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Category Archives: Hormone Replacement Therapy

Hormone Replacement Therapy Atlanta – Erin Everett, NP-C

Posted: May 26, 2019 at 1:46 pm

Transgender FTM & MTF HRT

If youre interested in hormone replacement therapy in Atlanta, you are in good hands. Transitioning is the single-most important decision an individual can make. While transgender hormone replacement therapy (HRT) is a safe treatment that comes with minimal risks and undesirable side-effects, its important to start HRT with a specialist who can help design your program, all the while providing support and advice.

Whether youre making the transition from male-to-female or female-to-male, as a transgender individual, you need to consider the quality of your overall health care. Unfortunately most general physicians and healthcare providers are not properly equipped to care for transgender patients. In turn, you can benefit from having a supportive and experienced specialist by your side as you begin a new chapter in your life.

Erin Everett, NP-C, is a provider of healthcare for transgender patients in Atlanta who offers hormone replacement therapy for both transgender men and women. Erin is committed to providing a safe, nondiscriminatory space for everyone to receive the highest quality healthcare especially those within Atlantas LGBTQ community. For more information about transgender hormone replacement therapy in Atlanta, contact Erin to learn more.

The impact of male to female hormone replacement therapy varies from person to person. However, male to female (MTF) HRT for transgender females will almost always yield the same consistent responses by introducing feminizing hormones. HRT MTF is a long term process that typically requires 2 years before transgender women experience the dramatic transformation they desire. However, most MTF patients will see and feel noticeable changes within the first few months of HRT.

In essence, MTF HRT increases your estrogen levels while lowering your testosterone levels. You may be given a hormone known as anti-androgen which reduces testosterone to a level that is normal for a woman. In just a matter of months, MTF HRT will result in desirable responses, such as reduced body hair, softer skin, genital changes, and redistribution of fat and muscle mass. MTF HRT can also help in developing greater breast size, however the effects of MTF HRT rarely lead to breast development exceeding a size B cup. Another factor that male to female transgender patients often ask about is voice. Unfortunately, feminizing hormones do not change the tone of your voice. This typically requires other interventions, such as voice feminization training, or in some cases, patients may choose to pursue surgery.

Female to male hormone replacement therapy, also generalized as masculinizing hormone therapy or testosterone therapy, has been proven to be both safe and highly effective. However, the rapidity and extent of biological change when undergoing female to male (FTM) HRT will often vary depending on how therapy is administered (i.e. skin patches, gels, injections, etc.) This is why working with an experienced transgender care specialist can have its advantages.

In its every essence, FTM HRT increases levels of testosterone while gradually reducing levels of estrogen. Although it can take over a year to see transformative changes that most transgender men desire, the first three months of starting testosterone therapy can yield many exciting changes. As testosterone levels increase, transgender males will experience profound physical changes. Menstruation typically stops within the first 2 months but may take longer for some. Facial and chest hair will typically begin to grow during the initial months of FTM HRT, and upper body strength and overall muscle mass will start to increase. Clitoral enlargement occurs along with an increased libido. Some patients are satisfied with the clitoral enlargement, while others seek later gender affirming surgeries. At around three months, the voice begins to deepen.

Over the past few years alone, there have been a number of compelling studies that support the safety and efficacy of hormone replacement therapy. In turn, it has become a common form of treatment in the provision of transgender care.

For transgender patients who seek hormone replacement therapy, initiating and monitoring treatment requires a mindful approach in developing a successful program. This why working with an experienced and proficient primary care provider can work to a patients benefit. From the knowledge and experience that goes into a hormone therapy program to providing an autonomous environment that encourages open communication and understanding, transgender patients should feel as though they can fully trust their healthcare provider.

Erin Everett, NP-C is committed to the LGBTQ community, providing a relaxed, supportive, non-judgmental environment where patients can address their health. If you would like to learn more about transgender hormone replacement therapy in Atlanta, such as the cost of HRT or information regarding any of the other primary care services available, visit the contact page.

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Consider Pros and Cons of Hormone Replacement Therapy

Posted: May 26, 2019 at 1:46 pm

When a woman goes through menopause, she stops having menstrual periods, and the process can sometimes lead to a variety of other symptoms, including hot flashes and vaginal dryness.

One option for combating some of the symptoms of menopause is hormone replacement therapy(HRT), according to the National Institutes of Health (NIH).

With HRT, you can relieve menopause symptoms with estrogen and/or progestin, according to the American College of Obstetricians and Gynecologists(ACOG). Women can take estrogen only if they have had a hysterectomy, but if they still have their uterus, need to take estrogen and progestin.

There are two types of hormone therapyavailable systemic and local. With systemic therapy, hormones are released into the bloodstream and go to the organs and tissues that need it, according to the ACOG.

Local therapy is for women who are only suffering from vaginal dryness, according to the ACOG.

HRT can be beneficial, according to the ACOG, by:

There are also risks to HRT, according to the ACOG. Some risks include:

Currently, HRT is recommended to be used to treat symptoms of menopause but only on a limited basis, according to the ACOG. Its recommended that women take time to weigh the risks and benefits and talk with their doctor about the best option for their individual health needs.

The ACOG also recommends that women who do chose to use HRT use the lowest effective dose for the shortest possible amount of time.

Its important also to reevaluate the therapy often to reconsider the benefits and risks, according to the ACOG. Talk with your doctor about how the HRT is working for you, if you have any new symptoms or side effects from the hormones especially vaginal bleeding. Review the HRT at least once a year with your doctor.

For more information about hormone replacement therapy, talk with your doctor or find a physician.

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Hormone Replacement Therapy New York – NY Vitality

Posted: April 30, 2019 at 3:49 am

Even if you dont technically have Low T, you may find it useful to undergo TRT regardless. The American Urology Association (AUA) cites a range of 300 to 800 nanograms per deciliter (ng/dL) as normal for the average male. Men whose testosterone levels fall below 300 ng/d are classifiedas having Low Tand would definitely benefit from TRT programs like those provided by Renew Vitality.

Older men are more likely to have Low T; as men get older, their testosterone levels drop at a rate of approximately 1% per year after age 30 or 40. Nearly half of all men over the age of 80 suffer from Low T, but it is also present in a small percentage of younger men as well.

However, while some men may not technically have a testosterone level that ranks below 300 ng/dLs, they may still experiencesymptoms of Low T slightly diminished sexual function, minor fluctuations in mood and cognition. For these people (whose T levels typically range between 300-500ng/dL), it is entirely possible to optimize their testosterone levels with a dedicated TRT regimen. It is perfectly normal and safe to engage in TRT if you have slightly lower testosterone levels, and simply wish to get them back to levels higher in the normal range.

Renew Vitality welcomes patients who want to improve their physical health through testosterone replacement therapy.Our team of wellness professionals is more than happy to work with clients to figure out a treatment program that works for the individual, in addition to wellness programs that emphasize diet, exercise and other lifestyle changes.

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Youth Institute BHRT | Bioidentical Hormone Replacement …

Posted: April 18, 2019 at 8:48 am

Getting Back Your Edge

Many people find themselves in a constant state of fatigue, overwhelmed and with a variety of symptoms that just cannot be easily resolved. Maybe youve tried going to bed a bit earlier, an extra cup of coffee in the afternoon, a quick pick-me-up snack And you still feelIt seems like things just dont work as smoothly as they did just a few years ago. Look over some of the symptoms at the top of the page again. If more than a few of those look familiar to you, it might be a good time to consider bio-identical hormone replacement therapy (BHRT).

Bio-identical hormone replacement therapy is an effective all natural therapy using hormones that are identical to the hormones made by your body. Bio-identical hormones are plant-based and natural, as opposed to synthetic hormones, which are completely foreign to the human body. There are many reasons to use only natural hormones and The Youth Institute only provides natural bioidenticals in their treatments.

The goal of Bio-identical hormone replacement therapy is to get your body back to the hormone levels it was initially designed to maintain. As long as hormone levels have been tested, they have been falling. Only recently a new normal was declared. Unfortunately that normal level is considerably lower than it has been in the past. At the Youth Institute, Dr. Brannon is fond of saying, Just because its common, doesnt really make it normal. The human body has flourished with a certain hormone level and with each successive generation, those levels are dropping. This drop is at the root of MANY physiological issues.

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Hormone therapy: Is it right for you? – Mayo Clinic

Posted: March 27, 2019 at 10:46 pm

Hormone therapy: Is it right for you?

Hormone therapy was once routinely used to treat menopausal symptoms and protect long-term health. Then large clinical trials showed health risks. What does this mean for you?

Hormone replacement therapy medications containing female hormones to replace the ones the body no longer makes after menopause is sometimes used to treat common menopausal symptoms, including hot flashes and vaginal discomfort.

Hormone therapy has also been proved to prevent bone loss and reduce fracture in postmenopausal women.

Along with the benefits, there are risks associated with using hormone therapy. These risks depend on a few factors, including the type of hormone therapy, the dose and how long the medication is taken. For best results, hormone therapy should be tailored to each person and re-evaluated every so often to be sure its benefits still outweigh the risks.

The benefits of hormone therapy depend, in part, on whether you take systemic hormone therapy or low-dose vaginal preparations of estrogen.

Systemic hormone therapy. Systemic estrogen which comes in pill, skin patch, gel, cream or spray form remains the most effective treatment for the relief of troublesome menopausal hot flashes and night sweats. Estrogen can also ease vaginal symptoms of menopause, such as dryness, itching, burning and discomfort with intercourse.

Combined estrogen and progesterone therapy may reduce the risk of colon cancer. Some data also suggest that estrogen can decrease the risk of heart disease when taken early in the postmenopausal years. Systemic estrogen helps protect against the bone-thinning disease called osteoporosis. However, doctors usually recommend medications called bisphosphonates to treat osteoporosis.

If you haven't had your uterus removed, your doctor will typically prescribe estrogen along with progesterone or progestin (progesterone-like medication). This is because estrogen alone, when not balanced by progesterone, can stimulate growth of the lining of the uterus, increasing the risk of uterine cancer. If you have had your uterus removed (hysterectomy), you don't need to take progestin.

In the largest clinical trial to date, a combination estrogen-progestin pill (Prempro) increased the risk of certain serious conditions, including:

Subsequent studies have suggested that these risks vary, depending on age. For example, women who begin hormone therapy more than 10 or 20 years from the onset of menopause or at age 60 or older are at greater risk of the above conditions. But if hormone therapy is started before the age of 60 or within 10 years of menopause, the benefits appear to outweigh the risks.

The risks of hormone therapy may also vary depending on whether estrogen is given alone or with progestin, the dose and type of estrogen, and other health factors such as your risks of heart and blood vessel (cardiovascular) disease, cancer risks, and family medical history.

All of these risks should be considered in deciding whether hormone therapy might be an option for you.

Despite its health risks, systemic estrogen is still the most effective treatment for menopausal symptoms. The benefits of hormone therapy may outweigh the risks if you're healthy and you:

Women who experience early menopause, particularly those who had their ovaries removed and don't take estrogen therapy until at least age 45, have a higher risk of:

For women who reach menopause prematurely, the protective benefits of hormone therapy usually outweigh the risks.

Your age, type of menopause and time since menopause play significant roles in the risks associated with hormone therapy. Talk with your doctor about your personal risks.

Women who have or previously had breast cancer, ovarian cancer, endometrial cancer, blood clots in the legs or lungs, stroke, liver disease, or unexplained vaginal bleeding should usually not take hormone therapy.

If you aren't bothered by menopausal symptoms and started menopause after age 45, you do not need hormone therapy to stay healthy. Instead, talk to your doctor about strategies to reduce the risk of conditions such as osteoporosis and heart disease. These strategies might include lifestyle changes and medications other than hormone therapy for long-term protection.

Talk to your doctor about these strategies:

If you haven't had a hysterectomy and are using systemic estrogen therapy, you'll also need progestin. Your doctor can help you find the delivery method that offers the most benefits and convenience with the least risks and cost.

You may be able to manage menopausal hot flashes with healthy-lifestyle approaches, such as keeping cool, limiting caffeinated beverages and alcohol, and practicing paced relaxed breathing or other relaxation techniques. For vaginal concerns, such as dryness or painful intercourse, a vaginal moisturizer or lubricant may provide relief. You might also ask your doctor about the prescription medication ospemifene (Osphena), which may help with episodes of painful intercourse.

To determine if hormone therapy is a good treatment option for you, talk to your doctor about your individual symptoms and health risks. Be sure to keep the conversation going throughout your menopausal years.

As researchers learn more about hormone therapy and other menopausal treatments, recommendations may change. If you continue to have bothersome menopausal symptoms, review treatment options with your doctor on a regular basis.

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Bioidentical Hormone Replacement Therapy for Women | BioTE …

Posted: March 22, 2019 at 7:45 am

There are many benefits to bio-identical hormone replacement therapy for women (BHRT). Are your hormones imbalanced? Learn how to find out if your hormones are balanced and what therapies BioTE Medical offers that may be able to help.

BHRT an acronym which stands for bio-identical hormone replacement therapy. Hormone replacement therapy has been a common practice to cope with aging for decades. BHRT can help women who are suffering from unbalanced hormones feel like themselves for the first time. Bio-identical hormones are derived from plant sources rather than animal sources or synthetic sources and are said to most closely replicate the molecular structure of human hormones.

Female hormone replacement therapy (HRT) can take the form of patches, creams, pills or pellets. These treatments and therapies may contain estradiol, progestin and or testosterone. When hormones are out of balance, hormone replacement therapy can help with a wide array of different symptoms, both physical and emotional.

Hormone replacement therapy can help anyone whose hormones are out of balance. However, the most common time women seek out hormone replacement therapy is when they're experiencing menopause. There are three stages of menopause perimenopause, menopause and post-menopause. There are also rare instances regarding women who have never had balanced hormones, as evidenced by excessively painful menstrual cycles and extreme mood swings.

BHRT pellets are comprised of custom compounded hormones. BioTE Medical only uses American FDA outsourcing compounded pharmacies to fulfill its pellet orders for patients. These pellets are inserted subcutaneously into the hip area during a quick in-office visit. Within seven to ten days after your pellet insertion, Bio-identical Hormone Replacement Therapy (BHRT) begins to take full effect, and BioTE Medical patients can truly experience the benefits of this revolutionary method of treatment.

BioTE Medical only offers bio-identical hormone replacement therapy in the form of subcutaneous pellets, and with over 750,000 insertions performed in the companys history, we have seen many lives changed through the introduction of optimized hormones into their bodies. If any of the hormonal imbalance symptoms mentioned above ring a bell for you or remind you of someone you love, BioTE Medical encourages you to use our Find a Provider tool or to nominate your provider to begin your BHRT journey to wellness today.

Getting started with BHRT from BioTE Medical is easy! Use our Find a Provider tool to search for your location. With thousands of certified BioTE Medical providers, you are likely to find many providers to choose from all in your area!

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Hormone Replacement Therapy Doctors in New York – HRT …

Posted: November 8, 2018 at 1:43 am

The Big Apple can eat you alive if youre not at the top of your game. New York residents need not worry: HealthGains and its premium hormone therapy plans can help you get ahead personally and professionally. Over the past decade, HealthGains has treated countless patients for low testosterone and other hormone imbalances. Now its your turn to experience the benefits of hormone replacement therapy. Our prime location in NYC makes it easy to stop by and learn more about our services firsthand. Take a look at our sexual wellness performance packages for men and women.Will Bio-Identical Hormones Work for Me?

Only an exhaustive workup will reveal if youre a good candidate for hormone replacement therapy. Our blood work is comprised of 15 different tests designed to provide an overview of your health and pinpoint any imbalances in your hormone levels. Once we see that hormones might be causing your symptoms, well schedule you some time with an HealthGains doctor to review your symptoms and get you started on HRT. Its that simple. Please keep in mind that not everyone is a good candidate for hormone replacement. If our lab tests reveal that your hormones fall within an ideal range, we may not prescribe HRT. Contact us at (866) 540-3555 to speak with one of our hormone specialists.

The signs of low hormone levels can often be confused with symptoms from other conditions. If youve been feeling less energetic, less focused or less interested in sex, your hormones could be to blame. The only way to find out is through comprehensive. Together, we can get your health back to where it once was. Let us help you. HealthGains NYC Phone: (212) 897-3742 65 Broadway, Suite 1101 New York, NY 10006

*Click location to see full list of addresses

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Hormone replacement therapy: Uses, types, and alternatives

Posted: July 3, 2018 at 8:42 am

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Hormone replacement therapy: Uses, types, and alternatives

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Hormone Replacement Therapy | HRT | Menopause | MedlinePlus

Posted: June 27, 2018 at 4:43 am

Menopause is the time in a woman's life when her period stops. It is a normal part of aging. In the years before and during menopause, the levels of female hormones can go up and down. This can cause symptoms such as hot flashes, night sweats, pain during sex, and vaginal dryness. For some women, the symptoms are mild, and they go away on their own. Other women take hormone replacement therapy (HRT), also called menopausal hormone therapy, to relieve these symptoms. HRT may also protect against osteoporosis.

HRT is not for everyone. You should not use HRT if you

There are different types of HRT. Some have only one hormone, while others have two. Most are pills that you take every day, but there are also skin patches, vaginal creams, gels, and rings.

Taking HRT has some risks. For some women, hormone therapy may increase their chances of getting blood clots, heart attacks, strokes, breast cancer, and gallbladder disease. Certain types of HRT have a higher risk, and each woman's own risks can vary, depending upon her health history and lifestyle. You and your health care provider need to discuss the risks and benefits for you. If you do decide to take HRT, it should be the lowest dose that helps and for the shortest time needed. You should check if you still need to take HRT every 3-6 months.

Food and Drug Administration

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Hormone Replacement Therapy (Risks and Benefits). HRT …

Posted: June 18, 2018 at 5:46 pm

Approximately 80% of menopausal women experience symptoms. While a quarter of those are thought to have severe symptoms, only a small proportion of menopausal women currently take hormone replacement therapy (HRT).

Symptoms of the menopause last far longer than most women anticipate. Frequent menopausal vasomotor symptoms, including night sweats and hot flushes, persist in more than half of women for more than seven years[1].

HRT is an effective treatment for the typical menopause-related symptoms. There are also other long-term health problems associated with the menopause - the risk of osteoporosis, cardiovascular disease and stroke all increase after the menopause. HRT can also have a positive influence on these health problems.

This article discusses HRT in detail. The separate Menopause and its Management article discusses menopausal symptoms, differential diagnosis and possible investigations (although the diagnosis is usually clinically based on the typical symptoms). It also discusses health problems associated with the menopause and gives an overview of management.

See also separate HRT - Initial Consultation, HRT - Follow-up Assessments and HRT - Topical articles.

Current guidelines advise that HRT should be considered for troublesome vasomotor symptoms in perimenopausal and early postmenopausal women without contra-indications and after individualised discussion of likely risks and benefits[2].

Starting HRT in women over the age of 60 years is generally not recommended.

For women with premature (age <40 years) or early (<45 years) menopause, current guidelines recommend sex steroid replacement until the age of 51 years for the treatment of vasomotor symptoms and for bone and cardiovascular protection[2, 3].

Current indications for the use of HRT are:

The benefits of HRT outweigh the risks for many women aged under 60 years[2, 4].

Benefits of HRT include:

Reduction in vasomotor symptoms

Improvement in quality of lifeHRT can also improve sleep, muscle aches and pains and quality of life in symptomatic women.

Improvement in mood changes

Improvement of urogenital symptoms

Reduction in osteoporosis risk

Reduction in cardiovascular disease

Lower risk of colorectal cancer

Other benefits

The principal risks of HRT are thromboembolic disease (venous thromboembolism (VTE) and pulmonary embolism), stroke, breast and endometrial cancer, and gallbladder disease.

Large studies, including the WHI and the Million Women Study (MWS), raised concerns and controversy over the use of HRT[18, 26].

However, data accumulated from the WHI and other studies over a period of a decade have shown that, in women with symptoms or other indications, initiating HRT near menopause usually provides a favourable benefit:risk ratio[2].

VTE[2]

StrokeThe risk of ischaemic (but not haemorrhagic) stroke[2]:

Breast cancer

NB: there is no evidence of an increased risk of breast cancer in women on HRT under the age of 51 years compared with menstruating women of the same age.

Endometrial cancer

Ovarian cancer

Investigations are not usually necessary before starting HRT unless:

It is important that an individualised approach is undertaken at all stages of diagnosis, investigation and management of menopause[2].

The dose, regimen and duration of HRT need to be individualised. There is no maximum duration of time for women to take HRT. Discussion with women who continue to have symptoms generally show their benefits from HRT usually outweigh any risks. Systemic HRT should not be arbitrarily stopped at age 65 years; instead treatment duration should be individualised based on patients' risk profiles and personal preference[35].

Micronised progesterone is a natural, 'body-identical' progestogen, devoid of any androgenic as well as glucocorticoid activities but being slightly hypotensive due to anti-mineralocorticoid activity. It may be the optimal progestogen in terms of cardiovascular effects, blood pressure, VTE, probably stroke and even breast cancer but this evidence is only from observational studies[36]. There is only one currently available to prescribe in the UK.

As transdermal oestrogen is associated with fewer risks than oral HRT, a transdermal route may be preferable for many women. This route is also advantageous for women with diabetes, history of VTE and also those with thyroid disorders. In addition, transdermal HRT is preferable to those women with a history of migraine or gallbladder problems.

Delivery routes include:

The choice of delivery route depends partly on patient preference but there are also other advantages to certain delivery routes.

By avoiding the first pass metabolism through the liver, non-oral preparations (ie patches or gels):

Other considerations

See separate HRT - Follow-up Assessments article for a discussion of how to manage these side-effects.

See separate HRT - Initial Consultation article.

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