Category Archives: Hormone Replacement Therapy

You may be reading this because you are not your normal self. Youre lethargic and your energy level is not what it was. Your body is becoming soft and flabby and youre having problems with focus and concentration. Your sex drive is down and you may be having difficulties achieving an erection. Low Testosterone or a Low T count may be responsible, and Hormone Replacement Therapy may be right for you.

According to the US Food and Drug Administration (FDA), 4 to 5 million American men may suffer from low testosterone, but only 5% are currently treated. What about the remaining 95%? Could you be one of them?

If you answered yes to more than half of these questions, chances are your testosterone levels are less than optimal and you may be deficient and benefit from Hormone Replacement Therapy. You may be going through the male menopause, a condition known as andropause.

Andropause refers to a set of gradual physical and psychological changes that men generally go through. Every man experiences a decline in bio-available testosterone but some mens levels dip lower than others.

Testosterone begins to decline in men at about age 25. Testosterone levels decline gradually over the years and because it comes on slowly, most men often accommodate to the symptoms and do not realize how much they have lost.

Look at the chart to the right. Where on that testosterone level down turn do you think you are?

Many men, after 35 or so, often have a hard time rising to the occasion and challenge of daily stress. It has only been recently that andropause has received attention and recognition, but why the holdup?

Doctors and scientists are well aware of the ramifications due to the absence of estrogen and progesterone in women. In the mean time, men have kept their focus from themselves and their own hormonal induced weaknesses. Why?

At CORE Medical New York our patients talk openly about their problems and what they are going through. But each of them would also admit that they had difficulty making that first call and that they still cannot admit or talk to their friends about their dysfunctions associated with low testosterone.

Men who receive testosterone therapy consequently report that they feel sexier, stronger and healthier. They say that it makes them feel as they did when they were in their prime.

Testosterone Treatments can stop and reverse the physical decline that robs men of their energy, strength and libido. Testosterone can restore muscle tone and improve stamina. Testosterone can restore healthy sexual excitement and desire, which in turn, results in an improvement in mood and overall well being.

Restoring testosterone to youthful levels with testosterone replacement can reverse the situation. All too often, men automatically assume that as they age, their sexual capacity will diminish. There is no need to accept this loss of sexuality. We should be able to live our life with the same excitement and enthusiasm we enjoyed during our youth.

Potential Testosterone Therapy results:

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You may have heard about the dangers of using man-made compounds such as Provera and Premarin to serve as a hormone substitute intended to supplement the hormones that naturally occur in your body.

Specifically, the levels of the hormones Progesterone and Estrogen (in women), and Testosterone (in men) tend to decline as you age. However, just because your body isnt making as much doesnt mean that you dont need them!

Fortunately there is a safe alternative to these potentially dangerous man-made compoundsBioidentical Hormone Replacement Therapy, orBHRT.

Scary Stuff: Premarin is actually a made form an extract the urine of pregnant mares (as in horses). Yes, this compound contains a human estrogen (estrone). However, it also contains a number of equine (i.e. horse) estrogens that are not found in humans. Consequently, the use of Premarin and Provera together have produced a number of adverse effects such as increased risk of breast cancer, stroke, and heart problems.

A Safer Alternative: Bioidentical Hormone Supplements are exactly what their name impliescompounds that are identical to the natural molecules that your body produces. These are not chemicals made from animal waste, rather they are formulated form soy products or yams by pharmacists to match your bodys hormones identically. As a result, patients are likely to reap the benefits of the human hormones without the side-effects associated with non-human hormones.

Hormones are Essential: Hormone loss is associated with an increased likelihood of heart disease, bone loss, decreased cognitive function, loss of muscle mass, reduced sex drive, restless leg syndrome, mood swings, hair loss, osteoporosis, depression, weight gain, and thinning of skin.1

Progesterone increases bone mass. Testosterone helps to prevent Alzheimers disease and improves cognitive function.

New Techniques for Introducing the Hormones: Until recently, the majority of hormone therapy applications were done orally with pills, directly to the skin with creams or gels, or via injection. There are problems with all of these applications, including improper dosages, patches falling off, and the patients failure to take pills as prescribed.

The newest technique is the implanting of a time-release pellet underneath the skin on the buttocks. By implanting the dosage beneath the skin, you are ensured of getting the proper dosage released regularly. Each implant can last six months.

Dr. Jack Bertolino of Smooth Solutions Medical Aesthetics is the only physician in Western New York to offer this cutting-edge procedure.

Is Bioidentical Hormone Replacement Therapy right for you? BHRT is not for everyone. Blood tests prior to your procedure will determine whether your hormone levels are low enough to warrant a BHRT supplement. They will also help to determine if your symptoms are caused by other physical problems or illnesses.

Dr. Jack Bertolino would be happy to meet with you and discuss your options for helping you to look and feel better.

Download a technical whitepaper that goes into detail about Bioidentical Hormones and the science behind them, authored by Steven F. Hotze, MD and Donald P. Ellsworth, MD.

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Bioidentical Hormone | Smooth Solutions Medical Aesthetics

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Based on early studies, many physicians used to believe that HRT might be beneficial for reducing the risk of heart disease and bone fractures caused by osteoporosis (thinning of the bones) in addition to treating menopausal symptoms. The results of a new study, called the Women''s Health Initiative (WHI), has led physicians to revise their recommendations regarding HRT.

The WHI, started in 1993, has enrolled 161,809 women, ages 50 - 79, in 40 different medical centers. Part of the study was intended to examine the health benefits and the risks of hormone replacement therapy, including the risk of developing breast cancer, heart attacks, strokes, and blood clots.

In July 2002, one component of the WHI, which studied the use of estrogen and progestin in women who had a uterus, was stopped early because the health risks exceeded the health benefits. The main reason for stopping the estrogen-progestin study was because of a 26% increase in breast cancer.

In March 2004, a second component of the WHI, which studied estrogen-only therapy in women who no longer had a uterus (see hysterectomy), was stopped early. This was primarily because of an increase in the risk for strokes.

The information below includes detailed information from the WHI study about each risk. A summary follows at the end.

MENOPAUSE SYMPTOMS

During menopause, the amount of estrogen produced by a woman''s ovaries drops. These naturally occurring low estrogen levels may cause symptoms that include hot flashes, sleep problems, mood swings, and vaginal dryness.

Most women experience relief from the hot flashes, sleep difficulties, and vaginal dryness within a few weeks of taking HRT. Short-term use (2-4 years) of HRT to treat the symptoms of menopause still appears to be safe at this time. Usually, hot flashes and night sweats are less severe after a couple of years -- especially if HRT is tapered gradually.

HEART DISEASE

Estrogen helps decrease "bad" cholesterol and increase "good" cholesterol in the bloodstream. Because lower levels of "bad" cholesterol and higher levels of "good" cholesterol are associated with a decreased risk of heart disease, researchers thought that HRT should lower risk by changing these levels.

However, the WHI has shown that this is not true. The number of heart attacks actually increased 29% among women taking estrogen and progestin. Put another way, WHI researchers estimate that 37 of every 10,000 women taking HRT will have a heart attack, while 30 in 10,000 not taking HRT will have a heart attack.

The Heart Estrogen/progestin Replacement Study (HERS) published earlier in 2002 also showed no benefit for the heart of taking estrogen and progestin. These women were followed for almost 7 years.

HRT should not be given strictly for the prevention of high cholesterol or heart disease. Generally, lifestyle changes and medications to lower cholesterol and control blood pressure are recommended for those conditions.

STROKES

The WHI study showed a 41% increase in strokes among the women taking estrogen/progestin. For every 10,000 women taking HRT, 29 will have a stroke, compared with 21 in 10,000 women not taking HRT.

An increased risk of stroke was also seen in the estrogen-only therapy.

BLOOD CLOTS/THROMBOEMBOLIC DISEASE

The increased risk of blood clots from taking estrogen has been recognized for years. Generally, this risk has been associated with the use of oral contraceptives that contain high doses of estrogen. It is further increased for women who smoke cigarettes.

The WHI study confirmed an increase in the number of blood clots in women taking estrogen/progestin. For every 10,000 women taking HRT, 34 will develop clots in their lungs or legs, while 16 in 10,000 not taking HRT will develop blood clots.

OSTEOPOROSIS

A woman''s body produces less estrogen during and after menopause, which may affect her bone strength. The WHI study showed that women taking HRT had 34% fewer hip fractures and 24% fewer fractures than women not receiving hormones.

However, the short-term use of HRT to relieve symptoms at the time of menopause does little to prevent fractures in women when they reach 75-80 years of age. Women who take estrogen to maintain bone density must continue taking estrogen because the beneficial effects on bones disappear when it is discontinued.

Women who are considering taking HRT to prevent osteoporosis should discuss with their physician their individual risk of coronary heart disease, stroke, blood clots, and breast cancer.

Instead, supplemental calcium and increasing vitamin D intake may be recommended for some women to help prevent and treat loss of bone mass. Other lifestyle changes, such as adding an exercise regimen to your routine and not smoking, may help in the prevention and treatment of osteoporosis as well.

In addition, there are some medications available specifically for prevention and treatment of osteoporosis. These include risedronate, calcitonin, etidronate, and alendronate.

BREAST CANCER

The WHI estrogen/progestin trial was stopped primarily because of a 26% increased risk of breast cancer found in women taking hormone therapy. For every 10,000 women taking estrogen/progestin, 38 will develop invasive breast cancer; of 10,000 women not taking HRT, 30 will develop the disease.

The second component of the WHI study, which looked at estrogen alone in women who no longer have a uterus, did not find any increased risk of breast cancer.

UTERINE CANCER/ENDOMETRIAL CANCER

Taking estrogen alone causes the lining of the uterus to grow. The risk for endometrial cancer is six to eight times higher in women who take estrogen, compared with those who do not.

Progestin works to decrease the lining of the uterus. For women who still have their uterus, most doctors prescribe progestin (a synthetic progesterone) to counteract the effect of the estrogen.

The WHI study did not find any difference in endometrial cancer rates between the women who took hormones and those who did not. Depending on the form of HRT, taking progestin may cause bleeding similar to a period. This combination of estrogen and progesterone may be in the form of one pill, or it may be two separate pills.

OVARIAN CANCER

In another study, published by the National Cancer Institute in 2002, women who use estrogen therapy alone have an increased risk of developing ovarian cancer. This risk increases with the number of years a woman uses estrogen.

For women who used estrogen for 20 or more years, the risk of ovarian cancer was three times that of women who did not use estrogen.

This study did not have enough women to assess the potential risk of an estrogen/progestin combination on the risk of ovarian cancer.

COLON CANCER

The WHI study found a 37% lower risk of colon cancer in women who took estrogen/progestin than in women not on HRT. For every 10,000 women taking estrogen/progestin, 10 will develop colon cancer; of 10,000 women not taking HRT, 16 will develop the disease. This is a relatively new finding, and further studies are needed to confirm these results.

GALLBLADDER DISEASE

Several studies have shown that women who use estrogen/progestin therapy are at increased risk of developing gallstones.

URINARY INCONTINENCE

HRT has not been found to improve or reduce the incidence of incontinence after menopause.

DEPRESS
ION

Studies have shown that women who suffer from common vasomotor symptoms of menopause, mood swings, and sleep problems benefit from HRT in the overall quality of their life. However, there is no scientific evidence that HRT is helpful in the treatment of major depression.

ALZHEIMER''S DISEASE

Studies have not shown that HRT slows down the symptoms of Alzheimer''s disease. Studies are ongoing as to whether there is any benefit to HRT with regard to other memory loss.

SIDE EFFECTS FROM HRT

As with all medicines, there are side effects associated with HRT. Some women taking HRT may experience water retention, bloating, nausea, breast soreness, mood swings, and headaches. Changing the dosage or the form of HRT may help to alleviate these side effects.

Some women have irregular bleeding when they start taking HRT, but changing the dosage often eliminates this side effect.

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Hormone Replacement Therapy - The New York Times

The only place online where you can get all the services you require to achieve your true desiredphysique. We can help globally with Nutrition, Hormone Replacement Therapy, and Personal Training. All our products are customized to achieve your desired goals.

The Wellness, Fitness & Nutrition Network Difference

WFN has the most advanced testosterone, Estrogen and growth hormone optimization programs available today. We will help you relieve the negative effects of low-T and estrogen, so you can get on with your life. If you are looking for doctor prescribed testosterone, anabolic and estrogen supplements, you have come to the right place. WFN has hand-picked the best physicians fromacross the globe, just for your benefit.

LEGAL DISCLAIMER

No prescription will be provided unless a clinical need exist based on required lab work, physician consultation, physical examination and current medical history. Please note, agreeing to lab work and physical exam does NOT guarantee a finding of clinical necessity and a prescription for hormone therapy, treatment or hormone medications including testosterone, HCG, and Human Growth Hormones. No claim or opinion on the wellnessfitnessnutrition.com web-site is intended to be nor should it be construed to be medical advice or diagnosis. Please consult with a verified WFN Healthcare professional or your doctor before starting any therapeutic program.

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Hormone & Testosterone Replacement Therapy

Hormone replacement therapy, also referred to as HRT, is used to relieve menopause symptoms, especially hot flashes and osteoporosis. A woman on hormone therapy usually takes both estrogen and progestin. Women who have had a hysterectomy can take estrogen alone. Estrogen relieves hot flashes and prevents osteoporosis. However, estrogen alone can increase your risk of developing uterine cancer.

Many studies have looked at the association between hormone replacement therapy and breast cancer. The best evidence for the benefits and risks of hormone replacement therapy come from the Women's Health Initiative (WHI), a large study involving more than 16,000 healthy women. The results published in July 2002 showed the risks of combined HRT with estrogen plus progestin outweigh the benefits. These risks included an increase in breast cancer, heart disease, stroke, and blood clots.

Under the Affordable Care Act, many health insurance plans will provide free womens preventive services, including mammograms, birth control and well-woman visits. Learn more.

Health Insurance Center

Not only does combined HRT increase the risk of developing breast cancer, but it also increases the chances that the cancer will be discovered at a more advanced stage. This is due to its influence in reducing the effectiveness of mammography by creating denser breast tissue.

If you no longer have a uterus, estrogen alone can be given for symptoms of menopause. This probably does not increase your risk of developing breast cancer much, if at all. In March 2004, it was concluded from the WHI study that those taking estrogen only had no increased risk of breastcancer or heart disease; however, estrogen does appear to increase one's risk of stroke.

If you are considering HRT to relieve your menopausal symptoms, talk to your doctor to discuss the risks and benefits. Together you can decide what is right for you.

Hormone replacement therapy is an effective treatment for relieving hot flashes from menopause. But the known link between hormone therapy and increased breast cancer risk has discouraged many women and their doctors from choosing or recommending this treatment.

The type of hormone therapy (estrogen only or combination of estrogen and progestin), as well as the woman's individual characteristics, risk factors, and severity of menopause symptoms, should be considered when weighing the risks and benefits of HRT. The decision to use hormone therapy after menopause should be made by a woman and her health care provider after weighing all of the potential risks (including heart disease, breast cancer, stroke, and blood clots) and benefits (relief of menopause symptoms and prevention of osteoporosis).

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Hormone Replacement Therapy Breast Cancer - WebMD

Genemedics Health Institute is the national leader in bioidentical hormone replacement therapy for men (BHRT for men) and bioidentical hormone replacement therapy for women (BHRT for women). Led by nationally renowned Dr. George Shanlikian, M.D., Genemedics Health Institutes physician experts specialize in natural bioidentical hormone replacement therapy (BHRT), personalized nutrition programs, nutritional supplements, and fitness for both men and women.

Genemedics bioidentical hormone programs are customized for each individual to alleviate symptoms associated with:

Bioidentical hormones that may need to be balanced include:

All of our physicians are board-certified in Anti-Aging and Regenerative Medicine through the American Academy of Anti-Aging Medicine (A4M). Our expert physicians have passed written and oral exams and are among the most knowledgeable physicians in the field of anti-aging and natural hormone replacement therapy. Our natural hormone replacement therapy doctors have also completed advanced fellowships in Anti-Aging and Regenerative Medicine, completing hundreds of hours of additional training in anti-aging medicine and bioidentical hormone replacement therapy.

Genemedics' physician-supervised health program consists of natural bioidentical hormone replacement therapy, along with a nutrition plan, nutritional supplement regimen, and exercise program customized to help you reach your health and fitness goals.We have seen astonishing results in the lives of our patients, who are healthier, happier, and have dramatically improved quality of life. We incorporate functional testing such as body fat assessment, fitness testing, and stretch testing to gauge patient progress. We pay close attention to detail and routinely follow up with complete lab panels to make sure you have obtained and maintain hormone balance, along with optimal health and wellness. Our comprehensive natural bioidentical hormone replacement therapy programs, combined with proper nutrition and exercise, will return you to the optimal physical, sexual, and emotional health you experienced in your twenties and thirties. Contact us today and get started on the path to a younger, healthier you!

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Hormone Replacement Therapy Doctor | Genemedics

The menopause transition years (i.e., perimenopause, menopause and postmenopause) are a natural part of aging. During this transition, there is a gradual loss of ovarian function, which results in low hormone levels and infertility. Although menopause typically occurs

during the early 50s, transitional hormonal changes typically begin years before that, often when a women in 30-35. It used to be that female hormone levels didnt begin dropping until women were in their 40s, but a number of lifestyle and environmental factors have hastened this decline, including:

Bioidentical hormone replacement therapy for women (BHRT for women) can be used to relieve all symptoms of hormone imbalance in women and prevent the health risks associated with hormone imbalance. In BHRT for women,bioidentical hormones are used to replace or balance hormone levels.

Hormones work together synergistically, meaning that levels of one hormone affect other hormones. The idea behind natural bioidentical hormone replacement therapy is to carefully test for any hormone imbalances, then design a comprehensive, personalized program to balance and correct all of your hormone levels, restoring your hormone levels to those of your 20s. The benefits of bioidentical hormone replacement therapy include:

Why Choose Genemedics Health Institute for Natural Bioidentical Hormone Replacement Therapy for Women?

Genemedics Health Institute is one of the nations leading centers for natural bioidentical hormone replacement therapy. Led by nationally renowned Dr. George Shanlikian, M.D., our team of physicians has spent hundreds of hours in training and worked with thousands of patients to balance hormone levels and relieve the many symptoms of hormone imbalance. Our programs are designed to treat the whole person, not just a series of lab results. In addition to your bioidentical hormone replacement therapy, we will design an exercise and nutrition program and even prescribe a personalized supplement regimen to make sure your body has all the essential nutrients it needs to function optimally. When it comes to your health, you can feel comfortable youre placing your trust in the best!

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Home > Menopause > Menopause symptom relief and treatments

MHT research

A major study called the Women's Health Initiative (WHI) has explored the benefits and risks of menopausal hormone therapy. It has looked at many issues relating to MHT, including whether the health effects are different depending on when a woman starts MHT. Learn more about research results from WHI and other studies.

Some women can use menopausal hormone therapy (MHT) to help control the symptoms of menopause. MHT, which used to be called hormone replacement therapy (HRT), involves taking the hormones estrogen and progesterone. (Women who don't have a uterus anymore take just estrogen.)

MHT can be very good at helping with moderate to severe symptoms of the menopausal transition and preventing bone loss. But MHT also has some risks, especially if used for a long time.

MHT can help with menopause by:

For some women, MHT may increase their chances of:

Research into the risks and benefits of MHT continues. For example, a recent study suggests that the low-dose patch form of MHT may not have the possible risk of stroke that other forms can have. Talk with your doctor about the positives and negatives of MHT based on your medical history and age. Keep in mind, too, that you may have symptoms when you stop MHT. You also can talk with your doctor about treatments other than MHT that can help deal with specific symptoms on our Menopause symptom relief and treatments page or prevent bone loss.

Keep in mind when considering MHT that:

MHT can cause side effects. Call your doctor if you develop any of these problems:

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Content last updated: September 22,2010.

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Menopausal hormone therapy (MHT) | womenshealth.gov

Not everyone is a good candidate for hormone therapy services. If your hormone levels are optimal, your symptoms are most likely due to another cause.

If your symptoms are caused by hormone imbalances, however, you will see tremendous results with a comprehensive hormone therapy plan like the ones offered by AAG HealthGAINS. Your life will never be the same; you can see results as soon as 12 weeks into your personalized plan.

Weve helped thousands of patients take charge of their well-being. You no longer have to be at the whim of low hormone levels. If you follow our program, your life will change for the better. Heres how:

The above list is not exhaustive. There are many more benefits youll experience as you progress through your hormone therapy. The chart below explains what you can expect during each month of your personalized program.

Before you consider hormone replacement therapy with AAG HealthGAINS, there are some things you need to keep in mind. We will not administer hormone therapy if you fail to meet certain criteria.

In order to partake in HRT treatment, you must not have any major pre-existing conditions. You also need be experiencing symptoms related to low hormone levels, such as low energy, less frequent erections and memory loss.

Thats fine. Give AAG HealthGAINS a call at 1-800-325-1325 to speak with a health adviser.

The free consultation will help you and AAG Health adviser decide if HRT Therapy can help alleviate your symptoms. If we feel youre a good candidate for HRT, well help you start the process and get you feeling and looking your best.

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What is it? Hormone replacement therapy (HRT) is a treatment for women who have low hormone levels, like a woman going through menopause. HRT is also called estrogen (es-tro-jin) replacement therapy or ERT. With HRT a woman takes estrogen, and often progestin (pro-jes-tin), to help the symptoms caused by low hormone levels in her body.

What are hormones and how do they work?

What are the reasons I may not have enough estrogen?

What are the signs and symptoms of a low estrogen level? You can have physical and emotional changes when your estrogen level is low.

Will HRT help these symptoms? You may choose to take HRT to help or prevent the symptoms of low estrogen. Hot flashes and night sweats will occur less often and may possibly go away if you take estrogen. Estrogen helps prevent vaginal dryness and thinning of the tissue inside the vagina. Your chances of breaking a bone are much lower if you take estrogen. HRT may also improve your mood and memory. HRT may reduce your risk of heart disease.

Is HRT safe?

Are there side effects with HRT? Following are possible side effects of HRT.

How long do I need to take HRT? Bone loss is highest during the early years after menopause. To get the best results, HRT should start soon after the beginning of menopause. You should continue with HRT for at least 7 to 10 years. You and your caregiver can decide how long you should take HRT. You will need long-term treatment if you are trying to prevent heart disease or osteoporosis. Bone loss will begin right away when you stop taking HRT.

How do I take HRT?

Are there other ways to prevent bone loss or heart disease without HRT? Eating foods that are rich in calcium and low in fat is one way to control bone loss and heart disease. Caregivers may give you medicine to prevent bone loss or heart disease. Other ways to prevent bone loss and heart disease are to exercise regularly and to limit the amount of alcohol that you drink. You should not have more than 1 drink a day. A drink is 1 1/2 ounces of whiskey, 5 ounces of wine, or 12 ounces of beer (regular or light). If you smoke, you should quit.

How often should I see my caregiver if I take HRT? Call your caregiver if you are bleeding from your vagina or have other side effects that are bothering you. You should see your caregiver every year for a check up. Your caregiver may want you to have the following tests.

Where can I get more information about HRT? You can call or write the following organizations for more information.

You have the right to help plan your care. To help with this plan you must learn about hormone replacement therapy. You can then discuss the treatment options with caregivers. Work with them to decide what care will be used to treat your decreasing estrogen levels. You always have the right to refuse treatment.

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