conditions in men.
At healthy levels, whether natural or accomplished through hormone supplementation, testosterone supports:
The best way to determine if you have low testosterone levels is to go through proper testing and analysis guided by a health care provider. Some men show no signs of having Low T levels, yet may have diminished levels.
Bio-identical hormone replacement therapy is typically administered in one of several ways: pellets, intramuscular injection, oral (pills or a lozenge like pill), or by creams/gels.
Pellets containing DHEA (dehydroepiandrosterone), Estradiol, Progesterone, and Testosterone are inserted through a small incision in the upper buttock area and deposited into the fat layer. The incision is closed by steristrips and covered by a band aide that is worn for six days. Pellets deliver consistent levels of hormones for 3-6 months in women and 4-6 months in men. They avoid the fluctuations, or ups and downs, of hormone levels seen with every other method of delivery. Pellets do not increase the risk of blood clots that can be seen with oral or synthetic hormone replacement therapy.
Some patients begin to feel better within 24-48 hours of having a pellet inserted while others may take a week or two to notice a difference.
Studies show that when compared to conventional hormone replacement therapy, pellets provide superior relief for menopausal symptoms, maintenance of bone density, restoration of sleep patterns, and improvement in sex drive, libido, sexual response and performance.
Even patients who have failed other types of hormone therapy have a very high success rate with pellets and prove to be the most convenient method for the patient. There is more data to support the use of pellets than any other method of delivery of hormones.
The side effects or complications from the insertion of a pellet is relatively rare. Complications could include minor bleeding or bruising, discoloration of the skin, infection, and the possible extrusion of the pellet. After the insertion of the pellet implant, vigorous physical activity is avoided for 3-4 days to help prevent an extrusion of the pellet.
BHRT therapy by implantation of pellets is a safe and effective method of hormone therapy for both men and women. Adminis