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Parkinson's Disease and Male Hormone Replacement Therapy

Parkinson's disease (PD), Alzheimer's disease, and Huntington's disease patients have testosterone deficiency. It is unknown whether testosterone therapy (TT) will be of significant help to men with borderline hypogonadism and neurodegenerative illnesses. In previous studies, doctors found that testosterone deficiency is more prevalent in Parkinson's disease patients than age-matched patients.

So does hormone replacement therapy help male patients with Parkinson's disease? A report suggests that some nonmotor symptoms responded well to testosterone therapy in two small open-label studies. Generally, testosterone replacement was tolerated in older men with PD and possible testosterone deficiency or low testosterone levels.

Feel Like The True You With Hormone Replacement Therapy Today

Hormones determine so much of the way we look, feel, and act, which is why caring for your essential hormone levels is crucial to being the best you can be. RevitalizeYou MD can help you with all your hormone needs; contact us today to learn more.

What Hormones Are in Hormone Replacement Therapy?

Bioidentical hormone replacement therapy mimics the structure of human endogenous hormones by synthesizing hormones from plant compounds derived from yams. These hormones are similar to estrogen and testosterone present in the human body.

They have minimal side effects and consequences than a synthetic hormone or animal-derived. Estrogen (17 beta-estradiol, estrone, and estriol), progesterone, testosterone, and Dehydroepiandrosterone (DHEA) are examples of bioidentical hormones.

Some symptoms of menopause are treatable using the combination of estrogen and progestin - these are two female sex hormones. Hormone replacement therapy works by replacing the estrogen or sex hormone that the body no longer produces.

Estrogen relieves upper-body warmth, sweating, heat (hot flashes), vaginal symptoms (itching, burning, and dryness), and urinary problems. However, it does not treat other menopause symptoms such as uneasiness or depression.

Estrogen therapy also protects menopausal women from bone weakening (osteoporosis). In hormone replacement therapy, progestin is combined with estrogen to lower the risk of uterine cancer in women who still have their uterus.

Benefits of Testosterone Replacement Therapy on Nonmotor Symptoms of Parkinson's Disease

The destruction of dopaminergic neurons in the substantia nigra pars compacta and a loss in dopamine activity in the striatum define Parkinson's disease. Various factors increase the risk of developing PD, although most patients have unexplained Parkinson's disease.

Some of these factors are gender, genetic mutations, excitotoxicity, oxidative stress, mitochondrial dysfunctions, neuroinflammation, and protein degradation system dysfunction. Testosterone replacement therapy has recently been found to enhance refractory nonmotor symptoms in male PD patients with a low testosterone level.

Many of the nonmotor symptoms of PD, such as lack of dopamine, loss of energy, hormonal imbalance, and depression, correlate with testosterone deficiency symptoms. Replacement therapy for males with Parkinson's symptoms and concomitant testosterone deficiency could be a valuable complement to antiparkinsonian treatment.

A progressive open-label preliminary research of testosterone topical gel was given daily to males with PD symptoms and testosterone deficiency. All ten patients were observed for one month, and six patients were monitored for three months in total.

Patients were given testosterone deficiency questionnaires, cognitive examinations, and scales of PD nonmotor and motor symptoms within 1 and 3 months. Patients had an average increase in free testosterone level from baseline (53 pg/mL) to a 30-day follow-up check (131 pg/mL) and a three-month follow-up appointment (98 pg/mL) with everyday topical testosterone gel.

Testosterone deficiency symptoms improved from baseline (7.9 deficiency symptoms) to 1 month (5.6 deficiency symptoms) and three months (5.8 deficiency symptoms) in these patients (St Louis Testosterone Deficiency Questionnaire). After a month, the Integrated Parkinson's Disease Rating System showed improvement.

In males with Parkinson's disease, a daily dosage of transdermal testosterone gel alleviated symptoms of testosterone deficiency. Although there were improvements in some nonmotor and motor symptoms of Parkinson's disease, further placebo control research needs to be larger to resolve these significant issues.

Future research is necessary to determine whether testosterone deficiency is a comorbidity in Parkinson's disease or plays an essential role in the disease's pathogenesis.

Should a Patient Consider Hormone Therapy for Parkinson's Disease?

Hormone replacement therapy may benefit any postmenopausal woman or a male patient over the age of 50. Male PD patients or anyone who has had breast cancer, endometrial cancer, or prostate cancer who wishes to participate in this treatment will need to get consent from an oncologist.

These patients and individuals with a history of strokes or blood clots in their legs or lungs are good candidates for bioidentical hormone replacement therapy. Patients with Parkinson's disease who also undergo deep brain stimulation (DBS) therapy in their illness management are primarily included in testosterone replacement therapy.

DBS sessions in male rats and male mice have been shown to protect dopaminergic neurons from the toxic effects of intrastriatal 6-hydroxydopamine. Gonadal hormones regulate glial response to injuries. Circulating estradiol's neuroprotective effects are mainly dependent on its potent anti-inflammatory effects on astrocytes.

Moreover, motor and memory assessments were performed on both male and female mice. In addition, peripheral deficits (olfactory and stool collection tests). The female transgenic mice showed loss of nigral dopaminergic neurons but neither microgliosis nor astrogliosis.

Revitalize You MD have introduced the public and PD patients with motor symptoms, the counseling, and administration of testosterone treatment. Healthcare professionals must wait at least four weeks to see how the hormone therapy affects a patient's hormone levels and at least eight weeks to see improvements in hormone imbalance.

Until now, age is the only known risk factor for Parkinson’s disease. Several other risk factors have been studied extensively, including gene polymorphism, smoking cigarettes, alcohol and caffeine consumption, pesticides, and a history of head trauma, hypertension, and diabetes mellitus.

However, the impact of most of these factors on the likelihood of developing Parkinson disease is unexplained.

Seek Professional Advice at Revitalize You MD on Hormone Replacement Therapy

Revitalize You MD constantly monitors hormone levels for side effects and safely determines whether testosterone pellets should be adjusted until it reaches an appropriate testosterone level. We can also assist you in deciding whether hormone replacement therapy is the best treatment option for Parkinson Disease.

Our high-quality care, overall safety profile, and medical expertise have been our specialty and helped us establish our reputation -- not only for hormone therapy, estrogen treatment but also other medical operations. Give us a call today to speak about the non motor symptoms of Parkinson's Disease and other relief alternatives.

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Does Hormone Replacement Therapy Cause Male Breast Growth?

Hormone replacement therapy (HRT) in hypogonadal males has become more prevalent. That is because doctors became more knowledgeable of andropause and the advantages of testosterone therapy. The peripheral transformation of testosterone to estradiol by the enzyme aromatase causes gynecomastia. The condition is humiliating for males and may lead to the abandonment of effective hormonal therapy.

So does hormone replacement therapy cause male breast growth? Generally, hormone therapy for prostate cancer is well-enforced. But, it is frequently associated with gynecomastia and breast swelling or tenderness. The excessive use of antiandrogens as monotherapy is increasing the number of patients with gynecomastia.

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Understanding Gynecomastia

The male body releases both testosterone and estrogen, though estrogen level is typically low. Male breast growth may develop if a man has a low testosterone level compared to estrogen; or if a high estrogen level is present in contrast to testosterone.

Gynecomastia is an unusual growth in the volume of the male breast, which is thought to be caused by an increased estrogen/androgen proportion. Natural diseases and medication are pathological causes of gynecomastia, such as administering estrogens and antiandrogens.

They distort the ratio of hormone distribution in the body.

Pubertal gynecomastia appears in teenagers when they reach adolescence. There is a significant change in reproductive hormones in the body. Unlike metastatic breast cancer, hormone imbalance and physiologic gynecomastia may resolve themselves over time and without therapy.

Breast tissue overproduction may be the same in both breasts or more in one breast than the other. As testosterone levels decline in older men, gynecomastia may develop and remain unless treated. Based on research, one out of every four males around the ages of 50 to 80 suffers from gynecomastia.

The condition is usually not harmful or severe. In some cases, it can cause sore breast tissue. Medical treatments are available to prevent the formation of gynecomastia. Some prescriptions may contain an estrogen blocker and an aromatase inhibitor.

Conversely, mastectomy with gland excision, liposuction, or a combination of two methods can be efficient. Radiation therapy provides an efficacious remedy for gynecomastia-related breast pain. There are positive outcomes of a lower semicircular periareolar incision mastectomy in men with gynecomastia.

What Causes Male Breast Growth

Gynecomastia is caused by a reduction in the amount of testosterone in comparison to estrogen. Circumstances that block the impacts of testosterone, reduce testosterone, or boost the estrogen level can all cause a low testosterone level.

Testosterone and estrogen; regulate sex behavior in both males and females. Testosterone modulates male characteristics such as body hair and muscle mass; estrogen receptor regulates female traits such as breast growth and possibly prevent vaginal dryness.

Most people may think of estrogen as a female hormone. However, males produce it as well - albeit in small amounts. Gynecomastia can be caused by a high estrogen level or hormonal imbalance in males. Low testosterone levels are frequently the result of aging. Implicit medical conditions can also be the source of the problem.

Consult the doctor to see if the low testosterone is the symptom of an underlying condition, including:

damaged testes cells that produce testosterone

traumatic accident

testicular cancer

radiation and chemotherapy

swelling

brain diseases that affect the hypothalamus and pituitary gland

Furthermore, anabolic steroids may be harming the body's capacity to produce testosterone. The growth of prostate cancer is typically dependent on testosterone. Hormone therapy inhibits or reduces the amount of testosterone in the body. When combined with other medications, this can reduce the risk of early prostate cancer returning.

It can also shrink or slow the progression of advanced prostate cancer. Breast enlargement can occur in one or both chests. It could be excruciating. It all starts with fatty tissue. However, it has the potential to develop into denser tissue.

Before proceeding with testosterone replacement therapy, the doctor will discuss the possibility of swollen breast tissue. Certain types of male hormone therapy can cause more breast swelling. It includes bicalutamide when taken for an extended period of 6 months.

There are some risks associated with testosterone replacement therapy. Men who are at risk of developing breast or prostate cancer should not use testosterone replacement therapy. There has been some debate over whether the treatment increases the risk of producing prostate cancer.

In addition, it may significantly raise the risk of cardiovascular disease, obstructive sleep apnea, and an increase in the production of red blood cells. It's important to talk to a doctor about more recent studies, as well as the risks and benefits of testosterone treatment.

Breast Swelling Treatments

Medications such as raloxifene (Evista) and tamoxifen (Soltamox) can treat gynecomastia. These medicines have been approved by the US Food and Drug Administration (FDA) to treat breast cancer cells but not gynecomastia.

Any use of drug treatments that are not FDA approved, is referred to as "off-label" use. Off-label medications could be risk-free. However, before beginning treatment, consult a doctor about using these medicines.

There are surgical alternatives available too. An example is liposuction, which eliminates excess belly fat. It can also remove fat from the breasts. Moreover, liposuction does not affect the breast gland. The surgical treatment of breast gland tissue is known as mastectomy.

It is possible to perform the procedure with tiny incisions and a comparatively short healing process. These therapies may include restorative or cosmetic surgery to help achieve the desired shape and appearance.

Addressing low testosterone levels is beneficial in treating gynecomastia. Men's testosterone levels start to fluctuate as they age. That is why countless older men experiment with testosterone replacement therapy. Treatments come in a variety of forms: skin gels, patches, and injections.

Typically, men who obtain a hormone treatment see visible outcomes. They frequently see improvements in some issues like energy loss, poor sex drive, erectile dysfunction, sleep disturbances, and muscle mass.

They may also notice an improvement in their perspective and mental state. Bioidentical hormones and synthetic hormones can help solve gynecomastia in men with low testosterone. Other treatments include radiotherapy and tamoxifen.

Radiotherapy utilizes high-energy x-rays to lessen swelling. It is the primary method of preventing and treating breast swelling. It's known as breast-bud radiotherapy. A patient can only have either one or two sessions with a small dose.

For several weeks after the treatment, the skin around the nipple may be red and swollen. It is unlikely to have a male breast cancer risk developing in the treated area through the years. The doctor will discuss everything with the patient.

Tamoxifen works by inhibiting estrogen production. It reduces the swelling of breast tissue. According to research, men who take bicalutamide can keep breast swelling at bay and lessen the pain. Tamoxifen can cause hot flashes and other adverse effects.

It is unknown how tamoxifen may affect hormone treatments for prostate cancer. Further research is necessary to figure out. If radiotherapy does not relieve the breast swelling, the doctor may recommend tamoxifen.

An expert advises everyone to see a doctor at least once a year. Male breast cancer, while uncommon, does occur and must be ruled out. Other warning signs include unexpected breast pain and one-sided breast enlargement.

There are some things men can do to lessen the risk of gynecomastia:

Don't abuse drugs. Steroids and androgens, amphetamines, heroin, and marijuana are a few examples.

Avoid drinking alcohol. Don't consume any alcoholic beverages. If a patient must consume alcohol, drink in moderation.

Examine the medicines. When taking medication for gynecomastia, check with the doctor if there are any alternatives.

Talk to a Doctor

Breast pain and swelling can be distressing and hard to handle. Most men feel ashamed and less confident in themselves. A patient may be hesitant to discuss low hormone levels and gynecomastia. However, the circumstances are not unusual.

According to the Boston University School of Medicine, between 4 and 5 million men in the United States have low testosterone levels. Gynecomastia is also quite common. Low testosterone and gynecomastia are common issues in men, especially as they get older.

If a patient hasn't been given any medical advice for breast swelling and notices it's starting, see a healthcare professional as soon as possible. There are numerous treatments available. They can determine the best possible treatment and provide support.

Addressing therapy options with the doctor can help in regaining control of the body and health. Discussing the issues with a therapist is also beneficial. A support network of other men with gynecomastia may give some perspective on coping up with the condition.

Safe and Excellent Hormone Therapy at Revitalize You MD

Hormone replacement therapy can help postmenopausal women and men to avoid risks of cancer and maintain good health rest of their lives. Before proceeding to the treatment, find a reputable health clinic that will support you in getting on board with the therapy.

At Revitalize You MD, we ensure that each client obtains the excellent hormone therapy experience possible, tailored to their specific needs. We are a team of qualified medical professionals on staff, dedicated to offering goods and services; that will benefit clients in achieving overall wellness.

Schedule a free consultation now to know about our HRT treatments and other special offers.

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What Causes Feet Swelling on Hormone Replacement Therapy Patients?

Testosterone has numerous favorable impacts. Testosterone therapy increases bone strength and density. It promotes induction of hematopoiesis, stimulation of sexual function and libido, cardioprotection, and muscular strength. Men's testosterone levels decrease as they age. Any man with comorbidity that prevents TRT should know all the potential risks.

So what causes swelling feet in hormone replacement therapy patients? Swelling of the feet, legs, and ankles can emerge while taking hormone treatments like steroids, contraceptives with estrogen, an aromatase inhibitor, and androgens. Fluctuating progesterone and an estrogen level can cause decreased blood flow in the legs, resulting in feet and ankle swelling.

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Hormones Involved in Testosterone Replacement Therapy

Testosterone replacement therapy treats a low testosterone level in men. It also enhances puberty in circumstances where it has been halted. Testosterone deficiency can cause different symptoms such as decreased sex drive, erectile dysfunction, anxiety, male attributes loss, and fragile bones.

Procedures of testosterone replacement involve patches, infusions, gels, and medicines. The usual drug class prescription for testosterone replacement is androgens. Furthermore, the following medications and their core components can help increase testosterone production:

Transdermal skin patch: Androderm is a skin patch applied on the upper body or arm once a day.

Gels: AndroGel and Testim are clear testosterone gel packets. Applied once a day for the testosterone to penetrate directly through the skin. AndroGel, Axiron, and Fortesta are also available to provide the prescribed hormone levels. Natesto is a gel applied inside nasal passages.

Oral patch: Striant is a tablet that adheres to the upper gums above the incisor, which is the tooth to the right or left of the two front teeth. This drug therapy is taken twice daily; it constantly generates testosterone into the blood vessels via the oral tissues.

Implants and injections: Testosterone is infused straight into the muscle fibers or embedded in the soft tissues as pellets. The body slowly absorbs the testosterone into the bloodstream.

Oral testosterone is accessible. Moreover, several specialists believe that taking oral testosterone can cause liver disease. Few procedures, including skin patches, gels, orally dissolving tablets, or injections, circumvent the liver and deliver testosterone straight into the blood. In addition, tamoxifen inhibits estrogen's negative responses at the hypothalamus and pituitary gland, which increases testosterone biosynthesis.

Balancing the Benefits and Risks of Hormone Therapy

It's hard to anticipate the results of hormone therapy because each man is unique. Countless men report increased energy, sexual drive, and erection quality. In some men, testosterone improves bone mass, muscular strength, and insulin levels.

Men regularly encounter a change in overall mood as a result of testosterone replacement therapy. It is remarkably subjective whether these effects are barely perceptible or a significant boost.

A University of California-San Diego endocrinologist specializing in testosterone deficiency estimated that one in every ten men is "delighted" about their response to hormonal therapy -- and the rest "don't notice much". The majority of men have positive but variable reactions to testosterone replacement therapy.

For women with menopause, the two prevailing certified indications for HRT prescriptions are menopausal symptom relief and treatment of osteoporosis. HRT risks include an increased risk of breast cancer, blood clot, and possibly heart failure.

Although the benefits surpass the risk for men and women, alternative therapies for either symptom control or bone defense may be advised for others. The common adverse effects of testosterone replacement therapy are hot flashes, itchiness, or discomfort at the spot where the testosterone adheres.

Nevertheless, there is proof that testosterone use may increase the risk of blood pressure, heart attack, or stroke. Since vast clinical trials have not yet been conducted, researchers acknowledge the uncertainties of the benefits and risks of long-term testosterone treatment.

Researchers believe that testosterone can exasperate a few health issues:

Sleep apnea: Testosterone replacement therapy can aggravate this condition. Men may find it hard to identify this by themselves, but their sleeping partners can usually tell. Polysomnography (sleep study) may be necessary to confirm a diagnosis.

Prostate cancer: Testosterone can promote the growth of prostate cancer. Before beginning testosterone replacement therapy, most specialists suggest a prostate cancer assessment. Men who have prostate cancer or have lifted prostate-specific antigen (PSA) levels should certainly avoid testosterone therapy.

Benign prostatic hypertrophy (BPH): The prostate naturally occurs in response to testosterone stimulation. Numerous men's prostates enlarge as they grow older, squeezing the tube that transports urine (urethra) and adrenal gland. As a consequence, urinating becomes challenging. Testosterone therapy can aggravate this condition, known as benign prostatic hypertrophy.

Blood clots: The FDA necessitates that testosterone replacement products include a disclaimer about the risk of vein clotting. It may increase the likelihood of deep vein thrombosis and pulmonary embolism, a possibly deadly clot in the lungs.

Brands already carried a notice about the risk of a blood clot caused by polycythemia, which is an unusual increase in the production of red blood cells that can occur with testosterone treatment. The caution has been expanded to include men without polycythemia.

Congestive heart failure: Taking testosterone replacement can exacerbate the situation in men with severe congestive heart failure.

Massive clinical trials will take years to produce results on the long-term advantages and risks of testosterone therapy. Like any medication, men and doctors must decide whether the potential benefits supersede the risks.

Home Treatments for Swelling Feet, Legs, and Ankles

Oedema occurs when there's excess fluid in tissues. While edema usually goes away on its own, some home treatments can help reduce swelling and improve comfort.

1. Purchase compression socks

Anyone can purchase compression socks at a drugstore, a grocery store, or even online. Begin with compression socks measuring 12 to 15 mm or 15 to 20 mm of mercury. They are available in various weights and compressions. It may be wise to start with lightweight socks and work the way up to the type that offers the most relief.

2. Drink 1 to 2 liters of water daily

Though it may appear counterintuitive, drinking plenty of fluids aids in the reduction of swelling. When the body is dehydrated, it holds onto the liquid that it does have. Swelling is exacerbated as a result of this.

3. Raise the feet above the heart level

When sleeping, prop the feet up on cushions, pillows, or items such as phone books. Elevating the feet numerous times a day can also help reduce leg cramps.

4. Foot massage

Massage can help with swollen feet and relieve stress. Massage the feet toward the heart with firm thrusts and pressure (or have someone massage them). It can support moving the fluid out of the area and lessen the swelling.

5. Transform eating habits

Decreasing sodium intake can aid in the reduction of swelling in the body, including the feet. Choose low-sodium versions of favorite foods and stop putting salt in foods.

6. Soak feet for 15 to 20 minutes in a cool Epsom salt bath

Magnesium sulfate (Epsom salt) may help with more than just muscle aches. It may also help to alleviate swelling and inflammation. According to the hypothesis, Epsom salt brings out toxins and promotes relaxation.

7. Lose weight for people with obesity

Obesity can decrease blood circulation, resulting in inflammation of the lower extremities. It can also cause extra stress on the feet, arising in pain while walking. It can lead to a more sedentary lifestyle, which can lead to fluid retention in the feet.

When Should a Patient See a Doctor About Swelling Feet, Legs, or Ankles?

While feet swelling is usually not a serious concern, it can be an underlying severe condition. The following are some guidelines to help determine when swelling necessitates a visit to the doctor or the urgent care facility.

If any of the following symptoms are present, see the doctor right away:

swollen heart or kidney disease

liver disease and are experiencing leg swelling

swollen areas that are red and warm

pregnant and have sudden or severe swelling

have tried natural remedies, but they haven't worked, and the swell is getting terrible

Having any of the symptoms listed in addition to foot, leg, and ankle swelling, should go to the hospital right away:

joint pain

pressure, and tightness in the chest

confusion

lightheadedness

faintness

difficulty in breathing or shortness of breath

dizziness

Other Common Causes of Swollen Feet

Foot, leg, and ankle swelling may originate from various factors. Lifestyle can be the cause of swelling like:

weight gain or obesity

prolonged periods of standing or sitting

Some potential causes of foot, leg, and ankle inflammation involve medical conditions or physical changes, like:

Hormonal changes: These natural changes can occur during pregnancy and menstruation. Puberty can also cause hormonal imbalance.

Blood clot formation in the leg: When a blood clot forms in a varicose vein in the leg, it can obstruct blood flow, causing swelling and irritation.

An infection or injury: A foot, leg, or ankle injury or infection causes excessive blood flow to the area. It manifests as swelling.

Lymphedema: It is also called lymphatic obstruction -- the clogging of the lymphatic system. This system consists of lymph nodes and blood vessels that transport fluid across the body. Lymphatic obstruction is caused by tissues becoming swollen with fluid results in arms and leg swelling.

Venous insufficiency: Inflammation of the ankles and feet is a common symptom of venous insufficiency. It is a disorder wherein blood does not move sufficiently up the blood vessels from the legs and feet to the heart.

When these valves are damaged or deteriorated, blood flows back down the blood vessels. Then, fluid accumulates in the soft tissue of the ankles and feet. Skin changes, skin ulcers, and infection can result from chronic venous insufficiency.

Start Your Hormone Replacement Therapy at Revitalize You MD

Hormone replacement therapy is an option for both men and women dealing with hormone imbalance. Before proceeding, a patient must be examined by healthcare experts to determine the best HRT medications.

Revitalize You MD is home to the most qualified medical practitioners and certified health professionals who can counsel you on hormone therapy. Reach out to us and know more about how our HRT treatments can help you.

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Male Synthetic Hormone Replacement vs. Bioidentical Hormone Replacement Therapy

Over the last twenty years, as bioidentical hormone replacement therapy has grown in popularity, assumptions were made about hormone therapy. One of these misconceptions is that "bioidentical" denotes "natural", but "synthetic" means "produced in a lab". However, it's vital to realize that both bioidentical hormones and synthetic testosterone are synthesized in medical labs when comparing the two.

So which is the better option between male synthetic hormone replacement vs. bioidentical hormone replacement therapy? Some patients prefer bioidentical hormones over synthetic hormone therapy for several reasons, including the term "natural" implies "better" which is not always the case. There are a few distinctions to be aware of when making the right decision.

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The Scientific Distinction Between Bioidentical Hormones and Synthetic Testosterone

Hormone replacement therapy has been a blessing to many people, from the man experiencing a testosterone deficiency to the woman having menopausal symptoms to the youngster dealing with issues caused by hormone imbalance.

It has played a significant role in restoring sex drive, balancing mood swings, increasing energy, and relieving exhaustion, among several other things. This article will discuss hormone therapy, its benefits, and how to traverse the distinctions between synthetic and bioidentical hormones to know the best judgments for life.

Here are the molecular details for those who are curious about the proper scientific differentiation between bioidentical testosterone and "synthetic" substitutes:

The testosterone molecule, which is produced naturally by the body, has the chemical formula C19H28O2.

Bioidentical testosterone is chemically engineered to fabricate the accurate formula. It is performed in a clinical lab from vegetable sources such as yams or soy because bioidentical hormones can flawlessly mimic a natural hormone. It is crucial because even minor changes to the original testosterone molecule can alter its functionality in the human body.

Other testosterone medications, such as hormone pellets, may be based on customized testosterone. Typically, these medications are made by adding a specific component to the base testosterone molecule, altering the formula, and modifying the molecular function slightly.

Methyltestosterone, a testosterone derivative with the chemical formula C20H30O2, is used to make medicines such as Metandren. If the body can produce testosterone similar to that found in nature, molecular alterations are not necessary. The pharmaceutical industry reconfigures testosterone molecules.

It makes them extra bioavailable in numerous preparations like methyltestosterone. It was one of the first testosterone pellets formulated for oral ingestion. Companies may also modify molecules to patent their newly established drug and avoid competition.

Benefits and Risks of BHRT

Bioidentical hormone replacement therapy (BHRT) is a procedure using a BHRT pellet in replacing a human hormone that is depleted or imbalanced for some reason. This method is most commonly used to alleviate the symptoms of testosterone deficiency or hormone imbalance caused by aging or menopause.

Bio identical hormone is derived from natural sources, such as soy, to replicate the chemical composition of the original hormones made by the body. Doctors can expertly adjust an optimal regimen for the body's needs by using the hormone level as a reference.

Estrogen, testosterone, adrenal hormones, and progesterone are the most generally simulated hormones. These can be supplied via injections, topical ointments (estriol cream), gels, tablets, and capsules, to restore hormone balance to an active form.

Studies suggest that the following are the benefits of bioidentical hormone therapy:

Cures andropause by improving sex drive and reducing genital dryness

Heightens low testosterone level

Treats thyroid hormone disorder

Lowering the risk of osteoporosis and improving muscle mass

Improves erectile dysfunction

Boosting energy levels, mental clarity, alertness, and sleep

Helps in reducing hot flashes and night sweats for good sleep

The FDA has authorized some bioidentical estrogen, estradiol, and progesterone formulations. But, they have disapproved of any compounded bioidentical hormones. Some reports suggest bioidentical hormones are safer and more efficient than traditional HRT since their structures are similar to those that the body produces.

However, these reports have not been supported by large-scale, credible studies. When using compounded hormones, the FDA advises caution.

According to research, bioidentical hormones, in general, may increase the risk of certain illnesses and conditions such as:

gallbladder distress

blood clots

breast cancer

cardiovascular disease

These symptoms are generally overlooked or described as inevitable byproducts of aging. That does not have to be the case. The best approach is to keep in mind that physical activity, nutrition, and sleep habits all have a significant impact on hormonal balance in the body, placing the main power of health into account.

A regimen of medicinal plants or other naturopathic remedies can also be very beneficial to overall health. There might be some side effects associated with bioidentical hormones while the body responds to hormonal changes.

The following are some of the most prevalent bioidentical hormones side effects:

weight gain

acne

bloating

increased woman facial hair

mood swings

fatigue

Most people are unable to use bioidentical hormones or any other form of testosterone therapy. The risks and possible side effects may differ between men and women based on their medical history. Before initiating any hormone replacement therapy, discuss the benefits and disadvantages with the doctor.

Risk Factors: Synthetic Testosterone Replacement Therapy

Synthetic hormones are obtained from animal hormones, such as Premarin -- synthesized from the estrogen of pregnant horses. Although synthetic progestin is not approximately parallel to human hormones, they are thought to be nearly equal enough to work.

Series of research conducted in 2002 pinpointed the distinctions between synthetic and bioidentical hormones therapy. Researchers emphasized not in their initial function but their adverse effects. When they compared a natural form of progesterone to a synthetic form, they discovered that it poses a greater risk to patients' health.

Among the most severe side effects of synthetic progestins (a synthetic progesterone compound) was an increased risk of breast cancer. Synthetic forms can potentially cause an increase in estrogen-related breast cell mitosis or cell division and spreading. Cancer is the result of uncontrollable cellular division.

Endogenous estrogens can be converted into relatively strong variants by synthetic hormones (16-hydroxy estrone). These more potent, even toxic, forms of estrogen can promote cancer formation.

Bioidentical progesterone, on the other hand, has the opposite effect as synthetic progesterone. Bioidentical hormones such as progesterone; inhibit breast cell division and are linked to the prevention of breast cancer (by acting on kinase inhibitors).

Organic progesterone has a protective role in women's anatomy by stopping breast cancer, whereas synthetic progesterone may promote breast cancer. Current findings appear to indicate that bioidentical hormones are a safer long-term option over synthetic forms.

When evaluating bioidentical hormones for synthetic hormone treatment, natural hormone therapy is the better option. Since synthetic hormones are not similar to human hormones, they may mimic human hormones on fundamental biological pathways but lack the efficacy of actual human hormones.

They may also cause unpleasant side effects, which are not surprising since they are from animal hormones such as horses. Another crucial factor to take into account in the BHRT vs. synthetic HRT comparison is that there is evidence that synthetic hormone pellet therapy may be a link to heart disease and some cancers, particularly breast cancer.

Determining the Most Appropriate Testosterone Replacement Therapy

There may not be much debate regarding bioidentical vs. synthetic testosterone if both treatments have approximately the same effects on the body. Admittedly, both options offer the same selection of formulations (gels, creams, injections, and pellets) and may have similar prices. The actual distinction lies in the treatment experience.

When low testosterone or andropause symptoms appear, many men try TRT from their doctors. They usually receive an average dose of popularly prescribed medicines and follow up regularly to evaluate the success of the treatment and create any required adjustments.

A patient would be referred to a specialist for more advice only if the symptoms did not improve or if prescription side effects appeared. The engagement with bioidentical hormones treatment, on the other hand, is far more customized. Frequently, highly specialized therapies are provided by doctors with expertise in hormonal imbalance, symptoms, and treatments.

On an ongoing basis, the finest hormone healthcare professionals usually spend more one-on-one time with every patient to fully comprehend their symptoms. For the most precise assessment, specialists may require further laboratory tests for thorough blood, saliva, or urine samples.

Substantially, bioidentical hormone replacement therapy is tailored to each patient's particular needs rather than being restricted to standardized medications. It could mean that a patient may get better symptoms relief and have minimal side effects, giving the best treatment result possible.

More Hormone Replacement Therapy Options at Revitalize You MD

Menopause and andropause is a natural biological process. However, that doesn't mean men and women have to tolerate the discomfort, especially if they interfere with their daily lives. At Revitalize You MD, we provide safe and effective hormone and testosterone replacement therapy to help your body recover from the effects of aging.

Seek advice with our team of professionals at Revitalize You MD to determine which type of hormone replacement therapy is best for you. Make a call and schedule a consultation with us today!

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Is Testosterone Replacement Therapy Safe for Men With Cardiovascular Disease?

Testosterone is an anabolic hormone that promotes the growth of male genitalia. It also improves muscle mass and bone strength. In addition to the main sexual traits at birth and puberty (the changes and modifications of sexual organs such as the uterus, vagina, penis, and testes), testosterone is also engaged in secondary sexual features maintenance.

So is testosterone replacement therapy safe for men with cardiovascular disease? A study discovered that testosterone therapy did not raise the incidence of heart disease. Further research is essential to assess the safety of utilizing testosterone therapy to treat older males with age-related low testosterone levels. In 2015, the FDA issued an advisory; testosterone labels must warn users of increased cardiovascular risk.

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What Should a Patient Do About Testosterone?

Testosterone is a male hormone that is predominantly synthesized in the testicles. Normal testosterone level aids in the maintenance of men's:

Bone density

Distribution of fat

Muscle density and strength

Hair on the face and body

Production of red blood cells

Sex drive

Production of sperm

As a result, patients with testosterone deficiency typically have diminished libido, erectile dysfunction, exhaustion, lethargy, muscle weakness, osteoporosis, melancholy, decreased intellectual function, and regression of several secondary sexual traits.

Testosterone flows in the body in a physiologically inactive form tied to sex hormone-binding globulin (SHBG). Its bioactive form appears as free testosterone and loosely attached to albumin. As people age, their SHBG levels rise and bond-free testosterone.

In addition, growing aromatase enzymes promote the conversion of testosterone to estradiol. Both of which reduce the level of physiologically active testosterone. Furthermore, men should avoid certain medications like LHRH agonists.

These are medications that decrease the quantity of testosterone released by the testicles. Because these medications suppress testosterone levels, they are referred to as medical castration.

What Happens to Patients With Low Testosterone Levels?

Testosterone production slows with aging, and many older men exhibit symptoms of low testosterone. Low testosterone is defined by the American Urological Association as fewer than 300 nanograms (ng) of hormones per deciliter (dl) of blood.

They also stated that approximately 2 out of every 100 males have low testosterone. The following are some of the most prevalent indications and symptoms of low testosterone in men. Women may also have some of the symptoms listed below.

1. Erection problems

Low testosterone levels might cause fatigue and mood swings. Erections can be hard to obtain or preserve when testosterone levels are low. Testosterone causes the penile tissues to create nitric oxide, which initiates a chain of events that leads to an erection.

Other causes that can induce erectile dysfunction include:

high levels of cholesterol

diabetes

smoking

high blood pressure

anxiety, or stress

thyroid-related problems

2. Hair loss

Most males undergo hair loss as an inevitable part of aging, and women can also have age-related hair loss. Authors of a study published in 2012 discovered that testosterone injection helped in hair restoration in some females undergoing treatment for signs of sex hormone insufficiency.

3. Bone mass decrease

Testosterone promotes the formation of bone tissue and the maintenance of bone quality. Low testosterone levels might cause a decrease in volume, making the bones more prone to fractures.

4. Reduction in the size of testicles

A man with low testosterone may observe a decrease in testicle size and is not influenced by cold weather. The testicles may be softer than usual.

5. Sperm reduction

The semen is what makes up the majority of male ejaculation. This fluid supports sperm movement toward the egg. Testosterone stimulates the generation of sperm, and low amounts of sperm indicate a drop in testosterone. It can potentially cause fertility issues.

6. Troubles in sleeping

Men with low testosterone may have difficulty falling or staying asleep. Several men with lower testosterone experience sleep apnea. It is a deadly illness that causes a cessation of breathing for a short period. Which potentially interrupts sleep.

7. Low sex drive

People with low testosterone frequently have a decrease in sex drive. A male's sex drive usually declines with aging. However, when the problem is low testosterone, he will sense a dramatic fall in the desire to have sex.

8. Decrease in muscle mass

Testosterone is involved in the formation of muscle mass, and low levels of the hormone may lead to significant muscle mass loss. While low testosterone causes a decrease in muscle mass, muscular performance and strength do not deteriorate, according to a 2016 review.

9. Body fat accumulation

A low testosterone level might lead to an increase in body fat. In some circumstances, men with a lack of hormones suffer gynecomastia or breast growth.

10. Mood swings

According to some research, men with low testosterone levels result in difficulty in concentration, anger, and sadness.

11. Hot flashes

Many individuals link hot flashes with fluctuating estrogen levels during menopause; low testosterone levels can also trigger this symptom.

12. A drop in energy levels

Low testosterone levels might result in decreased energy and weariness. A patient may feel exhausted or lose interest in activity and movements even after having enough rest. In women, testosterone is quite essential.

Women's levels, on the other hand, are generally lower than men's. Low hormone levels in women are usually not a concern. However, high testosterone levels may induce undesirable effects.

These are some examples:

irregular or non-existent menstrual cycles

growth of face and body hair

infertility

lowered voice

High testosterone levels in women can be triggered by the following factors:

ovarian cancer

adrenal tumor

congenital adrenocortical hyperplasia

polycystic ovarian syndrome

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Men Testosterone Replacement and Cardiovascular Risk Factors

Modern androgen therapy began in 1935, testosterone was extracted from bulls' testes and artificially produced separately. Since then, several different types of prescriptions have been developed. Over the last decade, hypogonadal men have been commonly recognized and treated in older men.

Based on a study, 2.4 million men aged 40 to 69 years old in the United States (US) struggle with hypogonadism. Approximately 481,000 new instances of hypogonadism are diagnosed each year in males of the same age group. Testosterone levels typically peak around the age of 30 and would fall at 1-2 percent annually.

Findings suggest that as men get older, their testosterone levels fall. Patients with low testosterone should be treated with testosterone replacement therapy (TRT). If testosterone contributes to the dilation of blood vessels, it may be able to alleviate angina in men with coronary artery disease.

In a 2000 experiment, 46 males with stable angina and lower serum testosterone levels were assigned randomly to either a testosterone supplement or a placebo for twelve weeks. Before and post-therapy, each individual conducted a conventional physical stress test.

Men on testosterone had better exercise tolerance than placebo-treated patients at the end of the experiment. Although the difference was minor, amounting to an average gain of only 26 seconds. The benefits of TRT must be considered as against the risks of replacements.

Particularly in patients with documented CV illness or those with higher CV risk factors. In recent years, the FDA has ruled that there is no proof of considerable CV risk for any particular group of patients given by hormone replacement therapy.

However, further research is needed to determine the dangers of TRT in patients with strong CV risk factors and a history of coronary heart disease. As a previously reported study, the FDA authorized testosterone undecanoate in March 2019. It is an oral pill to treat males with specific types of hypogonadism, making it the first latest oral testosterone pellets medication in over six decades.

The American College of Cardiology (ACC) and the American Endocrine Society recommend that men with adversely managed heart failure (HF), recent myocardial infarction (MI), revascularization, or stroke in the preceding six months should avoid TRT.

Normal testosterone levels are helpful to the male cardiovascular system, and testosterone insufficiency is linked to an adverse metabolic profile and an increased risk of vascular disease.

Ways to Boost Low Testosterone Naturally

Healthy levels are critical in adults for overall health, illness risk, sexual function, body composition, and everything else. Furthermore, boosting testosterone levels might result in rapid improvements in muscular mass and vitality in just a few weeks. Surprisingly, it also has a significant impact on female health and sexual health.

The science is very conclusive: both genders should maintain appropriate testosterone levels, specifically as they age. Here are some tested methods for naturally increasing hormone levels.

1. Weight lifting and Exercise

Exercise is among the most efficient ways to avoid a variety of health problems. Surprisingly, it can also increase testosterone levels. A meta-analysis study discovered that men who exercise regularly had greater testosterone.

Exercise improves testosterone levels, endurance, and response time in older men. According to a new study, a good workout is even more effective for obese males than a weight loss plan in boosting testosterone levels.

2. Consume protein, fat, and carbohydrates.

What people consume has a significant impact on testosterone and other hormone production. As a result, men must be mindful of the long-term calorie consumption and diet plan.

Overeating or dieting constantly may cause testosterone levels to drop.

Eating adequate protein can maintain normal levels and help in fat loss, which is linked to testosterone. Carbohydrate consumption also plays its part, with studies demonstrating that carbs can enhance testosterone levels throughout resistance training.

3. Avoid estrogen therapy or medication and maintain a healthier lifestyle.

There is a vast array of factors that can have an impact on hormone levels. Healthy sex life is essential for controlling the sex hormone and testosterone levels. The high estrogen-like compound may also alter the levels.

Limit the regular exposure to BPA, paraben, or other substances found in some plastics. It should come as no surprise that excessive alcohol or drug usage, whether medicinal or recreational, can cause testosterone deficiency. Laughter, achievement, and enjoyment may assist raise the health and testosterone levels - make them a part of the daily routine.

4. Reduce the cortisol levels and stress

Long-term stress, which raises levels of cortisol, is constantly highlighted in studies. Abnormally high cortisol levels might quickly lower testosterone levels. These hormones function in a seesaw way: as one rises, the other falls.

Stress and elevated cortisol levels can also lead to a surge in food consumption, weight gain, and the accumulation of toxic body fat around internal organs. As a result, these alterations may have a detrimental effect on testosterone levels. Aim to reduce recurrent stressful circumstances in life for healthy living and hormones.

5. Get plenty of deep, restful sleep.

Getting enough sleep is just as crucial for health as eating right and exercising. It may also have a significant impact on testosterone levels. The appropriate quantity of sleep differs from person to person.

However, one study discovered that getting only 5 hours of sleep each night was associated with a 15% decrease in testosterone. Other lengthy investigations back this up. According to one report, every extra hour of sleep results in a 15% increase in testosterone levels.

Benefits of Testosterone Treatment

Although testosterone therapy helps reverse the consequences of hypogonadism, it is uncertain if testosterone therapy would assist healthy older men. Some men believe that taking testosterone medicines makes them feel younger and more energetic.

There is little evidence to support testosterone use in healthy men. According to the American College of Physicians, testosterone therapy may improve sexual performance in certain men. But, there is limited data that it benefits other functions such as energy and vitality.

Men with low baseline total testosterone concentrations, a subsequent testosterone level, and over three years of follow-up were evaluated. The usage of testosterone products was associated with a higher level.

The successful testosterone treatment that results in significant increases in testosterone levels lowers the risk of atrial fibrillation by 21%. Another study discovered that testosterone supplementation helps certain men prevent heart attacks, but the findings were ultimately unclear.

The old belief that rising testosterone was accountable for the formation of prostate cancer was based on sophisticated but limited studies from the 1940s and anecdotal case studies. According to current research, high endogenous androgen levels do not enhance the chance of developing prostate cancer.

Moreover, testosterone therapy has not been shown to raise prostate cancer risk or the probability of more severe disease at prostate cancer diagnosis in men with testosterone insufficiency. This behavior appears to be explained by androgen receptor saturation.

There is no evidence that testosterone therapy raises the risk of breast cancer, heart failure, or thromboembolic events. There is little data on the safety and effectiveness of testosterone therapy in women who do not utilize concurrent estrogen therapy or who use testosterone therapy for more than six months.

Earlier research has indicated that subcutaneous testosterone administration in a menopausal woman may alleviate various menopausal symptoms, including hot flashes, sleep issues, irritability, and exhaustion.

While testosterone is regarded as a male hormone, since men have significantly larger quantities, it is also present in females. A postmenopausal woman with diminished sexual desire due to personal despair and no other identified cause may benefit from testosterone therapy.

Additional Risks

Another component of testosterone therapy that impacts cardiovascular health is a higher risk of sleep apnea. Sleep apnea occurs when a patient repeatedly stops breathing while sleeping.

Sleep apnea can cause an increase in blood pressure, which raises the risk of stroke. It is also linked to an increased risk of heart valve dysfunction and severe cardiac rhythms known as arrhythmia.

Testosterone replacement therapy may raise cholesterol levels. A cardiac arrest can be caused by cholesterol buildup in the veins that carry blood to the heart. Other adverse effects involve oily skin, fluid retention, and a reduction in testicular size.

Higher endogenous testosterone concentrations in males are related to a more favorable health risk profile for heart failure, involving high-density lipoprotein (HDL) lower blood pressure, triglyceride, cholesterol concentrations, and glucose concentration. If the hormone levels are normal, testosterone therapy may affect natural testosterone production.

Discover the Customized Hormone Replacement Plans at Revitalize You MD

Here at Revitalize You MD, we strive to provide excellent hormone therapy for you and your health. Aside from testosterone replacement therapy, we also offer various medical and aesthetic treatments tailored to your specific needs and preferences.

End your pain and low self-esteem; restore wellness to your body with the help of our professional and registered medical experts. Book an appointment with Revitalize You MD today.

Feel Like The True You With Hormone Replacement Therapy Today

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What Are The Side Effects of Male Hormone Replacement Therapy On Neurological and Cognitive Function?

Testosterone is an important hormone that is produced at higher levels in men than in women, and it is responsible not only for the development of unique male characteristics but also regulates brain function and behavior. But as in women, males can also experience menopause or andropause where the testosterone hormone levels decline due to age. Testosterone therapy can help with the symptoms of cognitive decline that are associated with low testosterone.

So what are the side effects of male hormone replacement therapy neurological and cognitively speaking? If you’re taking testosterone supplementation for low T levels, hormone therapy can help improve cognitive function and may have protective effects on certain neurodegenerative disorders like Alzheimer's disease and Parkinson's disease.

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Testosterone Levels And Its Link With Physical And Cognitive Changes

To better understand how testosterone can influence neurological diseases and cognitive ability, let’s look at how male hormones are produced in the body. Testosterone and estrogen are important gonadal hormones, also known as sex hormones, that are produced in the reproductive organs of males and females.

Males produce testosterone at a much higher quantity than females where oestrogen and progesterone are the more dominant hormones. The amount of testosterone secreted by the male organs is controlled by the hypothalamus, a small part of the brain, and the pituitary gland. The pituitary gland releases growth hormone, luteinizing hormone, and follicle-stimulating hormone which regulates hormone activity and production.

High testosterone concentration is not a common concern among men. However, taking anabolic steroids (which is common in athletes) and other medications intended to increase muscle mass may result in abnormally elevated testosterone levels.

High testosterone hormones may have symptoms of impaired judgment, irritability, aggression, mood swings, high blood pressure, headaches, insomnia, and possible infertility.

Women can also produce testosterone in small amounts in the ovaries. Polycystic ovaries is one of the conditions that indicate hormone imbalance in women. Imbalance in high testosterone and estrogen levels in women may also cause anxiety, depression, irregular periods, increased acne breakouts, increased muscle mass, and deepening of the voice.

Testosterone deficiency is a widespread problem among adult men. The production of testosterone naturally dips about 1 percent every year once men reach the age of 30. If needed, a serum testosterone test may be done to determine your hormone levels.

Aside from its natural decline with age, low testosterone may be a result of pituitary adenomas which are benign growths or pituitary tumors in the pituitary glands. Hypogonadism is another condition where the male reproductive organs do not produce enough testosterone to support normal function.

Common signs of low testosterone in men are decreased muscle mass and low bone density, hot flashes, reduced body and facial hair, erectile dysfunction, fatigue, increased body fat, breast enlargement or gynecomastia, low libido, and reduced sperm count.

Low testosterone has also been linked to affecting the brain and cognitive function. Difficulty with concentration, frequent memory loss, and reduced mental capacity among older men is associated with the decreasedtestosterone. One study showed that cognitive decline and ‘brain fog’ are more common in men who are 70 years and above and experienced natural decline in their testosterone levels.

Testosterone may also have effects on the part of the brain that affects men’s moods and feelings. Men with low testosterone report mood changes and experience symptoms of anxiety, depression, and overall poor quality of life.

Testosterone Replacement Therapy: How It Affects The Brain and Neurodegenerative Disorders

Studies show that testosterone may have significant effects on brain development, particularly on neurodegeneration. Neurodegeneration pertains to any changes that affect the nervous system and leads to deterioration of neurological functions such as motor movement and memory.

Low testosterone in males is believed to play a role in the susceptibility of brain tissues to oxidative stress and damage that may induce certain neurological disorders. Some of the common neurodegenerative diseases are Alzheimer's disease, Parkinson's disease, and dementia. These disorders occur as a result of the gradual loss of function of the nerve cells in the brain and loss of healthy brain tissue.

Before taking testosterone hormone treatment, it’s important to discuss with your health care provider about the possible side effects and benefits that it may have on your overall wellbeing. When it relates to neurological and cognitive functions, hormone therapy may have varying effects depending on whether you’re taking them to improve hormone balance to reduce low T symptoms or if you’re taking them to suppress androgens for cancer treatment.

Here are the possible side effects of testosterone therapy on the different neurological diseases:

1. Alzheimer's disease

Alzheimer' disease is a type of dementia that usually starts out with mild forgetfulness and memory loss that affects how one carries out their daily activities. There are a number of studies that suggest how low testosterone may increase the risk for mild cognitive impairment and dementia, especially among senior adults. Likewise, older men diagnosed with hypogonadism may put them at greater risk for developing Alzheimer’s.

Receiving testosterone treatment is said to have a positive effect on memory for Alzheimer's disease patients. A 2004 study suggests that men who have 50% increase in free testosterone in their system had lowered risks for Alzheimer's. This study suggests then that having hormone therapy to boost testosterone level may be able to prevent the onset of the disease.

Maintaining testosterone levels may prevent brain tissue degeneration as men age. This in turn could lead to better cognitive performance and improved verbal and spatial memory in older men.

2. Parkinson's disease

Testosterone hormone deficiency is also linked to the development of Parkinson’s disease. It is a progressive disorder of the nervous system that affects motor and movement. Early signs of this disease often go unnoticed such as slight hand tremors, slowed movements, and difficulty speaking and writing.

Aging is a risk factor for Parkinson's disease among men, and a sudden decrease in testosterone production may worsen its symptoms. While hormone therapy is not a total cure for Parkinson's, it is suggested that receiving testosterone replacement can alleviate the symptoms of the disease and help a patient regain their motor abilities.

A decrease in dopamine is also said to influence the signs of Parkinson's disease. Testosterone replacement may help stimulate the production of dopamine to lessen its symptoms and improve feelings of anxiety and depression in men with Parkinson's.

3. Multiple sclerosis

Multiple sclerosis is a disabling health condition affecting the brain and spinal cord. It can cause a broad range of possible symptoms that can negatively impact vision, balance, movement, and sensation. This disease is said to be more prevalent in a postmenopausal woman, however, testosterone decline in older men may also make them more vulnerable to the symptoms of multiple sclerosis.

Multiple studies suggest that testosterone treatment may be beneficial for men with multiple sclerosis. This is based on the idea that hormone replacement therapy can improve memory function and cognitive abilities in aging men with low T.

Likewise, it may delay the progression of the disease and further cognitive decline since testosterone may also have protective effects on the nerve cells that may be damaged during the autoimmune attack if you have multiple sclerosis.

4. Epilepsy

Epilepsy, or seizure disorder, is a condition that also stems from the brain. Seizure attacks may trigger hormonal changes since it can affect the release of hormones in the pituitary gland. It is believed that at least 40% of men with epilepsy experience drastic drops to their testosterone levels.

It is possible that testosterone replacement therapy may help low hormone levels in men with epilepsy. In one study, a patient with autoimmune epileptic condition showed improvements in frequency and severity of seizure attacks when administered with testosterone treatment. Another study proposed that taking aromatase inhibitors may increase testosterone levels for men with epilepsy.

If you have a history of epilepsy and you want to take testosterone hormone treatment, it is advised that you must only do so under the guidance of your doctor and you should also be closely monitored for possible side effect.

5. Ischemic stroke

Ischemic stroke is a cardiovascular condition that occurs when there is blockage or blood clot in the artery that pumps blood to the brain. Low testosterone levels is not necessarily an independent factor for stroke risk but it can affect other conditions like high blood pressure and high cholesterol levels which are potential causes for heart diseases.

Men with hypogonadism may benefit from reduced risks of ischemic stroke when taking testosterone hormone treatment. However, more research is still needed to determine the safety of the hormone therapy for men with low testosterone since other studies show that it can also increase cardiovascular risk. If you’re receiving hormone treatment, it is advised that you get regular checkups with your doctor to see how you’re responding to the therapy.

Other Side Effects You Need To Know About Testosterone Replacement Therapy

Before you sign up for testosterone replacement therapy, your doctor will discuss with you what you need to expect from the treatment. Aside from its possible effects on your cognitive abilities, it’s also common to experience the following side effects from testosterone replacement therapy:

Fluid retention

Acne or oily skin

Increased red blood cell count

Sleep apnea

Breast enlargement

Increased frequency of urination

Increased aggressive behaviors

Decreased sperm count

There’s also a risk for stimulating cancer cells so if you have a history of prostate cancer or breast cancer, you will not be recommended for testosterone replacement therapy. However, prostate cancer patients are given another form of hormone therapy - called androgen suppression therapy - and its goal is to reduce the production of male hormones to stop fueling on the prostate cancer cells. It is usually recommended to be taken before or along with radiation therapy.

The side effects that may be experience with hormone therapy for prostate cancer are often similar with the symptoms of testosterone deficiency:

Decrease in libido

Erectile dysfunction

Anemia or low red blood cell count

Tiredness, fatigue

Poor concentration and memory

Osteoporosis (bone thinning)

Hot flashes

Weight gain

Loss of muscle mass

Benefits Of Hormone Replacement Therapy In Men

Ultimately, it’s important to maintain balance in the hormones to achieve better quality of life even as you age. In addition to keeping your cognitive functions in good health and relieving discomfort from the symptoms of low testosterone, taking hormone replacement therapy also provides benefits such as:

Increased muscle mass - As men age, it’s common to notice more fat distribution in different body parts. Testosterone therapy can improve body composition by reducing fat and promoting building of new muscle. Having more muscle means that you can burn more calories which helps control your weight. Combining hormone therapy with regular exercise will also help strengthen and tone your muscles.

Maintains good bone health - Older men are more prone to bone fractures and eventually osteoporosis. Getting testosterone therapy is beneficial for your bone density to protect against severe strain and injuries.

Improved mood - Like estrogen, testosterone can stimulate production of dopamine and may influence serotonin function to help relieve feelings of depression, irritability, and improves overall mental wellbeing.

Improves vitality and energy - Older men usually need high testosterone levels to maintain erectile function and libido. Hormone replacement therapy can restore youthful vigor for better pleasure and enjoyment.

How Is Testosterone Hormone Therapy Usually Taken?

Testosterone can be given in various ways. You should seek help from your provider in choosing the right method for taking testosterone. Several factors like your current health condition, lifestyle, and overall needs can affect the hormone therapy plan that will be recommended. The common forms of testosterone replacement therapy are:

Gels - With topical testosterone gels, the hormone is absorbed directly by your body through the skin. They are usually applied on the skin on your upper arms or shoulders (Androgel and Testim), or thighs (Fortesta). You should wait before the gel is fully absorbed by the skin before showering or wetting the treatment area. Likewise, you should avoid skin-to-skin contact with other people to avoid transferring the medication.

Patch - Using skin patches (Androderm) is a transdermal application of testosterone hormone and it is usually placed at least once a day on the arm, thigh, or upper body.

Testosterone injections - Testosterone injections are given intramuscularly or just beneath the skin. The formulation are usually injected every seven to fourteen days and should be administered by a doctor. For a few days after the injections, the testosterone levels may fluctuate before stabilizing and during that period it is common to experience varying levels of energy.

Implants - Testosterone pellets are also available and they are implanted under the skin. They are usually given every three to six months.

Oral therapy - Oral testosterone can come in pills, or via a small tablet that is usually placed in the area between your gums and inner cheek. It is typically taken at least three times a day and this allows testosterone to be slowly released to your bloodstream.

Nasal application - A testosterone gel may also be placed inside each nostril at least three times a day. This method lessens the risk of exposing another person to the testosterone through skin contact.

How To Manage Side Effects Of Hormone Therapy

During your initial consultation with your doctor, you should already disclose your medical history and current medications to make sure you have no contraindications for the treatment.

Once you start the hormone replacement therapy, it’s advised that you keep a close eye on how you are responding to the treatment. Regular maintenance checkups with your provider are required to see if you’re continuously reaping the benefits of the hormones or if you need a change in the hormone therapy plan.

Maintaining a good health and active lifestyle is also essential to prevent potential risks and complications from the hormone treatment. Exercising and weight loss can help to naturally increase testosterone levels. Make sure to eat a proper nutritious diet by including a healthy balance of fats, carbs, and protein. Foods in rich Vitamin D and zinc nutrients are also important for your wellness. Eating healthy will keep your cholesterol levels in check to reduce complications like stroke and heart diseases.

You should also avoid smoking and stop alcohol consumption to reduce symptoms of low testosterone. Learning to how to handle your stress and limiting exposure to triggers can also help manage sudden hormone changes.

Safe Testosterone Replacement Therapy At Revitalize You MD

Testosterone replacement therapy is an effective treatment for safely managing hormonal imbalance in men. But to ensure that you enjoy its benefits without the risks, you should look for a trusted provider who will design a hormone therapy plan that is tailor fitted to your needs.

At Revitalize You MD, we offer safe and high-quality hormone treatments to address your low T symptoms. Consult with anyone of our doctors and expert staff about finding the right plan that will help improve your quality of life. Book an appointment or call us today to learn more about our services.

Feel Like The True You With Hormone Replacement Therapy Today

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Will Medicaid Pay For Hormone Replacement Therapy For Older Men?

Menopausal women are not the only ones who can benefit from hormone replacement therapy. This treatment also helps older men who experience symptoms of hormone imbalance like erectile dysfunction due to changes in testosterone hormone levels. In addition, transgender individuals with gender dysphoria and who are undergoing gender reassignment also need to take hormone therapy to aid in their transition. However, the price to pay for hormone treatment can be restrictive and may get you to think twice.

So is testosterone replacement therapy covered by Medicaid? Medicaid has one of the largest insurance coverages, providing health care to low-income children, families, and seniors. Coverage for HRT as prescribed by a doctor will depend on your provider. In the case of Medicaid, they can provide coverage for prescription drugs that are needed for testosterone treatment. Still, it’s best practice to check with your provider before availing of the treatment.

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How Much Does Hormone Replacement Therapy Cost?

Hormone replacement therapy, or testosterone therapy, is an essential treatment to correct hormonal imbalance and low testosterone in older men. Some prostate cancer patients may also receive testosterone hormone replacement treatment to suppress testosterone level and inhibit cancer cells from growing.

For a transgender man, they may also receive testosterone hormone therapy as part of their transition related care and can be taken in combination with a gender reassignment surgery. Receiving testosterone hormones is said to help introduce physical changes to match your body with your assumed gender identity. Hormone therapy for a transgender person can also reduce feelings of anxiety, depression, and distress from a gender identity disorder.

Hormone replacement therapy can usually come in the form of pills, injectables, pellets, and topical or transdermal medications like creams, gels, and patches. Factors like what type of hormone medication you’ll get and the frequency of times that you’ll be taking them can affect the overall cost of your hormone treatment. To have a better picture of how much you may be spending annually for HRT, here’s how much each form of hormone medication may cost:

Pills - Oral hormone medications may average about $130 to $240 per month. The good thing is that most insurance providers can pay for HRT pills so patients only need to pay the prescription co-pay costs which is around $30 each month.

Injectables - This type of hormone therapy includes testosterone injections for men, it may cost $288 - $1440 if you are insured and $480 - $4,880 if uninsured. It’s usually one of the more expensive treatment options since you may need more than one testosterone shot.

Pellets - Hormone pellet therapy is usually done on a cash basis and not all health insurance companies may cover this. The average cost of pellet treatment for men may cost anywhere between $1,400 to $2,100.

Creams, gels, and patches - Through this type of treatment, the hormones are absorbed by the skin directly through the bloodstream. Some patients may prefer these medications since they have lesser side effects. It may cost around $60 to $360 if you have insurance or $120 to $1,020 if not insured.

Aside from the necessary prescription drugs, your doctor may also run some lab tests and order blood work to check the hormone levels. This may incur additional costs which average about $80 to $500 if you don’t have an insurance.

Some doctors may prescribe taking bioidentical hormone replacement therapy. It differs from traditional hormone replacement therapy because it uses compounded bioidentical hormones that are made from natural plant sources. Many manufacturers claim that these products are a safer alternative since they are almost identical in structure and composition to the hormones produced by the body.

The average cost of bioidentical hormones is roughly between $200 to $500 monthly. The price already covers the hormone medications, a customized hormone treatment plan, and maintenance checkups with your provider. The coverage for bioidentical hormonal therapy will largely depend on your provider since not all insurance may cover compounded medications.

The best way to know is to contact your health care provider and ask if they will cover the cost of bioidentical hormones. If it states that your insurance does not cover “holistic” or “natural” therapies, then it will most not likely include bioidentical hormone replacement.

Is Hormone Therapy For Older Men Included In Insurance Coverage?

A universal health plan gives everyone access to health services, medical treatments, and surgical procedures that they will need. In the United States, there are three ways that residents can avail themselves of health insurance: individual plans, employer-sponsored health plans, and government-based programs like Medicare and Medicaid.

Medicare is the primary health insurance program for persons with disabilities and for citizens who are 65 years of age and above. On the other hand, Medicaid coverage has no age limit and is open to all low-income individuals with limited means to fund their health care and medical needs.

In terms of long-term care for older women and men, the benefits of Medicare coverage may be limited. Medicare offers four different insurance programs: hospitalization coverage (Part A), medical insurance (Part B), Medicare Advantage (Part C), and prescription drug (Part D).

While Part A and Part B can provide coverage for the necessary gender affirmation surgery and other medical procedures, they may not pay for the costs of your hormone medications. You may opt to subscribe to the Medicare Advantage Plan Part C or Medicare Part D to get coverage for prescription drugs needed for hormone therapy.

For Medicaid, which is a state-run health insurance, the benefits of the program may vary among each state. Some state Medicaid programs offer coverage for hormone replacement therapy for men and women while others still don’t offer it. In addition, there’s a new Medicaid expansion which includes new advantages and expands on the services that are already covered through traditional Medicaid.

Some of the essential health benefits under Medicaid expansion are emergency services, preventive and wellness services, chronic disease management, rehabilitative services, mental health treatments, and prescription drugs. If you have Medicaid, you should check if your plan includes coverage for the medications that you will need for hormone therapy.

Medicaid Coverage For Gender Affirming and Transition Related Care

Transgender individuals also have the right to access universal health care and insurance programs. Most federal and state law suggests that is illegal for your health care provider to deny you insurance access and refuse to reimburse medically needed gender affirming surgery for transgender individuals.

Medicaid is one of the essential insurance providers for many low-income individuals, families, seniors, and even persons part of the LGBTQ community. According to a report published in 2019, at least eighteen states include full coverage for gender affirming care under Medicaid health insurance plans.

Gender-affirming care relates to medical treatments, surgical procedures like genital surgery and bilateral mastectomy, and mental health services and consultations which are designed to help transgender, nonbinary, gender non-conforming persons. Medical care for individuals seeking gender reassignment can include routine health checkups, hormone replacement therapy, and other transition related care.

Gender affirming care is also necessary to treat the symptoms of gender dysphoria. Gender dysphoria is a medical condition where a transgender patient experiences feelings of distress, discomfort, and mental health issues. It’s usually triggered by a conflict between one’s assigned gender marker at birth and their gender identity. Gender identity is different from sexual orientation which is more about who you are attracted to emotionally and romantically.

If you’re applying for Medicaid coverage for any gender affirming care, it’s necessary to show a doctor’s diagnosis of your gender dysphoria. It’s also important to have a doctor’s authorization notice at hand to inform that the medical treatment that you are seeking is mandatory. When it comes to hormone drugs and medications, a prescription note will be required to be able to avail of them.

Any individual availing of hormone therapy or any medical or surgical intervention must also have informed consent. As with any treatment or procedure, it’s important to schedule an initial consultation first to discuss your goals and intended outcome from the hormone therapy. Before proceeding with the hormone treatment, you should have full understanding of what to expect from the therapy, its benefits, and its potential risks. It’s also important that you have a social circle that can offer support as you go through the transition.

Some of the common side effects that you may expect out of testosterone therapy are acne breakouts or oily skin, disturbed breathing while sleeping, mood swings, breast enlargement, sleep apnea, tiredness or fatigue, and weight gain.

Testosterone hormone treatment may also increase your production of red blood cells which can increase chances for blood clots, deep vein thrombosis, or pulmonary embolism. Hypertension, type 2 diabetes, stroke, heart attack, cardiovascular diseases, and higher levels of cholesterol are also some of the other complications from hormone replacement therapy.

Older men and transgender men receiving hormone replacement therapy are advised to schedule regular checkups and consultation with their doctor to assess how their body is responding to the treatment. If you’re experiencing some discomfort from hormone therapy, your doctor may change your prescription or lower your dose to manage your symptoms and proceed with the treatment smoothly.

Tips To Lower Costs of Hormone Therapy

It’s unavoidable for men to experience symptoms of hormonal imbalance or andropause (male menopause) since testosterone levels naturally begin to decline each year once they reach the age of 30. The signs of low testosterone are often uncomfortable and can drastically affect your quality of life. Likewise, hormone therapy is a vital treatment for transgender individuals to complete their transition.

As a patient, you have the right to access health insurance plans that can help with your hormone treatment plans. However, you also have the responsibility to be informed and inquire with your provider beforehand if they will be to cover your hormone therapy. To avoid the stress from thinking about payments, here are a few tips that can help keep your hormone replacement therapy costs at a minimum:

Check your insurance pamphlet or booklet about partner health clinics or sites where you may be able to get the necessary hormone treatments tests at a covered cost. It is highly likely that you will pay for your own expenses if you go to a private clinic.

Directly ask your hormone therapy provider if they are offering flexible payment plans or financing options that will save you from paying the full cost of the treatment upfront. They may also be offering discounts on large quantity orders or packages from which you can benefit.

Consider your options and do your research to find the best treatment for you. There are many factors that may affect the total price of hormone therapy. You want to be sure that you’re getting the most out of what you’re paying so you should thoroughly talk with your doctor and insurance provider to know if the treatment is right for you.

If your insurance provider does not cover hormone therapy or if you’re not eligible for the treatment itself, the best thing older men can do to manage the symptoms of low testosterone is to keep a healthy and active lifestyle.

Diet changes, doing regular exercise, quitting smoking, and taking supplements can go a long way to ensure that you have good health. Consult with your doctor about possible alternative therapies and other ways you can naturally balance your hormones.

Affordable and Customized Hormone Therapy Plans At Revitalize You MD

Hormone replacement therapy is an effective treatment for older men experiencing hormone changes, as well as for transgender patients who are seeking transition-related care. And for some, getting HRT is a long-term commitment and the treatment costs may become too overwhelming if you don’t have Medicaid or other insurance plans.

At RevitalizeYou MD, we offer safe and high-quality hormone treatments for your needs. Consult with any one of our doctors and expert staff about finding the right and cost-effective hormone therapy plan to address your needs and symptoms. Book an appointment or call us today to learn more about our services.

Feel Like The True You With Hormone Replacement Therapy Today

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What To Know About Hormone Replacement Therapy For Men

As people age, it’s natural to experience changes in body functions, cognitive ability, sleep behaviors, and physical strength. These are usually caused by the hormone imbalance that occurs when the body stops producing enough amount of hormones to sustain normal function. Hormone replacement therapy is known for helping menopausal women ease symptoms of estrogen imbalance but it can be just as effective for testosterone deficiency in men.

So how does HRT help men with symptoms of low testosterone level? Hormone therapy for men is also known as testosterone replacement therapy. It works to restore normal healthy levels to the male hormone and enhances alertness, motivation, energy levels, and libido in men. Testosterone supplementation can be safely taken in different forms like patches, gel, injections, and pellets. If you’re considering TRT, you should consult with your doctor first.

Feel Like The True You With Hormone Replacement Therapy Today

Understanding Hormonal Imbalance In Men

Hormones are the body’s chemical messengers and they are essential for regulating overall health, growth, reproduction, and well-being. In men, androgens, which include testosterone, are the main sex hormones that is responsible for the makeup of male characteristics, sexual traits, and reproductive functions.

Once men reach the age of 30, the release of testosterone from the organs is reduced by 1% every year. Early signs of hormone deficiency usually go unnoticed so if you’re worried about your testosterone levels then your doctor may perform a blood test or serum testosterone test.

Once men reach the age of 30, male hormone imbalance begins and the release of testosterone reduces by 1% every year. Early signs of hormone deficiency usually go unnoticed so if you’re worried about your testosterone levels then your doctor may perform a blood test or serum testosterone test.

Based on the guidelines of the American Urology Association, the testosterone level for a healthy man should fall around an average of 300 nanograms per deciliter. Any blood test result below the normal baseline would give you the diagnosis of having testosterone deficiency.

Risk factors for male hormone imbalance include overweight, obesity, alcohol consumption, smoking, high fat diet, and metabolic syndrome like high blood pressure, high blood sugar, and unhealthy cholesterol levels.

Low testosterone may also be a side effect of radiation therapy or chemotherapy for cancer patients. Tumors that are present in the pituitary gland such as pituitary adenomas may affect the release of signals needed to produce testosterone and lead to hormone deficiency. Others may have a medical disorder that affects the production of testosterone like Klinefelter syndrome and hypogonadism.

Do Men Also Experience Menopause?

The simple answer is yes. Menopause is a term that describes the life-changing event when a woman’s period stops. On the flip side, male menopause pertains to hormone-related changes that happen due to aging. This age-related hormone imbalance in men can also be called andropause

Because testosterone is essential in regulating most functions and behavior in men, the significant drop in hormones during andropause can result in symptoms that can significantly affect the quality of life. Some of the telltale signs of male menopause that hormone replacement therapy can treat are:

Erectile dysfunction: Healthy testosterone levels have a link with the ability of men to have quality erections. This can also happen when there is a reduced blood flow to the penis and other factors like hypertension, high cholesterol, clogged blood vessel, and heart disease should also be considered.

Decrease in sexual drive or libido: Because testosterone is responsible for encouraging normal sexual function, men with hormone deficiency will also experience a noticeable reduction in sexual drive as they age.

Low energy levels: Constant feelings of exhaustion and fatigue are also common in men during andropause. This may affect your motivation for movement and exercise and lower your levels of physical activeness.

Reduced bone density: Due to low T levels, men also become more prone to weak and brittle bones. This can increase risks for osteoporosis and other bone-related fractures and injuries.

Low muscle mass: A decrease in muscle mass means loss of strength and function of your body muscles. Muscles are also needed by the body to burn calories and with reduced muscle tissues, it may be difficult to lose calories and weight.

Changes in memory and cognitive function: Low testosterone levels can also affect a man’s thinking and comprehensive abilities. Older men may notice that they experience frequent ‘brain fog’ or situations where it is difficult to concentrate or express their thoughts and words.

Hot flashes: Like women in menopause, men can also experience sensations of sudden warmth or heat spreading through their upper body, face, and chest. It can also cause sweating and skin reddening.

Increase in body fat: Low T can also signal the buildup of excess body fat. In addition, some men may experience an increase in their breast tissue leading to gynecomastia or breast enlargement.

Irritability, mood swings, and depression: Low male hormones can affect emotional wellbeing in men, resulting in frequent mood changes and feelings of increased anxiety, nervousness, and depression.

Difficulty sleeping: Some patients will also experience recurrent sleep problems, insomnia, and mild to moderate symptoms of sleep apnea.

Risks for serious health conditions: In the long run, testosterone deficiency is associated with increased risks for health problems like cardiovascular disease, type 2 diabetes, and cholesterol diseases.

Why You Should Consider Testosterone Therapy

The decision to get testosterone hormone replacement therapy ultimately falls on the male patient. Once the signs of hormone imbalance start interfering with your daily activities and negatively impacts your enjoyment in life, it may be time to visit your primary health physician to discuss the possibilities of getting the testosterone treatment.

Upon consultation with your doctor, you’ll find that you may benefit from getting testosterone therapy in more ways than you think. For one, testosterone hormone treatment aims to achieve a stable balance in male hormone levels and there are different forms of medications that can help supply testosterone in your system.

Bringing back normal testosterone levels helps to alleviate the uncomfortable symptoms of low testosterone. Testosterone therapy can restore sexual drive and improve erectile function. It also promotes good bone health, improving bone density to protect against injuries and bone fractures. Older men diagnosed with osteoporosis may also notice improvements in their condition when undergoing HRT.

Testosterone therapy is also linked with the increase in the activity of dopamine and serotonin. These two are basic neurotransmitters in the brain that are responsible for elevating mood, pleasure, and overall happiness. With the increase in testosterone, men will experience boosts in their emotional well-being and alleviate symptoms of depression.

Men taking testosterone hormone treatments will also see improvements in their body composition and muscle mass. The treatment can reduce fat and increase muscle mass so you can better control your weight. Combining the therapy with strength-training and cardio exercises to build muscle can let you enjoy better results.

In addition, testosterone therapy can improve thinking and memory function in aging men. Multiple studies also suggest that the hormone replacement treatment may have protective benefits against neurological diseases like dementia, Alzheimer’s disease, and Parkinson’s disease. Testosterone is thought to promote healthy brain tissues which delay the degeneration of the brain to prevent early onset of neurological conditions.

What Are The Different Testosterone Treatment Options?

The basic principle of hormone replacement therapy is that it uses synthetic hormone that is available in a number of preparations such as patches, gels, tablets, injectables, and implanted pellets. To determine the best course of hormone treatment, your HRT provider will consider your medical history, current health condition, and lifestyle.

Gels: A testosterone gel is applied topically either on the arms, shoulders, or thighs. In this method, the hormone is absorbed by your body through the skin. After applying the gel, you should avoid skin-to-skin contact with another person or wear long-sleeved clothing to avoid transferring the medication. Also, you should wait for the gel to be fully absorbed by the skin before wetting the treatment area.

Patches: A skin patch allows transdermal application of the testosterone hormone to the bloodstream. It is usually worn once a day on the upper arms, thighs, abdomen, or back.

Injections: Testosterone injections deliver the hormones directly to the system via intramuscular application. The injections are usually given every seven to fourteen days at a doctor’s office. This may cause fluctuating levels of hormones for a few days and you may experience side effects like mood swings and shifts in energy levels.

Pellets: Testosterone pellets are small implants that are inserted under the skin. They contain crystallized form of the hormone and it will release a steady low dose in the blood stream for up to six months.

Oral therapy: Testosterone is also available in pills or capsule forms which is taken twice a day after meals. Another option for oral therapy is sticking a small substance to your gumline, near your cheeks, and it allows the testosterone to be slowly absorbed through the oral tissues.

Doctors may also recommend taking bioidentical hormones. Bioidentical hormone replacement therapy is a type of treatment that uses compounded medication which contain bioidentical testosterone made from plant sources. With bioidentical hormone treatment, you can also receive custom formulation and dosage that is tailor fitted to your needs.

Many producers of bioidentical hormone therapy claim that this form of HRT is a safer alternative since its chemical compositions are similar to the natural hormone found in the body. However, there’s not enough evidence yet to support that claim. Patients interested in taking bioidentical hormones should only do so under the guidance of their physician and they must understand the possible risks and side effects.

What Are The Side Effects And Risks Of Testosterone Therapy?

The side effects of receiving testosterone therapy, whether via traditional or bioidentical hormones, are almost the same. Some of the common side effects are:

Weight gain

Skin reactions like acne or oily skin

Increase in red blood cell count

Breast swelling or tenderness

Swelling in the ankles

Decrease in testicle size

Limited sperm production

Sleep disturbances

While testosterone treatment is safe and effective for males suffering from low T, it may not be recommended for patients with history or diagnosis of heart problems, previous heart attack or stroke, or severe urinary tract disease.

Men with prostate cancer are also advised against taking testosterone therapy. That is because prostate cancer cells feed on testosterone and they may grow while taking the treatment. Patients diagnosed with prostate cancer can safely take another form of hormone therapy which suppresses the release of androgen.

Reminders If You Want To Get Male Hormone Replacement Therapy

You shouldn’t self-prescribe hormone replacement therapy on your own. If you want to get the treatment, schedule a consultation with your physician to weigh the pros and cons of the hormone therapy. They’ll also assess if your condition requires the treatment or if there are other alternatives that you can try. You also need the accurate diagnosis to determine which medications you will need.

Once you start the testosterone treatment, regular maintenance checkups and follow-up visits are required to see how you are responding to the therapy. If you’re experiencing prolonged side effects, your doctor may recommend changes to your hormone treatment plan or adjust your dosage.

Likewise, you shouldn’t be negligent on keeping a good health and active lifestyle while on testosterone therapy. Regular exercise should be maintained to promote healthy blood flow and encourage natural production of testosterone. You should also maintain a proper diet and include foods rich in protein and healthy fats to your daily meals.

Taking precautions to manage chronic conditions and avoid increasing your sugar and cholesterol levels can also help lessen complications from the hormone therapy. Lifestyle changes such as getting enough sleep, avoiding smoking, and stopping alcohol use can also help maintain good hormone health.

Get Your Personalized HRT Plans At Revitalize You MD

Hormone replacement therapy is a proven safe and effective treatment that helps improve quality of life both for men and women. At Revitalize You MD, we can formulate a specific dosage for your testosterone therapy to ensure that it efficiently meets your needs.

Our doctors and expert staff will diagnose your condition first before treating you with hormone replacement products. We’re committed to providing high-quality hormone treatments so you can relieve yourself from the uncomfortable effects of aging and hormone changes. Call us today to schedule your appointment.

Feel Like The True You With Hormone Replacement Therapy Today

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5 Symptoms for Women That Mean They Need Hormone Replacement Therapy

Hormonal changes are responsible for the major changes in a woman’s body — may it be puberty, pregnancy, or menopause. These hormonal imbalances are only natural as we age, but they cause negative symptoms that affect our daily lives. If you’re experiencing early menopause symptoms, it might be time to consult your doctor about getting HRT.

So what are the symptoms that tell women they need hormone replacement therapy? Hormone therapy is an effective treatment for women who experience different menopause symptoms, such as vaginal dryness and hot flushes. Women who experience low libido, mood swings, hair loss, and lack of sleep should also start talking to a medical professional about taking menopausal hormone therapy.

5 Signs That Tell You to Get Hormone Replacement Therapy

Every woman goes through menopause as they age. It’s a natural biological process that occurs between the ages of 45 and 55. However, around 1% of women experience menopausal symptoms even if they haven’t reached 40 yet. In such cases of “premature menopause,” HRT might be a useful treatment to stabilize the hormone levels and relieve painful symptoms.

Still unsure if you should get HRT? Here are five symptoms that women should look out for before considering hormone replacement therapy:

1. Low Libido

Hormones are directly related to sex drive and libido, which is why hormonal imbalance is the main cause of problems in the bedroom for most couples. Hormones also dictate the performance and the pleasure a person experiences. For women, the lack of progesterone and oestrogen result in intimacy problems.

Hormone imbalance in women usually occurs during menopause. Their estrogen levels drop, making the vaginal tissues dry and the individual less interested in intercourse. Both of these factors result in uncomfortable and sometimes painful sex. A menopausal woman may still experience satisfying intercourse during this period, but a hormonal change makes it normal for them to suffer from low libido.

Low libido caused by hormonal imbalance in women also occurs during pregnancy and after giving birth. In addition to the hormonal change, women also experience fatigue, physical changes, and psychological pressure to care for a baby. All these factors result in a huge change in their sexual desire.

Hormone therapy helps restore hormone balance in the body and relieve symptoms of genitourinary syndrome of menopause (GSM) that makes intercourse uncomfortable. Estrogen therapy comes in different types like gels, patches, pills, and sprays.

2. Mood Swings

Another sign of hormone deficiency is frequent mood swings. While some mood swings are normal, frequent and severe mood changes should be treated as a serious sign to get hormone replacement therapy.

Feelings of sadness and irritability are two of the most common emotions experienced by women with hormone imbalance. Some of them also exhibit symptoms of depression. Patients learn different ways to relax and reduce stress, but an HRT might be more effective for most cases.

Short-term HRT alleviates mood swings and helps with other symptoms of menopause, but it’s important to consult with an expert first. Hormone replacement therapy for emotional disturbance, depression, anxiety, and nervousness come with increased risk factors. Consulting with a doctor helps patients decide if the benefits of HRT outweigh its risks.

3. Hair Loss

Genetics plays a big role in the development of hair loss in a person, but their hormones are also responsible for the breakdown of hair. Dihydrotestosterone (DHT) is a derivative hormone of testosterone that causes healthy hair follicles to shrink and fall out.

Hair loss is more evident in men than in women because they have more levels of testosterone in their bodies. But when women experience a rise in the testosterone levels in their blood due to hormonal imbalance, the DHT becomes a big problem that results in hair loss.

Aside from the presence of DHT in the blood, stress also causes hair loss in women. When they undergo extreme levels of stress, their adrenal glands work harder to produce the stress hormone called cortisol. Hyperactivity of the adrenal glands results in hormone imbalance that leads to hair thinning and loss.

HRT is a viable treatment for patients who experience hair loss as a result of hormone imbalance. This might include pills, estrogen therapy, or hormone replacement for progesterone. Doctors might also prescribe anti-androgen medications to treat hair loss in some patients with polycystic ovary syndrome.

4. Lack of Sleep

Hormonal changes also affect the sleeping pattern in women. They’re more vulnerable to different sleeping problems whenever their hormone levels spike or drop. It may be during their menstrual period, during and after pregnancy, and before going through menopause.

Sleep disturbance during the menstrual cycle isn’t as common as during pregnancy or menopause but it’s possible to occur. The fluctuation in the body’s hormone level, particularly progesterone and estrogen, disrupts sleep in some women who are a few days away from their menstrual cycle. Hormonal birth control helps stabilize the levels of these hormones in the body if they want to experience a good night’s sleep.

A shift in hormones also happens during the postpartum stage. Sleeping disorders during postpartum, combined with the pressure and responsibility of caring for a newborn baby, put mothers at risk of postpartum depression. Taking low-dose estrogen helps them restore hormone balance without interfering with their lactation.

Perimenopausal women with declining levels of estrogen experience sleep disturbance. They usually have hot flashes at night, along with irritability that affects their quality of sleep. But once they reach the menopausal stage (when they don’t experience the menstrual cycle for at least a year), their sleep quality becomes better and hot flashes become less frequent. This is also true for postmenopausal women.

5. Menopausal Symptoms

Every woman goes through a period of menopause as they reach a certain age. This phase refers to the absence of a menstrual cycle for at least 12 months. The transition to menopause is often associated with different symptoms that start during the perimenopause period. These symptoms often include:

Hot flushes and night sweats

Sleep problems

Vaginal dryness, itching, pain, and discomfort

Painful intercourse

Bladder Incontinence

Mood swings, irritability, depression, and anxiety

Low sex drive

Sudden weight gain

Thinning hair

Causes of Menopause

Menopause is a biological process experienced by women as they age. During this stage, the body produces less progesterone and estrogen, the hormones responsible for regulating menstrual cycles. The ovaries also stop producing eggs during this period.

But aside from aging, other factors might trigger menopause earlier than expected, such as:

Hysterectomy (the removal of ovaries and uterus)

Cancer treatments (radiation and chemotherapy)

Primary ovarian insufficiency (a genetic condition or an autoimmune disease)

Diagnosis of Menopause

Diagnosing menopause in women involves studying the menstrual cycle history of the patient and the presence of menopause symptoms. Women aged 45 who are experiencing menopausal symptoms are usually considered perimenopausal (early menopause stage).

However, certain blood tests must be done to rule out other condition, such as:

Human chorionic gonadotropin (hCG) for ruling out pregnancy

Prolactin for ruling out hyperlactatemia

Thyroid-stimulating hormone (TSH) for ruling out hyperthyroidism

Menopausal Hormone Replacement Therapy

Most symptoms of menopause don’t require treatment. But if a patient experiences severe symptoms that interfere with their daily life, it might be time to talk to a medical professional about hormone replacement therapy.

Menopausal HRT involves the use of progestin and estrogen to balance the body’s hormone level. Women who already had their uterus removed through hysterectomy only need estrogen therapy.

Is Hormone Replacement Therapy the Right Treatment for You?

Hormone replacement therapy works best for women under 60 who experience different vasomotor symptoms. However, this treatment is associated with certain risks, so it’s important to talk to a medical professional first to understand the treatment better and make an informed decision.

HRT and Its Two Main Types

HRT medication contains synthetic hormones that replace the ones produced by the patient’s body. It’s the most common treatment for menopausal symptoms, such as vaginal discomfort and hot flashes. A consultation with a doctor determines whether a patient needs estrogen therapy or combination therapy.

Estrogen therapy is recommended for patients who already had their uterus or ovaries removed through surgery. Estrogen is replaced through different forms, such as pills and patches. It’s also administered through a vaginal ring, spray, or gel. Doctors may also recommend hormone pellet therapy which involves placing implants under the skin to release regular doses of estrogen into the body.

Combination therapy involves combining doses of progestin (a synthetic form of progesterone) with estrogen. This type of HRT is recommended for patients who still have ovaries and uterus because it lowers the risk of endometrial cancer, uterine cancer, and ovarian cancer. Combination therapy is available as oral HRT (medroxyprogesterone acetate or synthetic progestin pills) and intrauterine progestin (not approved for use in the US).

Traditional HRT vs. Bioidentical HRT

Bioidentical hormone replacement therapy (BHRT) is a unique kind of HRT that uses bioidentical hormones derived from plant estrogens. This is different from the traditional HRT medications which are made from a pregnant horse’s urine (conjugated equine estrogen) and other synthetic sources.

Manufacturers of bioidentical hormone therapy medication claim that their products are safer and more effective than traditional HRT because the hormones used are identical to the ones found in the body. However, there isn’t enough evidence to back this claim. The risks associated with both treatments are also similar.

Who Shouldn’t Take HRT?

HRT is an excellent treatment for different menopausal symptoms, but they’re not always the best procedure for everyone. Patients aren’t qualified for HRT if they’re diagnosed with:

Stroke

Pregnancy

Breast cancer

Liver or heart disease

Venous thrombosis

Cholecystitis

Additional Benefits of HRT

Aside from relieving different menopausal symptoms, HRT also helps reduce the risk of different health conditions that affect menopausal and postmenopausal women including:

Diabetes

Bone loss and osteoporosis

Bowel cancer

Cardiovascular disease (if the HRT is used during the time of menopause)

Risk Factors

Before recommending HRT as the primary treatment for menopausal symptoms, doctors consider different risk factors that might affect the patient’s health. HRT patients have different levels of vulnerability to HRT complications based on their:

Age — Women over the age of 60 face greater risks than those who started the treatment early or at least within 10 years of menopause.

Medical History — The patient’s personal and family medical history are reviewed to see if they have any conditions that might interfere with the treatment. Their risks of other medical conditions like osteoporosis, liver disease, stroke, blood clot, cancer, and heart disease are also reviewed.

Type of HRT — The risks of HRT also depend on whether the patient is only given estrogen or if it’s combined with progestin. The dose and type of estrogen used are also considered.

Possible Side Effects

Like any other medical treatment, HRT also comes with a few side effects like:

Bloating

Breast tenderness or swelling

Nausea

Mood changes

Vaginal bleeding

Headaches

While HRT helps reduce the possibility of developing some health conditions, it might also increase the risk for others. Breast cancer risk is one of the biggest drawbacks of combined HRT for women.

The risk of developing breast cancer is greater with combining progestogen and estrogen than with estrogen alone. The benefits and risks are often considered by the physician to decide if HRT is the best possible treatment for each patient.

Minimizing the Risk of HRT Complications

Although many patients are skeptical about taking HRT because of the associated risks and possible side effects, it’s still the most effective treatment that restores hormone balance in the body. Talk to your physician about the following ways to help reduce the risks of HRT:

Find the best delivery method

Only take minimal but effective doses

Book regular follow-up appointments

Live a healthy lifestyle

Fight Signs of Body Aging With HRT at Revitalize You MD

Starting to notice early signs of menopause in the body? Revitalize You MD is a trusted source of safe and effective HRT in Roswell. Our highly trained staff is dedicated to helping each patient recapture their body’s physiological peak by correcting hormone imbalance.

Find out if HRT is the right treatment for you by consulting with our licensed medical staff here at Revitalize You MD today. Visit our website to book an appointment with us and learn more about this treatment.

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8 Signs That a Menopausal Woman Needs Hormone Replacement Therapy

Menopause is a normal biological process that all women go through as they reach a certain age. While menopause itself doesn’t require treatment, it comes with uncomfortable symptoms that affect a menopausal woman’s daily life. If the menopausal symptoms become unbearable for you, it might be a good time to consult a physician about taking hormone therapy.

So what are the signs that tell menopausal women that they need hormone replacement therapy? Women who are near or in their menopause years often experience symptoms of hormonal imbalance including changes in menstrual period, hot flushes, poor vaginal health, low sexual drive, mood changes, trouble sleeping, forgetfulness, and a few physical changes.

8 Menopausal Symptoms Treated by HRT

Menopause is defined as the absence of a menstrual cycle for at least 12 consecutive months. It’s a normal part of aging in women that occurs because their sex hormone levels decline. The ovaries also stop releasing egg cells, which means that women can’t get pregnant anymore.

Most women experience menopause during their 40s or 50s, but around 1% of women go through premature menopause even if they haven’t reached 40 yet. Women usually start noticing changes in their bodies about a few months or years before they reach menopause. These symptoms are caused by hormone deficiency in the body, which is why most doctors recommend HRT to help patients relieve pain and discomfort.

Want to find out if you’re a candidate for HRT? Here are eight menopause symptoms that tell you to start considering hormone replacement therapy:

1. Changes in Menstrual Period

Irregular periods are one of the most common signs that women are approaching menopause. Their menstrual cycle comes either less or more often. It might also be heavier or lighter and last shorter or longer than the previous one.

Perimenopausal women often find it hard to predict when their period starts or how long it lasts. It also gets harder to gauge whether the flow is light or heavy. The chances of getting pregnant also lower, but it’s still possible as long as they have their period.

Cancer patients who undergo chemotherapy may find that their periods become irregular, but this is completely normal. On the other hand, postmenopausal women shouldn’t experience bleeding or even spotting. If this happens, make sure to talk to a doctor immediately about unexplained vaginal bleeding.

2. Hot Flashes

A hot flash is the sudden warmness that patients feel in their upper body — typically over the face, chest, and neck. This condition also causes the skin to sweat and redden. Some people also experience a rapid heartbeat because of a hot flash. These symptoms usually last for 1 to 5 minutes, which are followed by shivers or sudden coldness.

Hot flashes might happen any time of the day, but they’re most common during the night (“night sweats”). Some women experience severe night sweats that cause them to wake up in the middle of the night.

Hot flashes are caused by changing hormone levels. Estrogen deficiency in the body causes the hypothalamus to be more sensitive to changes in body temperature. Even the slightest rise in body temperature causes the hypothalamus to create a hot flash in an attempt to “cool down.”

3. Poor Bladder Control and Vaginal Health

Vaginal atrophy (or “atrophic vaginitis”) is a condition that causes drying, thinning, and inflammation of the vaginal wall. This is a result of the hormone imbalance in the body, particularly the lack of enough oestrogen.

Vaginal dryness is a common problem among women after their menopause, but women in their perimenopause and menopause phases may also experience this. Atrophic vaginitis makes intercourse painful. It also leads to some discomfort for patients whenever they urinate. Since it causes both urinary and vaginal symptoms, most doctors use the term “genitourinary symptoms of menopause (GSM)” to describe atrophic vaginitis.

Regular sexual activity helps prevent the risk of vaginal atrophy because it increases the blood circulation in the area to keep the vaginal tissues healthy. Patients may also talk to a medical professional about using estrogen therapy to restore the menopausal hormones in their bodies.

4. Low Sexual Drive

Low sex drive and libido are directly related to the hormone imbalance of the body. These hormones dictate a person’s performance and the pleasure they feel during intercourse. The lack of testosterone in men and progesterone and estrogen in women often leads to intimacy problems for most couples.

Hormonal imbalance in women usually occurs during and after pregnancy, as well as during their menopause. As the estrogen levels drop, the vaginal tissues become dry. Most women also become less interested in sex during this period. Some of them might still experience satisfying intercourse, but most women suffer from low libido whenever their estrogen levels are low.

Estrogen pills and other types of hormone replacement therapy help women balance their hormone levels for healthier vaginal tissues and improved sexual drive. However, it’s important to remember that HRT doesn’t prevent sexually transmitted diseases (STDs), so make sure to use contraceptives during sex.

5. Mood Changes

Several factors affect a person’s mood, including hormone imbalance. While mood changes are normal for some individuals, frequent and severe mood swings are a sign of hormone fluctuation. Women who have been diagnosed with depression or anxiety might experience worse symptoms as they reach menopause age.

Estrogen helps regulate different hormones in the body including the ones responsible for boosting a person’s mood — dopamine, norepinephrine, and serotonin. With less estrogen in the body, there aren’t enough hormones to regulate and improve an individual’s mood which leaves them to feel irritable or sad.

Menopausal hormone therapy helps improve a patient’s mood by stabilizing the hormone levels in the body. However, this shouldn’t be considered as an alternative treatment for other patients who are suffering from depression, anxiety, and other mood disorders. Talking to a physician helps patients decide if the best treatment for them is HRT, antidepressants, or psychotherapy.

6. Trouble Sleeping

Menopausal women are at risk of developing sleep disorders like sleep apnea because of the low estrogen and progesterone levels in the body. Sleep apnea is a serious breathing disorder that consists of involuntary breathing pauses throughout the night. Some patients also experience choking sensations at night because of sleep apnea.

Hot flashes are also another reason why many menopausal women find it hard to sleep at night. These two conditions disrupt sleep, affecting their overall health. The lack of a good night’s sleep also dampens a person’s mood and impairs their focus.

If you’re having trouble sleeping at night because of vasomotor symptoms, make sure to consult with a medical professional as soon as possible. Hormone replacement therapy is a helpful treatment that relieves different menopausal symptoms by restoring hormone balance in the body.

7. Forgetfulness

Memory problems and impaired focus are common for menopausal women. It’s normal for them to forget where they put their keys or why they entered a room. Forgetfulness is also a result of too much stress, but make sure to consult with a medical professional if you feel that you’re forgetting too much.

Women in the early stage of menopause are also more vulnerable to cognitive issues compared with postmenopausal women. According to the study published by The North American Menopause Society, women’s memory improved after going through menopause.

But for those who experience moderate to severe memory loss during menopause, low-dose menopausal hormone therapy might be helpful. However, it’s also important to remember that this kind of treatment is associated with many risks including colorectal cancer, endometrial cancer, breast cancer, ovarian cancer, cardiovascular disease, venous thromboembolism, and more.

Make sure to talk to a medical professional first to make sure that the benefits of HRT outweigh its risks. It also helps to find a trusted doctor who administers safe and effective HRT.

8. Physical Changes

Women also experience a few physical changes as they reach menopause. For example, their hair becomes thin and their skin becomes dry. Estrogen is the hormone responsible for keeping the skin moisturized and plump. Without enough estrogen in the body, many women experience hair loss and crepey skin.

Some women also start noticing unwanted facial hair in their chin and upper lip. This is usually caused by the high levels of androgen in the body, but it might also be a result of a disorder that affects the ovaries of the adrenal glands.

Weight loss is also another common menopausal symptom that many women dread. The fat distribution in the body is mainly affected by the amount of estrogen. Women in their childbearing age usually store fat in their lower body, while menopausal women store them around the abdomen.

Menopausal hormone therapy might help prevent some of these symptoms from occurring. HRT balances the important hormones in the body to prevent hair loss, dry skin, and unwanted facial hair. HRT combined with low doses of testosterone is also helpful for building muscle mass, improving weight distribution, and increasing bone density.

Everything to Know About Menopause

Menopause is an important phase in every woman’s life because it brings a lot of changes to their bodies. It also marks the end of their menstrual cycles. Most women experience menopause in their 40s or 50s, but the national average is 51 years old.

Menopause is often accompanied by uncomfortable symptoms, which is why patients seek different types of hormone replacement therapy with the help of medical professionals.

Why Does It Happen?

Menopause is a natural process triggered by the body’s production of fewer hormones and the ovary’s aging. But there are also instances where menopause happens earlier than normal, such as:

Surgical Removal of the Ovaries — The ovaries are responsible for producing menstrual cycle-regulating hormones like progesterone and estrogen. Removing these organs causes patients to experience immediate menopause and the symptoms associated with it. The symptoms might be severe for some patients because the hormonal changes are abrupt instead of gradual. Menopausal HRT helps them cope with body changes and relieve painful symptoms.

Radiation Therapy and Chemotherapy — Cancer treatments also induce early menopause for some women. Most patients experience hot flashes shortly after starting their radiation therapy. Menstruation and production of egg cells might still be possible, so a birth control pill might still be needed. Radiation therapy only affects menopause if the treatment was directed to the ovaries. Treatments for other parts of the body aren’t supposed to trigger menopausal symptoms, so make sure to contact a doctor immediately if you experience vaginal symptoms.

Ovarian Insufficiency — About 1% of women already experience menopause even before they reach 40. This is a result of their ovaries’ failure to produce the sufficient amount of reproductive hormones that the body needs. Primary ovarian insufficiency might be caused by genetic factors or autoimmune diseases. HRT is a recommended treatment for patients to prevent serious complications on their bones, heart, and brain.

How Does It Happen?

Natural menopause occurs in three distinct stages that are accompanied by different symptoms:

Perimenopause

This phase usually occurs about 10 years before the actual menopause. During this stage, the ovaries start to produce less estrogen. Perimenopause usually occurs during a woman’s 40s, but some of them experience symptoms in their 30s as well.

Perimenopause lasts until the ovaries stop releasing eggs permanently. In the last two years of perimenopause, women experience a rapid decline in their estrogen levels. They might still have menstrual cycles and get pregnant during this period.

Menopause

Menopause is medically defined as the absence of menstrual cycles for at least 12 consecutive months. During this stage, the ovaries no longer release eggs. The body also starts producing more estrogen during menopause than perimenopause.

Postmenopause

In the post-menopause stage, women no longer bleed because of menstrual cycles. The menopausal symptoms like hot flashes also start easing down. But since post-menopausal women have significantly less amount of estrogen in their bodies, they become more vulnerable to several health conditions like bone loss (osteoporosis) and coronary heart disease. Taking estrogen pills or other types of HRT, along with healthy lifestyle changes, helps reduce the risks of these diseases.

How Is It Diagnosed?

There are several ways to diagnose menopause in women, but the most common method is to review the menstrual cycle over the previous year. The doctor might also perform different tests to rule out the possibility of pregnancy or other health conditions.

Some doctors perform blood tests that check the levels of follicle-stimulating hormone (FSH) in the body. However, this test isn’t accurate because normal hormone fluctuations might affect the results. Most of the time, blood tests aren’t necessary for diagnosing menopause in women. Patients only need to talk to a doctor about their menstrual cycles and the symptoms they experienced.

What Are Its Complications?

Women become more vulnerable to different health risks after going through menopause, which is why they’re often advised to adopt a healthy lifestyle. Here are some of the most common health conditions that post-menopausal women might develop:

Osteoporosis

Coronary artery disease

Cancer

Urogenital atrophy

Mood disorders

Treating Menopausal Symptoms With HRT

Hormone replacement therapy is a common treatment that helps women replace the important hormones in their bodies with synthetic ones like estradiol, progestin, and progestogen. However, this treatment also comes with certain risks, so it's important to consult a doctor first before starting HRT.

Different Types of HRT for Menopausal Women and How They Work

Hormone replacement therapy comes in a variety of types, depending on how they’re taken or which hormones each medication contains. Doctors might prescribe combined therapy or estrogen therapy alone for different patients.

Estrogen Therapy

Pills — This is the most common type of estrogen therapy utilized for relieving menopausal symptoms. Estrogen pills are typically taken once a day without food. However, they aren’t recommended for people with liver problems since the medication is metabolized in the liver. This might lead to severe liver damage, so patients with liver problems are advised to try other types of treatment.

Patches — Estrogen patches are placed on the skin of the patient’s abdomen. The medication is directly delivered to the bloodstream, which makes patches safe for people with liver problems. It’s also a lot more convenient for most patients because they don’t need to remember intake schedules. The main drawback of using estrogen patches is that they might cause skin irritation for some patients.

Topical estrogen — This type of estrogen therapy comes in creams, gels, and sprays. They’re usually applied on the arms or the legs of the patient. However, it’s important to wait for the medication to dry on the skin first before putting on clothes.

Vaginal estrogen — This kind of estrogen therapy is similar to topical estrogen but instead of arms or legs, the medication is directly applied to the vagina. This treatment is the best option for patients who experience different vaginal symptoms including burning, itchiness, pain, and dryness.

Combined Hormone Therapy

This type of treatment combines doses of estrogen and progestin (the synthetic version of progesterone). It’s recommended for patients who still have their uterus because it reduces the risk of developing endometrial cancer. Progestin is typically used for birth control, but it’s also helpful in alleviating menopausal symptoms. The most common form of combined hormone therapy is oral HRT.

Bioidentical Hormone Replacement Therapy (BHRT)

This type of HRT uses compounded bioidentical hormones like micronized progesterone that are derived from plants. The most common form of BHRT is pellet therapy that involves implanting pellets underneath the skin of the patient’s buttocks. The implants slowly release small doses of man-made hormones to help relieve menopausal symptoms.

Most manufacturers of BHRT medications claim that their products are safer than traditional HRT. However, there isn’t enough evidence to back this claim. Both BHRT and traditional HRT pose the same risks and complications to menopausal patients.

Risk Factors and Possible Complications

The biggest drawback of HRT is that it’s accompanied by different risks for patients. For example, breast cancer risk increases for patients who take combined HRT for more than 5 years. These patients are also at risk of developing stroke or heart disease.

Venous thrombosis refers to the blood clots inside the veins. Women under 50 years old have an increased risk of this condition if they’re taking oral HRT for their menopausal symptoms. The risk is also higher for patients who are in the first two years of their therapy.

How to Minimize the Risk of HRT Complications

It’s normal for patients to become doubtful of treatment once they hear about the possible complications. However, HRT remains the most effective procedure for restoring hormone balance to the body. Luckily, there are a few ways to help minimize the risks of HRT complications like:

Finding the best type of HRT for each patient

Taking the least possible but most effective dose

Consulting a doctor regularly

Leading a healthy lifestyle

Experience Relief From Menopausal Symptoms With HRT at Revitalize You MD

Menopause is a normal biological process, but it doesn’t mean women have to endure painful symptoms especially if it starts affecting their daily lives. Here at Revitalize You MD, we offer safe and effective hormone replacement therapy to free your body from the different effects of aging.

Talk to our highly trained staff at Revitalize You MD today to find out which type of HRT works best for you. Call us now to schedule an appointment.

The post 8 Signs That a Menopausal Woman Needs Hormone Replacement Therapy appeared first on Revitalize You MD.

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Does Health Insurance Cover Hormone Replacement Therapy for Woman?

Hormone replacement therapy (HRT) can be used by many patients for various needs. While HRT is primarily used to address symptoms of menopause in women, men can also undergo hormone replacement to manage any hormone imbalance. Transgender patients who experience gender dysphoria would also need to take synthetic hormones as they transition. However, hormone treatment can be cost prohibitive, even if it’s recommended by your physician.

So can your health insurance cover hormone replacement therapy? It depends on your insurance provider. Usually, insurance will cover the full or partial cost of bioidentical hormone replacement therapy (BHRT) if it’s prescribed by a healthcare provider to treat menopausal symptoms. One the other hand, seeking an alternative specialist outside your insurance network may be an out-of-pocket cost. As insurance differs on a case-to-case basis, it’s best to check with your provider as well before undergoing treatment.

How Much Does Bioidentical Hormone Therapy Cost?

With aging comes the natural decline in the production of hormones that help maintain our quality of life. For men, testosterone levels drop at around age 50 and trigger andropause. Women, on the other hand, experience a decrease of female hormones like estrogen and progesterone when they’re in their mid-40s to early 50s. This hormonal imbalance during perimenopause and menopause can cause an uncomfortable number of menopause symptoms, such as hot flashes, night sweats, vaginal dryness, and mood swings.

In order to ease the immediate symptoms of low hormone levels and prevent future health complications, most doctors would prescribe bio identical hormones in pill, patch, gel, cream, ring, or pellet form; these compounded bioidentical hormones are derived from natural products like yam and soy to mimic the structure and function of human hormones to alleviate symptoms of menopause.

The cost of bioidentical hormone replacement therapy is around $200 - $500 per month, which includes the medication, a customized treatment plan, and follow-up appointments. Added costs include the initial consultation with a doctor -- which may cost $75 - $200 -- and a blood test to check the hormones, which can cost around $80 - $500 without insurance.

The basic cost of HRT covers the bioidentical hormones; prices may vary depending on the treatment method, the drug used, the dosage, and other factors. Generic estrogen-only or progestin-only pills usually fall at a lower price range, while combined HRT and brand-name products may be at the higher end.

Many hormone therapy patients have found the long-term benefits and relief from symptoms to be worth the cost, as well as any potential health risks. As long as your physician prescribes quality, compatible hormones and manages your condition through regular check-ups, there is little to no increased risk of breast cancer, weight gain, heart disease, or other medical problems associated with hormone replacement therapy.

Is Bioidentical Hormone Replacement Therapy Covered By Health Insurance?

No health plan is created equal, especially in the United States, where you can get an individual plan, an employer-sponsored health plan, or a government-based health plan like Medicare or Medicaid. As each plan takes into account factors like healthcare providers, medication, and types of treatment, there is no simple answer to the question.

Whether or not bioidentical hormone replacement therapy falls under your insurance coverage ultimately depends on your insurance provider and your health insurance plan. Most insurance plans do cover hormone replacement therapy or a patient experiencing symptoms of menopause, as long as it’s recommended by your primary health care provider. However, some health plans -- like Kaiser -- don’t cover hormone therapy.

It’s also possible that your insurance will cover some types of hormones, but not others, which is especially true if you're interested in getting bioidentical hormones. If your insurance company does not cover “holistic” or “natural” treatments, BHRT is not likely to be included. In other cases, a patient experiencing menopausal symptoms would have a similar coverage guideline as a male patient experiencing andropause, but most insurance carriers won’t cover testosterone when it’s prescribed for a female patient with low testosterone levels.

Other health policies also cover more than others. Medicare, for example, has a limited prescription drug coverage under its original Part A and B plans. You would have to add a stand-alone plan to your original Medicare or opt for a private insurance company if you want to get prescription coverage. For hormone treatment, you should consider the Medicare Advantage Plan (Part C) or Part D Prescription Drug Plan.

With health insurance, the out-of-pocket expense for hormone treatment can range from $5 - $30 per month, as a form of copay. This could still change, depending on the form of hormones you’ll take:

Pills: A monthly prescription for oral HRT is around $130 - $240 per month, but most insurance companies do cover hormone pills to treat menopause symptoms. Women would only need to pay the prescription co-pay costs at around $30 per month.

Creams, gels, patches: Applying creams, gels, or patches for hormone treatment can be tricky, but they are preferred by some patients because they produce fewer side effects. At $120 - $1020 per month, however, these forms of hormone replacement therapy are not always included in insurance plans.

Hormone pellet therapy: Pellet therapy involves implanting a slow-release pellet under the skin, so the cost may vary depending on your healthcare provider. As it’s a cash-based procedure, hormone pellets are typically not covered by health insurance and a patient would have to shoulder the total cost on their own.

Tips for Lower HRT Costs

As a patient dealing with the symptoms of hormonal imbalance, it can already be stressful enough -- even before you even think about payments and insurance coverage. Here are a few tips to help you lower your hormone replacement therapy costs:

If you choose a private clinic for treatment, you will pay out-of-pocket for their services. However, you may be able to file a claim for the tests ordered by the HRT clinic, or you can go to a provider site to get the tests done for a covered cost.

Ask your HRT provider if they offer payment plans, interest-free financing, or discounts on large-quantity orders, like a six-month supply of estrogen.

Do your research and find the best treatment option for you. Beyond the costs of the treatment itself, it’s hard to identify other hidden factors or prices. Call your insurance provider, talk to your physician, and find what works for you to get the most value with what you’re paying.

Affordable Hormone Replacement Therapy at RevitalizeYou MD

Undergoing hormone replacement therapy is a long-term medical procedure that can be demanding for a patient. At RevitalizeYou MD, we understand how important it is to keep costs down and quality high. Let our certified and licensed medical staff help you address your physiological needs and alleviate uncomfortable symptoms. Contact us today to learn more about our services.

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Hormone Replacement Therapy for Promoting Bone Health Among Postmenopausal Women

The hormonal imbalance that most women experience during their natural menopause stage is one of the main causes of postmenopausal osteoporosis. This is because the decrease in estrogen levels in the body can cause loss of bone mineral density, making them more prone to bone fractures in their lifetime.

So what exactly is the purpose of hormone replacement therapy on bone health for postmenopausal women? Estrogen medications are given during hormone therapy to suppress bone resorption cells (osteoclasts) and stimulate the development of bone forming cells (osteoblasts). It helps maintain bone mass and protect against bone loss and osteoporotic fracture.

How HRT treats postmenopausal osteoporosis

Many women have been benefiting from hormone replacement therapy for decades. Also called menopausal hormone therapy, it is a treatment that helps provide relief from common menopause symptoms such as hot flashes, night sweats, mood swings, and vaginal dryness.

There are two main types of hormone therapy used for menopause symptoms, namely estrogen therapy and combined HRT (estrogen and progestin). Doctors typically prescribe taking estrogen-only drugs such as conjugated estrogen and estradiol for women who have had a hysterectomy. Meanwhile, estrogen-progesterone therapy is best recommended for postmenopausal women and those who still has their uterus.

Patients can take hormone therapy in different ways: oral HRT (tablet and pill forms), transdermal estrogen (patches attached to the skin), subcutaneously (HRT implants or pellets), and gels or creams (applied for direct absorption on the skin).

The amount of dosage and how long a menopausal woman will take the hormones depends on the degree of the menopause symptom. HRT can be taken for as long as needed until the doctor decides to gradually take them off the therapy. For the specific treatment of osteoporosis, there are common ways of taking HRT:

Cyclical or sequential combined therapy - It refers to the method of taking estrogen continually while progesterone is administered around 12 days per month.

Continuous combined therapy - Unlike cyclical combination HRT, this requires taking estrogen and progesterone together throughout the month. This is usually prescribed for the first year of their postmenopause phase.

Estrogen-only therapy - The most common type of HRT for prevention of osteoporosis. Medications for estrogen replacement therapy (like conjugated equine estrogen) are taken continuously as prescribed by the physician. This is also given as a medication after hysterectomy to lessen symptoms of surgical menopause for young women.

Tibolone - It is an artificial steroid medicine that has the similar effects of taking combined estrogen and progestin therapy. It’s a prescription drug that is taken at least once a day. Like most HRT medications, it has the same benefits of relieving menopause symptoms, as well as inhibits bone resorption to prevent osteoporosis-related fractures.

Is HRT for osteoporosis safe?

Hormone replacement therapy is a generally safe and effective treatment that has proven benefits for women. However, its results can vary from one person to another depending on the dosage prescribed by the doctor and how well the body responds to the medication.

Some of the factors that can affect the effects of HRT are age, weight, family history, and pre-existing medical conditions. Use of estrogen therapy is restricted for females with a history of heart disease, breast cancer, uterine cancer, liver disease, or blood clots.

Women with a history of blood clotting may be at risk for venous thromboembolism when taking oral estrogen, in which case they are suggested to take transdermal HRT. Long-term use of HRT can also constitute risks for endometrial cancer, breast cancer, and cardiovascular disease.

Hormone replacement therapy can also be used as viable treatment for postmenopausal women with primary hyperparathyroidism. It is a condition where the body produces excess parathyroid hormone which can lead to bone loss and increased fracture risk. HRT helps slow down bone turnover and improves bone density.

When should you start HRT for osteoporosis prevention?

The ideal age at which to start hormone therapy is at their early 40s. At this age, many women experience early menopause symptoms which causes them to lose estrogen prematurely, leading to increased chances of hip fracture and vertebral fracture from loss of protection in the bones.

Postmenopausal women who are at their mid 50s to 60s can also get HRT to strengthen their bones. Patients who are planning to start hormone therapy should visit their primary care physician to get a quick consultation. It’s important to know the possible benefits and risks of the therapy and to disclose essential information about their medical history so the doctor can create a treatment plan that will meet their needs.

Postmenopausal HRT to protect against osteoporosis and maintain bone health would need more than five years of continuous treatment. Getting regular check-ups would be beneficial in determining if there should be changes in the dosage of the medication to ensure its effectiveness. If you decide to quit the therapy, the hormones will lose its effects on your bones and can increase risk of fractures.

Possible side effects of HRT

As with all medications, the side effects of postmenopausal hormone therapy are minimal and do not last for a long time. Common side effects associated with estrogen medications are breast tenderness and swelling, leg cramps, indigestion, nausea, and bloating. Meanwhile, side effects of progesterone therapy can include mood swings, headaches, depression, and back aches.

Gaining weight may also be evident among women who are taking hormone replacement therapy. This can be remedied by maintaining a healthy lifestyle and regular exercise regimen to manage fat in the body.

Women specifically taking tibolone or combined HRT can also experience spotting or irregular bleeding within the first 6 months of the treatment. Usually, a change of medication or lowering of dosage is needed to minimize side effects of hormone replacement therapy.

Understanding bone health among women

To better get a grasp of what causes postmenopausal osteoporosis among women, it is important to understand the science behind bone formation. The bone is a living tissue and they undergo a constant process of regeneration or remodeling to sustain bone health in everyday activity. There are three main types of cells that are essential in the development of new bones:

Osteoclasts - These are cells responsible for bone turnover activity and they are usually found in the bone marrow. Osteoclasts have a vital role in bone remodeling as they break down the bones to make way for new ones.

Osteoblasts - These are cells that work together with osteoclasts to build new bones in the body. They are also known as structural cells and are in charge of creating a protein mixture called osteoid (consists mostly of collagen) which controls deposit of calcium and other minerals in the bone.

Osteocytes - These are cells found in most bone tissues. It helps regulate the functions of osteoblasts and osteoclasts as they act as sensory receptors that can detect fractures or deformations in the bone. They can transmit signals to other osteocytes to start the process of bone regeneration.

Calcium is an important mineral in helping the body build strong bones from childhood until adulthood. It provides the skeletal structure and improves bone strength until the body reaches its maximum amount of bones (peak bone mass).

Women typically achieve peak bone mass between the ages of 25 to 30. Once the bones reach optimal strength and density, the body’s normal bone production is slowed down and begins to lose bone mass. Rapid bone loss is more experienced by women in the first five years of the postmenopause stage. This drastic change is highly caused by the increased loss of estrogen at menopause.

How is menopause related to osteoporosis?

Most of the sex hormones in the body, particularly the estrogen and testosterone, have a substantial role in sustaining bone health. For women in particular, the estrogen hormone influences the bone producing function of osteoblasts.

With estrogen deficiency during menopause, the osteoblasts are unable to produce bones normally which accelerates bone loss. In the first five to ten years after menopause, women can lose a total of 10% to 20% of bone density. This makes women more vulnerable to osteoporosis-related fractures than men.

Among the other factors that can increase chances of osteoporosis are family and medical history (if anyone has had osteoporosis), having a sedentary lifestyle, amount of daily calcium intake, and current medications (ie. long-term use of steroids). Women with slim figures are also at greater risk of developing osteoporosis since their body structures are thinner and have less bones than women with larger body frames.

There is also a high risk for bone loss for women who are pre-diagnosed with hyperparathyroidism (overactive thyroid gland), arthritis, liver and kidney disease, chronic pancreatitis, Crohn’s disease, celiac disease, and other inflammatory conditions.

How is osteoporosis diagnosed?

One way to determine if a person has osteoporosis is to undergo a bone density exam. Doctors may conduct a dual-energy absorptiometry scan (DEXA) which is a quick test that uses X-rays to measure bone density at the hips and spine. They can also suggest a peripheral dual-energy absorptiometry (P-DEXA) which is a variation of the DEXA and measures bone mass in peripheral areas of the body such as in the arms or legs.

Another medical exam is the quantitative computed tomography (QCT) which is usually performed with a CT machine. Results of this particular test can show possibilities for fractures and can likewise monitor effects of therapy. Compared to DEXA exams, the QCT requires higher exposure to radiation. Doctors may also do a quick ultrasound which uses sound waves in the heels to measure bone mineral density.

Additional exams such as calcium blood tests and Vitamin D tests may also be done to determine other causes of osteoporosis. A calcium test requires extraction of blood from an arm vein which will then be examined in a laboratory. It determines whether you have enough calcium to sustain the bones. Blood extraction is also performed for a Vitamin D test to check if you have Vitamin D deficiency which can allude to bone disorders or osteoporosis.

Alternatives to hormone replacement therapy

Certain over-the-counter drugs and prescription medicines can also be used for osteoporosis prevention and treatment. Among the available alternatives to promote good bone health are:

Bisphosphonate medications

The bisphosphonates family of drugs are effective in preventing loss of bone mineral density and treating osteoporosis. They work by slowing down the process of bone turnover, and they can curb risks of hip and spine fractures.

It can be taken orally, intravenous infusion, or by injection. The popular bisphosphonate medications include zoledronic acid (usually administered via infusion), ibandronate, risedronate tablet, and alendronate pills. Oral bisphosphonates are taken weekly while the infusions are performed yearly and intravenous injections are given every three months.

Selective estrogen-receptor modulator (SERMs)

Raloxifene is a popular SERM drug used for estrogen therapy. It has the same properties and functions of the estrogen hormone, making it an effective medication to treat postmenopausal bone loss. Similar to how estrogen supports the bone production, Raloxifene can help keep the bones strong and reduce likeliness of fractures. It can also minimize chances of being diagnosed with invasive breast cancer after menopause.

Naturopathic approach

Bones are living tissues and they also need nutrients to help promote their growth and maintain good bone health. Doctors may recommend a naturopathic approach where patients use natural remedies such as herbal treatments and nutritional supplements to stimulate the body’s own healing properties.

Soybeans is a good source of isoflavones which have the same chemical structures and functions of estrogen, and are fundamental in reducing risks of osteoporosis diseases. Likewise, most soy products like soy milk and tofu are also providers of calcium and vitamin D which strengthen the bones.

Herbal plants such as red clovers and horsetail (taken as herbal compress or mixed in teas) also contain medicinal properties that can help in bone healing and formation. However, it is advised to consult first with healthcare providers and doctors before taking herbal treatments to know the possible health risks.

Traditional Chinese health practices such as acupuncture and tai chi may also be useful in treating osteoporosis. Acupuncture involves inserting of needles at target points in the body to stimulate healing. On the other hand, tai chi is a form of exercise inspired by martial arts and it uses different postures to improve muscle strength and movement, and improve joint pain.

Vitamin supplements

The most important vitamins and minerals needed for bone development are calcium, magnesium (helps absorb calcium for bone building), Vitamin D (maintains bone tissues), and Vitamin K (stimulates functions of the osteoblasts).

Upon doctor’s recommendation, women with calcium deficiency can take calcium carbonate and calcium citrate. Getting daily sun exposure for at least 20 minutes can be a good source of Vitamin D, as well as eating enough eggs, fatty fish, and milk. Individuals can also enhance their magnesium and Vitamin K levels by consuming green vegetables, beans, peas, and whole-grain cereals.

Tips for osteoporosis prevention after menopause

Taking medications and hormone replacement therapy for osteoporosis treatment will be more effective once you start being more conscious about your lifestyle and activities. Maintaining good bone health for postmenopause can be done by doing:

Weight-bearing exercise - Walking, jogging, hiking, climbing, jumping and aerobics are popular forms of weight-bearing exercises. These activities require the feet and legs to support body weight while moving, and it is useful in strengthening the muscles and joints. Having at least 30 minutes of exercise daily helps in increasing bone mass.

Resistance exercise - Unlike weight-bearing exercises, resistance routines activate contractions of the muscles to boost bone strength. Using weightlifting equipment or doing pull-ups and push-ups are examples of resistance exercises.

Stop smoking - The nicotine in cigarettes can limit the body’s ability to ingest calcium and speed up the breakdown of estrogen hormones which leads to faster loss of bone density.

Limit alcohol and caffeine consumption - Alcoholic and caffeinated drinks such as coffee and soft drinks can weaken the bone structure as they inhibit the body’s amount of calcium intake.

Eat healthy - Incorporating calcium-rich food in the diet can help assure that the body receives enough minerals to facilitate bone regeneration. Fresh fruits, vegetables, and fatty fish are also good sources of vitamins D and K which are fundamental for suppressing bone loss.

Safe and effective hormone therapy at Revitalize You MD

Postmenopausal women can protect themselves from osteoporosis and maintain good bone health for their remaining years with hormone replacement therapy. To start the treatment, you should first find a trusted med spa or health clinic to assist in getting you on board for the therapy.

At Revitalize You MD, we assure that every client receives the best hormone therapy experience that is customized to their needs. With a team of certified medical experts, we are committed to providing products and services that will help clients achieve total wellness. Book a free consultation to learn more about how our HRT treatments and other offers.

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What Happens When You Stop Taking Hormone Therapy During Male-To-Female Transition?

Taking hormone replacement therapy or HRT is a very important step in a trans person's life. Even if there are health risk factors involved, the positive impact on one's self-esteem is worth gambling for. A biological male who wants to become a woman will risk it all just to see breasts, full hips, and a feminine face staring back at him in the mirror. Then there are the psychological benefits - being on hormones can bring the mind and body closer together, helping trans people feel better about their bodies and ease their feelings of gender dysphoria.

If you're thinking of taking the plunge towards transitioning or maybe you have already started but thinking of stopping the hormones for whatever reason, it's important to know the permanent and reversible changes of feminizing hormone therapy so you can make a more informed decision whether to start or stop.

Purpose of Feminizing Hormone Therapy

Feminizing hormone therapy is given to individuals who want to transition from male to female. The process involves taking estrogen, progesterone, and testosterone blocker. These hormones can be taken orally, absorbed through the skin via topical cream or transdermal patch, or via injection. This is also applicable to masculinizing hormone therapy, which involves testosterone therapy.

Young transgenders who are still about or already undergoing puberty will be given puberty blockers to prevent the onset of male development.

The effects of the hormones will take some time to show, both physical and otherwise. Some changes are permanent while some can be reversed once you stop taking the hormones. The extent of the changes will depend on several factors, such as genetics and the length of time the hormones are taken.

Why Some Trans Women Stopped Taking Feminizing Hormone Therapy

Stopping hormones once you have started doesn't necessarily mean you regret transitioning. Although yes, there are trans women who do regret their decision to transition, there are lots of them who had to stop because of personal or medical reasons. Taking hormones as a transgender woman does come with a lot of risks, such as blood clots (including venous thromboembolism), heart or cardiovascular disease, and potential liver damage. There are trans women who went off hormones for a period of time because they wanted kids. Taking time off hormones can make it easier for them to conceive.

There's also the money factor. Needless to say, transitioning is a very expensive process and transgender individuals who plan to go through it should be prepared to spend...A LOT. Even without the more advanced stages of gender reassignment surgery, facial feminization surgery, and breast augmentation, hormone therapy alone already costs thousands of dollars a year and you definitely have to take it longer than that.

Permanent Changes in Feminizing Hormone Therapy

First, here are the permanent changes of estrogen therapy and the time expected for the changes to become visible. These changes would still stick even if you stopped taking your hormones.

Breast development and nipple/areola enlargement - it will take several years for your breasts to reach their full size and these will remain even if you stop taking estrogen. If you continue with the hormones, you might have a milky discharge from your nipples. If this happens, you have to tell your doctor about it because it might be caused by estrogen or something else. There might be an increased risk for breast cancer, as to what degree is uncertain. Having breasts means taking care of them just like a natural-born female would. You have to take annual breast exams and regular mammograms when you reach a certain age.

Widening and rounding of the pelvis - widening of the hip bones is part of a woman's pubertal process and estrogens cause the pelvis to widen as part of sexual differentiation. Females have wider hips generally for childbirth. After puberty, a woman's hips get generally wider than her shoulders.

Reversible Changes in Feminizing Hormone Therapy

Now, what about the changes that will revert once you stop taking your estrogen hormone therapy? The majority of the changes that happen during therapy are indeed reversible which is something you should keep in mind if you're planning to lay off estrogen treatment, temporarily or permanently.

Thinning/slowed the growth of facial/body hair - taking estrogen means less body hair, which will become less noticeable and will grow more slowly. It will not stop growing completely even if you take your hormones for a long time. When you stop taking the estrogen, your body hair will come back with a vengeance.

Cessation/reversal of male-pattern scalp hair loss - balding, which is a common male problem, will slow down when you take estrogen. Your balding will slow within one to three months and the full effect will be seen after one or two years. Balding will resume once you get off the hormone treatment. You may lose your hair faster than if you hadn't taken hormones.

Softening of skin/decreased oiliness and acne - hormones make your skin as soft and smooth as a woman's also with less acne and oiliness. Your skin will return to its original male condition when you stop your hormones.

Redistribution of body fat in a feminine pattern - during therapy, you will notice less fat on your abdomen and more on your hip, butt, and thighs, just like in a biological woman. Going off therapy means you're more likely again to gain weight in the gut.

Decreased muscle mass/strength - trans women on hormones will notice muscle and strength loss in their upper body, which is something you will regain when you stop your therapy.

Changes in mood, emotionality, and behavior - as hormone levels increase, so do emotional changes such as depression, anxiety, suicidal thoughts, or a worsening of existing mental health issues. This is one of the prominent risks of feminizing hormone therapy. You will notice these wild emotional zigzags taper down when you quit your hormones.

Decreased sex drive - as a trans woman undergoing therapy, you will notice having less interest in sex as compared to a biological man. Your ability to make sperm will decrease, thus taking your fertility down with it. When you stop therapy, your sexual appetites will come back to the same level as a biological male's.

Decreased spontaneous/morning erections - Your morning erections may not be as much as before and you may have a harder time ejaculating when you masturbate. Speaking of which, being on therapy will make you want to masturbate rather than have sex.

What Will NOT Change Even If You Take Feminizing Hormone Therapy

It's best to set expectations as early as possible and become aware of what transgender hormone therapy can and cannot change. First, let's start with the physical ones. Hormone therapy will not turn your penis into a vagina or transform your sex chromosomes. Your present bone structure will remain as is even though your features may soften as you transition. Body hair will lessen but will not completely go away. You will have the same height and voice pitch even after years of hormones. Your Adam's apple will stay put as well.

This is why transitioning goes beyond hormone therapy. If you wish to go further, you will need to take surgery to make your face look more feminine, to have larger breasts, and to have your penis transformed into a vagina.

Second, therapy will not change your body image. Yes, seeing yourself look more womanly will definitely give a stratospheric boost to your self-esteem and confidence, but it cannot eliminate your gender dysphoria issues completely. This is where counseling comes in and all those who wish to transition are required to seek psychological help.

Lastly, society will not really bend the way you want it to just because you look more like a woman. Not all people will readily accept you and this is something you have to learn to accept. Professional and peer counseling will help you with this. It's vital to seek support from people and communities who accept transgender people unconditionally. You may feel lonely and alone at first, but your outlook will eventually improve once you find people who will love you just the way you are.

Preventing Medical Complications of Feminizing Hormone Medications

It's possible to get the most benefits and minimize the risks of feminizing hormone therapy so you can rest easy during your transitioning. There are lots of ways to make hormone therapy as safe and effective as possible for the transgender patient. With the help of your doctor, making the decision to undergo therapy will become a more informed decision.

Be informed - listen well when your doctor discusses how hormones work and what to expect while you're having it. Keep in mind the possible side effects and risks to make you more in charge of your health.

Stop smoking - smoking is not good for anyone, especially for someone who is under hormone therapy. It increases the risks involved and your doctor might prefer to keep your estrogen levels low if you're a smoker. Lower estrogen means lesser or slower feminizing effects. Your doctor can also help you quit smoking if you can't at least cut down dramatically.

Do not self-medicate - everything you take should be approved by your doctor. Get a clearance first if you want to start, change, or stop the doses of any of your prescription medicine. A lot of trans women take it upon themselves to self-medicate and take higher doses than they should. This increases your health risks and can slow down the feminizing changes that you signed up for in the first place.

Getting a doctor whom you can trust in this delicate process is key in making your transitioning as safe and comfortable as possible. Let the excellent medical professionals at Revitalize You MD take care of your hormone therapy needs.

We are a trusted name not just in hormones for transgender adults, but also in helping the menopausal woman deal with issues such as menopause symptoms (including hot flashes, vaginal dryness, and vaginal bleeding). We help pre and postmenopausal women deal with the menopause experience with menopausal hormone therapy.

Call us to make your appointment so we can discuss what we can do for you in your feminizing journey.

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Which Side Effects Are Most Common Among Women Taking Hormone Replacement Therapy for Menopause?

Hormone replacement therapy (HRT) is a type of medication that contains female hormones such as estrogen, in order to replace the hormones women lose when their bodies undergo menopause. Hormone therapy is often prescribed to treat menopausal symptoms like hot flashes and vaginal dryness; however, hormonal therapy may also cause a number of uncomfortable side effects and potential risks for postmenopausal women.

So which side effects are commonly experienced by women taking menopausal hormone therapy? Many patients report having cramps, constipation, mood swings, breast tenderness, nausea, and headaches as a side effect of hormone therapy. HRT may also increase the risk of blood clots, stroke, heart disease, and breast cancer, but these can be avoided as long as the hormone replacement is tailored to the individual patient.

Menopausal Hormone Therapy: What It Does For Your Body

Menopause is the ‘last period’ that marks the end of a woman’s reproductive years. During this time, women stop ovulating (releasing a mature egg monthly) and her ovaries stop producing estrogen, the female sex hormone.

Many women experience uncomfortable menopause symptoms due to the loss of estrogen, which keeps essential body functions under control. Symptoms include:

Hot flushes

Night sweats

Palpitations

Vaginal dryness

Vaginal atrophy (thinning of vaginal walls)

Vaginal or bladder infections

Mild urinary incontinence

Sleep disturbance or insomnia

Aches and pains

Reduced sex drive

Mood disturbance

Memory loss or other cognitive changes

Hair loss or abnormal hair growth

Dry and itchy eyes

Abnormal sensations (‘prickling’ or ‘crawling’ under the skin)

These symptoms can be managed in a number of ways, but hormone therapy is the most effective for relieving discomfort. Usually, doctors prescribe estrogen replacement therapy to manage waning estrogen levels. There are two types of estrogen therapy:

Systemic hormone therapy utilizes systemic oestrogen, which allows a higher dose of estrogen to get absorbed throughout the body. Systemic oestrogen comes in various forms, including pill, skin patch, ring, gel, cream, and spray foams.

Low-dose vaginal products are intended to treat only the vaginal or urinary symptoms of menopause. Only a minimal amount of oestrogen gets absorbed by the body through a vaginal cream, vaginal tablet, or vaginal ring.

For menopausal patients who haven’t undergone a hysterectomy (surgery to remove the uterus), doctors would also prescribe progesterone. Progesterone or progestogen is the female sex hormone responsible for menstrual cycles. Although it’s normally used as a hormonal contraceptive for birth control, progestogen can also treat menopausal symptoms like hot flushes.

Progestogen is important because estrogen replacement therapy alone may stimulate growths in the lining of the uterus and increase the risk of endometrial cancer. A combined hormone therapy of oestrogen and progestin (progesterone-like medication) is usually prescribed to balance the hormones and protect the endometrium. Combined menopausal replacement therapy usually comes in the form of a tablet, a pill, or a patch.

Common Side Effects of Hormone Replacement During Menopause

Menopausal hormone replacement therapy is essential for dealing with menopause symptoms and protecting bone, heart, and brain health for the long-term. However, side effects can make it difficult for patients to continue with hormone therapy and they end up stopping HRT prematurely.

Side effects of hormonal therapy are worse when you begin treatment, but they get better over time as your body adjusts after a few weeks or months. These side effects largely depend on the dose, the type of hormone therapy, and how long the medication was taken; they could also vary from drug to drug. If there are side effects, it’s important to alert your healthcare provider because you will be taking hormone therapy for some time. Your doctor could also prescribe an alternative remedy in case the side effects interfere with your daily life.

Taking estrogen-only therapy usually causes symptoms like headache, breast tenderness, and nausea. However, it’s usually the progesterone part of combined HRT that presents side-effects; specific types of progesterone can cause low mood, irritability, acne, fatigue, or headaches.

Fatigue: When undergoing hormone therapy, you’re more likely to feel severe tiredness, lack of energy, or pains and aches in the joints. Some therapies -- specifically aromatase inhibitors -- can cause bone loss in premenopausal women, which leads to osteoporosis.

Digestive problems: A menopausal woman is likely to experience mild nausea, cramps, vomiting, or a queasy feeling when they begin hormone replacement therapy. This usually settles down after a few days or weeks. Diarrhea and constipation may also concur, although they’re less common and can be controlled through medication or diet.

Hot flashes: Hot flashes are among the menopausal symptoms women experience with hormone therapy; other signs are vaginal dryness, sweating, and a lowered sex drive. Hot flashes are a sudden rush of warmth to the face, neck, upper chest, and back, which may or may not be accompanied by sweating. Some hot flashes last only for a few seconds, while others can last for over an hour.

Vaginal dryness: Vaginal dryness may occur alongside the thinning of vaginal walls, which can make it difficult or painful to have sex. There may also be vaginal discharge, infections, vaginal bleeding, or spotting for the first few months after beginning hormone replacement therapy. However, these signs should not last for more than five months.

Weight gain: Although there is some debate on whether hormone therapy actually causes weight gain (as most studies don’t show a clear link), hormone therapy can cause an increase in appetite. This, combined with age and lifestyle factors, may contribute to added pounds. It is also possible that the bloating and fluid retention in the early stages of estrogen therapy are confused with weight gain.

Headaches: Headaches, mood swings, depression, nervousness, or anxiety may be experienced while taking hormone therapy. Cognitive problems such as poor memory may occur as well.

Potential Risks of Hormone Replacement Therapy

Aside from side effects, hormone therapy can pose a number of significant risks: blood clots, breast cancer, stroke, cardiovascular disease, and more. While the risks are very low and patients are unlikely to develop these conditions, your doctor will still take them into account during your assessment. The possibility of heightened risks depend on:

Age: When you undergo therapy before reaching 60 years old or within the first 10 years of menopause, the benefits most likely outweigh the risks. However, postmenopausal woemn beginning estrogen therapy over the age of 60 or more than 10 years from the first onset of menopause have a heightened risk if they opt to get hormone therapy.

Medical history: A family history or personal medical history for cardiovascular disease, stroke, blood clots, liver disease, osteoporosis, and breast cancer risk are factors that determine whether or not hormone therapy is appropriate for a patient.

Type of hormone therapy: Are you taking estrogen alone or is it combined with progesterone to combat hormone imbalance? This, plus the dose and type of estrogen used (synthetic estrogen or conjugated equine estrogen) can influence how likely you are to develop a certain medical condition.

Some conditions menopausal and postmenopausal women are more likely to develop with hormone therapy include:

Blood clots

Venous thromboembolism occurs when blood clots form inside the deep blood vessels of the legs and groin, which may spread to the lungs. Although it’s extremely rare for blood clots to occur in healthy women, patients with a history or genetic predisposition to blood clots should consider the risks with taking oral hormone therapy. Women who experienced early menopause also have an increased risk, so it may be better to use hormone patches, implants, or gels instead.

Breast cancer

Combined HRT (estrogen and progesterone) is associated with a higher incidence of breast cancer, although it’s very rare. Some types of breast cancer are affected by female sex hormones, as the breast cancer cells may have an estrogen receptor that helps the cell grow. These estrogen receptors can be managed by estrogen-only therapy; however, there is a higher risk when using combined hormone therapy over 5 years.

Endometrial cancer

The endometrium is the lining of the uterus. When menopausal hormones are managed with estrogen HRT, women who have not had their uterus removed are more likely to develop endometrial cancer. Signs of endometrial problems include abnormal vaginal discharge, vaginal bleeding, menstrual irregularities, and pain or pressure in the lower belly. Fortunately, the possibility of it metastasizing into ovarian cancer is very small with menopausal hormone therapy.

Cardiovascular disease

Women over the age of 60 have a small, increased risk of heart disease with combined oral HRT. Although the risk is small, it should still be considered because it can occur early on in the treatment and persist with time. And even if conjugated estrogen can help by lowering bad LDL cholesterol and raising good HDL cholesterol levels, HRT cannot actually prevent heart disease.

Managing HRT Side Effects

Ultimately, the choice to get hormone therapy is a decision that relies on you. Some postmenopausal women would rather experience the symptoms of menopause over the unpleasant HRT side effects, while others would prefer to take a chance on HRT than suffer through menopause. What matters most is if the benefits outweigh the disadvantages. The benefits still outweigh the risks if you’re healthy and you:

Have moderate to severe vasomotor symptoms like hot flashes and night sweats, which can be treated with systemic HRT

Suffer from vaginal symptoms of menopause like dryness, itching, burning, or discomfort during intercourse

Need to prevent bone loss or fractures caused by weakened bone density

Experienced early menopause or premature menopause that led to estrogen deficiency

The side-effects of hormone therapy are often short-lived; they are only bothersome when you start HRT, switch up your HRT method, or switch to a different hormone as your body tries to get used to the hormones. And despite the risks of hormone therapy, it can also protect you from osteoporosis, diabetes, and colorectal (bowel) cancer -- so it should still be considered as a treatment option. Here are some tips on how to deal with HRT side effects:

1) Wait at least three months before making changes to your prescription: The side effects could disappear or become less severe during that time, as your body adjusts to new hormone levels.

2) Talk to your doctor about the side effects: It’s best to have a face-to-face consultation with your doctor to confirm any side effects. From there, they can assess if there is a need to change the medication or advise you on how to stop hormone therapy safely.

3) Find the best product and delivery method for you: The great thing about hormone therapy is that it can be taken as an oral pill, skin patch, gel, vaginal cream, or a slow-releasing suppository. Consult with your doctor and minimize the amount of medication you take; as much as possible, use the lowest effective dose for the shortest amount of time needed to treat the symptoms. If you’re younger than 45 years old, you would probably need to take estrogen for a longer time to protect you from the long-term effects of hormone deficiency.

4) Change up your lifestyle: Staying healthy is the best way to manage side effects and prevent risks related to hormone therapy. Eat a nutritious diet, exercise regularly, and avoid smoking or drinking to reduce symptoms. Managing stress and chronic health conditions like high cholesterol levels or high blood pressure can also ensure your long-term wellness.

5) Get regular check-ups and screenings: Visit your doctor regularly to ensure that the benefits of hormone therapy continue to outweigh the risks. Monitor your health by going to annual screenings, pelvic exams, mammograms, and check-ups; this also allows your doctor to reevaluate the HRT and adjust it according to your needs.

Customized Hormone Replacement Plans at RevitalizeYou MD

At Revitalize You MD, we aim to provide the best, customized care that meets you needs. You don’t have to suffer through discomfort brought on by menopause. Let our certified and licensed medical staff help improve your quality of life. Schedule an appointment with Revitalize You MD today.

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Using Hormone Replacement Therapy For Estrogen-Positive Breast Cancer Patients In Need of Hysterectomy

Hormone replacement therapy is known to relieve symptoms of natural menopause. However, this treatment can also help women with breast cancer that are hormone-receptor positive. This means that the breast cancer cells in the body grow and respond to the presence of estrogen and progesterone.

So how exactly does hormone therapy treat estrogen-positive breast cancer? Women diagnosed with estrogen receptor (ER) positive breast cancer are prescribed medications that lower estrogen levels and stop them from stimulating the growth of cancerous cells. This therapy is a safe treatment for both premenopausal and postmenopausal women.

Hysterectomy and breast cancer risk

Menopause is a natural phase that occurs among women when their bodies, particularly the ovaries, stop releasing eggs and producing female sex hormones. The age at which this begins is usually between 45 to 55 years old. Because of the fluctuating levels of estrogen and progestin, a menopausal woman typically experiences different vasomotor symptoms such as hot flashes, night sweats, and vaginal dryness.

Young women or those who are yet to reach the menopause age can likewise experience menopausal symptoms when they get a hysterectomy. A hysterectomy is a surgical procedure that involves the removal of the uterus. There are various reasons why hysterectomies are needed, among them are prevention of endometrial cancer, ovarian cancer, and uterine prolapse.

Aside from the uterus, hysterectomies can also involve excision of the cervix, fallopian tubes, and ovaries. Usually, early menopause (also known surgical menopause) can come to women who have had their ovaries removed in an oophorectomy procedure.

An oophorectomy, or bilateral oophorectomy, is a known ovarian suppression treatment that can lessen breast cancer incidence among premenopausal women. Ovarian suppression is a preventive care for cancer that describes the shutting down or removal of ovaries. This can inhibit cancerous cells to develop as the amount of estrogen hormones produced by the ovaries is decreased.

High-risk women, those who have tested for the BRCA1 mutation gene linked to breast cancer or have a family history of the cancer, can also benefit from having their ovaries removed. It significantly decreases cancer risk by 50% especially if their ovaries were removed before menopause.

Is it safe to take HRT after hysterectomy?

Premenopausal women who have had a hysterectomy are safe to take hormone therapy, particularly oestrogen medications. This helps balance their body’s estrogen levels to maintain its normal function up until they reach the natural menopause stage.

The most common type of menopausal hormone therapy is estrogen-only therapy. Taking unopposed estrogen therapy can combat side effects of a hysterectomy procedure such as osteoporosis and bone fractures. High estrogen levels are shown to have a direct effect on maintaining good bone health as they prevent the bones from breaking.

Conjugated equine estrogen and vaginal estrogen can also be taken to treat menopausal symptoms that may manifest in the vagina. Likewise, there are studies that show regulated estrogen therapy after a hysterectomy relieves menopause symptoms and significantly lowers risk of invasive breast cancer. However, long-term use (at least 10 years) of estrogen can start to pose risks of breast cancer and ovarian cancer.

On the other hand, there’s an increased chance of being diagnosed with metastatic breast cancer (advanced breast cancer) when taking combined HRT or estrogen-progestin therapy. This possibility increases the most during the first three years of taking combination therapy but it eventually decreases when a patient stops taking medications.

Hormone replacement therapy for breast cancer

Determining the type of treatment for breast cancer depends on what caused the cancerous cells to grow. Normally, cancerous cells develop in the lining of milk ducts within the breast (invasive ductal carcinoma) or in the lobules where milk is usually produced (invasive lobular carcinoma). These cells can accumulate over time, forming an obvious lump or mass which is a common symptom of breast cancer.

There are also cancer cells which are highly responsive to the hormones that are circulating in the body. These cells have receptors that can receive signals from estrogen and progesterone to promote their abnormal growth and spread in the body. Among the types of hormone-receptor cancers are:

1. Estrogen receptor (ER) positive breast cancer

Estrogen receptors are the most common hormone receptor that causes breast cancer. A study by the American Cancer Society reports that 2 out of every 3 breast cancer cases are hormone receptor positive. This is because estrogen is a dominant hormone that is responsible for most female traits. It can be found in the ovaries, adrenal glands, kidneys, and even fat tissues.

Among the common symptoms of ER-positive breast cancer are lumps surrounding the breast area, skin irritation or dimpling, breast swelling, nipple discharge, redness in the nipple or breast skin, and an increase in size of one or both of the breasts. Upon detecting these changes, a doctor may conduct an ultrasound or biopsy to confirm whether it is a form of hormone-receptor breast cancer.

2. Progesterone receptor (PR) positive breast cancer

On the other hand, a PR-positive breast cancer is induced by cells that are more responsive to progesterone. Progesterone is a steroid hormone found in the ovaries and it is essential in the development of breasts during puberty. It also assists in preparing the body for lactation and breastfeeding. It also shows symptoms that are similar to the ER-positive cancer type.

How does HRT for ER-positive breast cancer work?

The hormone treatment of ER-positive breast cancer requires administration of anti-estrogens which work to either lower levels of estrogen or block the hormones from sending signals to the cancerous cells. These hormone medicines (usually oral HRT) can also slow down the acceleration of cancer cells from reaching the advanced stage or metastatic breast cancer.

There are different kinds of hormone medicines used for treatment of ER-positive breast cancer such as:

1. Selective estrogen receptor modulator (SERM)

SERMs are estrogen blockers that attach themselves to the breast tissues so the hormone will not be able to affect the breast cancer cells to grow and multiply in the body. One of the most common estrogen blockers is Tamoxifen.

Tamoxifen targets the estrogen hormones specifically located within the breast, but can activate normal functions in other cells. This oral drug is prescribed for women with early-stage cancer and those who have had surgery for their invasive breast cancer. It lowers the chances of breast cancer recurrence and subsequently stops growth of the tumor in the body.

Meanwhile, Fareston, or toremifene, is another type of SERMs that is used to treat breast cancer for postmenopausal women. The most common side effects of SERMs are fatigue, vaginal discharge or atrophy and hot flashes, while rare side effects include blood clots, stroke, and endometrial cancer.

2. Aromatase inhibitor

Aromatase inhibitors are hormone medications that completely stop estrogen production among postmenopausal women. Aromatase is a type of enzyme that can convert androgen (testosterone) to estrogen when the female body stops its normal production of the hormone.

These drugs work by prohibiting the aromatase enzymes from making estrogen so that they will not be able to influence the development of ER-positive cancer cells. There are three types of aromatase inhibitors namely Letrozole, Anastrozole, and Exemestane. They are usually taken orally once a day.

Patients taking these medications can experience muscle pain or joint stiffness as a side effect. Additionally, severe side effects of these inhibitors can include heart disease, bone loss or osteoporosis, and increased bone fractures.

3. Estrogen-receptor downregulators (ERDs)

ERDs function the same as selective estrogen receptor modulators where they block the effects of estrogen in the breast tissues. But unlike SERMs that only target the cells in the breast, the downregulators extend its anti-estrogen functions throughout the entire body. They can also lessen the amount of estrogen receptors, as well as tweak the shape of the breast cell receptors to prevent connecting of the hormones.

Fulvestrant (Faslodex) is the most common type of ERD for hormone replacement therapy. It is usually prescribed for postmenopausal woman with estrogen-receptor positive breast cancer and advanced stage cancer. Unlike SERMs and aromatase inhibitors which are taken orally, Faslodex is administered via intramuscular injections into the buttocks.

For the first month of treatment, a patient must receive shots that are two weeks apart followed by one injection every month. After receiving the ERD shot, a patient may experience side effects such as pain at the injection site, nausea, headache, and hot flashes.

4. Luteinizing hormone-releasing agonist (LHRH)

Luteinizing hormones are essential in maintaining normal function of the female reproductive system. It is usually released in the anterior pituitary gland and it is responsible for fueling the ovaries to produce estrogen. It also stimulates production of egg cells during ovulation and progesterone to support pregnancy.

When used for hormone therapy, LHRHs generally stop the ovaries from working and producing estrogen. They are available via injections which are performed once a month for the duration of the hormone therapy. Zoladex (Goserelin) and leuprolide (Lupron) are common LHRH medications that can be taken in conjunction with other hormone therapy drugs for premenopausal women with early stage ER-positive breast cancer.

When should you start hormone therapy?

Women can take hormone therapy after receiving surgery to lessen the possibilities of breast cancer returning. This method is known as adjuvant therapy. It is also effective in destroying the cancerous cells that are left behind or to treat the cancer that has returned after the surgery.

Meanwhile, there are patients who’d want to take preventative measures and start hormone therapy before surgery and this is known as neoadjuvant therapy. It usually works by shrinking the size of the cancer tumor and killing the cells that have already spread.

The first step to starting hormonal therapy is to consult with an oncologist or licensed HRT provider to determine the right treatment plan that will work for you. There are many factors that can affect the type of HRT medicine that will be recommended such as the cancer stage, menopausal status, medical history (to know if you’re at risk for uterine cancer and ovarian cancer or blood clots), and bone density.

The period of how long a woman stays on hormone replacement therapy depends on whether they’re taking it before or after surgery, and the stage of the cancer they have. For example, postmenopausal women with early stage cancer and are taking HRT after surgery can stay on the treatment for 5 years.

Meanwhile, postmenopausal women with early-stage cancer and are taking HRT before surgery may be recommended to be on treatment for at least 3 to 6 months before getting the operation to remove cancer cells. And as for women with advanced stage cancer, they can take hormone therapy for as long as it takes to keep the cancer cells at bay. The doctor may recommend a new course of treatment when the cancer stops responding to the HRT.

Other treatments for ER-positive breast cancer

Before or after starting hormone therapy, patients are presented with surgical options that they can take to avoid increased breast cancer risk. The surgery treatments available for hormone receptor-positive breast cancer are:

Lumpectomy

Lumpectomy is a procedure that requires the removal of cancer cells and abnormal tissues within the breast. It’s an invasive surgery involving making incisions over the area where lumps are felt to remove the tumor and surrounding irregular breast tissues.

A lumpectomy may also be referred to as breast-conserving surgery since it ensures that the entire breast is not affected. It is typically performed among women with early-stage cancer and may be supplemented with hormone therapy or radiation to prevent the cancer from coming back.

Mastectomy

Mastectomy is a surgical procedure that involves total removal of the whole breast and its tissues to treat breast cancer. There are several types of mastectomy such as total mastectomy (excising breast tissues, areola, and the nipple), skin-sparing mastectomy (breast removal that preserves the skin), and nipple-sparing mastectomy (removal of tissues except for the nipple, areola, and skin).

Chemotherapy

Like HRT, chemotherapy is a less invasive treatment where patients are given anti-cancer drugs to kill cancer cells. They can be taken orally or administered via injections into the vein wherein they will directly traverse through the bloodstream to reach the estrogen-receptor cells.

Women can choose to undergo chemotherapy as a form of adjuvant therapy to remove leftover cancer cells from their surgery. It’s also effective as a neoadjuvant treatment to shrink tumors that are too big for surgery. In cases where the cells have scattered beyond the breast and underarm area, chemotherapy can also be used to treat them.

Begin your hormone replacement therapy with Revitalize You MD

Both premenopausal and postmenopausal women with estrogen-receptor positive breast cancer are elligible for being treated with hormone replacement therapy. Before starting, they should get examined by medical professionals to determine the types of HRT medications that will work for their cancer stage.

Revitalize You MD is home to the best medical professionals and licensed health experts that can guide you in your hormone therapy. We use bioidentical hormone products which are guaranteed safe and more compatible for the body. Contact us today to learn more about how you can benefit from our HRT treatments.

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Should Postmenopausal Women Having Undergone Total Hysterectomy Take Hormone Replacement Therapy?

Menopause is a biological process that starts at a woman’s early 50s, marking the end of monthly menstrual cycles and reproductive abilities. If bleeding continues over the age of 60, a hysterectomy involving the surgical removal of the uterus is performed to avoid potential health risks.

So should postmenopausal women who have undergone total hysterectomy take hormone replacement therapy? These women can still experience aftereffects of unbalanced hormones such as hot flashes, increased anxiety, mood swings, and even severe conditions like bone loss and fracture. To prevent this, doctors suggest menopausal hormone therapy to provide balance to the low hormone levels after menopause.

Why Women Undergo Hysterectomy

Hysterectomy is the second most performed surgical procedure (following cesarean section for pregnancies) for women in the United States. The Centers for Disease and Prevention (CDC) reports that about 600,000 hysterectomies are done annually, with one-third of women having done the surgery by the age of 60.

Women who are between the ages of 40 and 45 are at high risk for needing hysterectomies because they are the most prone to chronic illnesses that involve the uterus, ovary, and cervix. This surgery reduces ovarian cancer and breast cancer risk among patients and is usually recommended as a treatment for the following health conditions:

Cancer

Abnormal post-menopausal bleeding is typically the most important symptom to watch out for upon reaching the age of postmenopause. The ovaries and uterus, which are the cause of bleeding, cease their normal function once a woman has started menopause. This can be triggered either by an infection or overgrowth of lining which can be a precursor to uterine or ovarian cancer.

Uterine cancer occurs when abnormal cells begin growing out of control. It can be classified as either endometrial cancer, which is the most common form of uterine cancer and is found in the inner lining of the uterus (endometrium), or uterine sarcomas, which develops in the muscle tissue (myometrium) and is a rare form of uterine cancer.

When chemotherapy and radiation stop working for these conditions, a hysterectomy may pose as a treatment option depending on the diagnosis of the doctor.

Uterine fibroids

Fibroids in the uterus are usually noncancerous or benign tumors among women. They’re identified as the growths of smooth muscle cells and connective tissues in the walls of the uterus. It’s common among women who have started their menopause phase and typically shrink when entering postmenopause.

While they are considered benign, these uterine fibroids can cause discomfort such as pain and cramps during menstruation, abnormal bleeding, and abdominal swelling. Larger fibroids can affect normal bladder function and even cause back pain. In rare cases, postmenopausal bleeding may indicate the presence of cancerous fibroid which is identified as leiomyosarcoma.

Uterine prolapse

Uterine prolapse can be diagnosed from painful or increased frequency of urination and difficulty in passing stools. This happens due to a shift or prolapse in the position of the uterus, bladder, or rectum. In this condition, the ligaments that support the pelvis become too weak to hold up the uterus, thus causing abnormalities in bowel or urine movement.

The normal position of the pelvic organs can also loosen and protrude due to aging. Uterine prolapse is common to those who have reached menopause and can be treated in less invasive ways such as doing Kegel exercises to strengthen their pelvic muscles or wearing a rubber disk to provide support for the uterus.

Endometriosis

This happens when the endometrial lining in the uterus becomes thick with tissue and blood vessels and grows beyond areas outside the uterus. They may be found on the ovaries or other organs inside the pelvis. This typically results in heavy bleeding, scarring, and adhesions that can lead to severe damage.

The thickened endometrium may sometimes also refer to endometrial hyperplasia which is the excessive growth of lining and is considered premalignant. A biopsy is commonly used to diagnose the severity of this condition upon which a treatment such as a hysterectomy may be recommended.

Adenomyosis

Adenomyosis occurs when the tissue that normally grows inside the uterus walls develops where it doesn’t belong. The displaced tissue can cause severe pain and heavy bleeding during a normal menstrual cycle. Doctors believe that adenomyosis usually disappears after menopause. However, for those who experience serious discomfort from this condition, the removal of the uterus typically alleviates its symptoms.

Carcinoma

Carcinoma is a common type of cancer that starts with the tissues that line the skin or internal organs. It may spread to other parts of the body and cause severe health risks. An individual with a family history of breast cancer, ovarian cancer, or endometrial cancer is generally a good candidate for hysterectomy to treat its symptoms. Usually, it requires hysterectomy with bilateral salpingo-oophorectomy to remove both ovaries and fallopian tubes to get the cancerous cells out of the body, lessening cancer risk.

Chronic pelvic pain

Chronic pelvic pain is pain felt in the pelvic region which is usually just below the belly and the hips. Its symptoms vary among women but typically include intermittent pain, cramping during periods, and heaviness in the pelvis. Sometimes, chronic pelvic pain is also a sign of pre-existing medical conditions or can be caused by an abnormality in the function of the nervous system. Treatments like hysterectomy can help relieve the condition when the symptoms become unbearable.

What to Expect After a Hysterectomy

Before identifying how to remove the uterus, the doctor must determine the type of hysterectomy needed by the patient:

Partial hysterectomy — This procedure is also known as supracervical hysterectomy. It involves the removal of the upper part of the uterus while keeping the cervix in its place. In this treatment, the blood stops its circulation in the ovaries and puts a halt to its normal functioning. A surgeon may choose to perform this laparoscopically (where small incisions are made in the abdomen to reach the internal organs) or abdominally (where the whole abdomen is cut open).

Total hysterectomy — Unlike partial hysterectomy, the whole uterus and cervix are removed in a total hysterectomy. In cases where endometriosis has advanced, the fallopian tubes and ovaries may also be taken out (referred to as prophylactic oophorectomy), which can stop the overall production of the ovarian hormone.

Radical hysterectomy — This is the removal of the entire uterus and its tissues along with the cervix and part of the vagina. It’s a treatment option for advanced stages of uterus cancer and may also involve the removal of lymph nodes and fallopian tubes. Younger women who have not had menopause may also be considered for radical hysterectomy to prevent cancer risk.

Hysterectomy with bilateral oophorectomy — This is a surgical procedure that removes the ovaries. The estrogen hormone is produced in the ovaries, and when this procedure is performed on young women, they may enter what’s called surgical menopause where they experience common menopause symptoms.

A doctor may choose to perform the hysterectomy via different approaches such as:

Abdominal hysterectomy — The removal is done through the abdomen with a surgical incision that’s typically about 6 to 8 inches long.

Vaginal hysterectomy — The surgery is performed through the vagina opening.

Laparoscopic hysterectomy — The doctor inserts a thin flexible tube that has a camera through a small incision created in the lower abdomen. The removal is done through the laparoscope tube or the vagina.

Hysterectomies are considered a safe surgical procedure for a menopausal woman, including those who have entered the postmenopausal stage. As with all surgeries, hysterectomy patients may experience common side effects such as hot flashes and body pain which can be managed with prescription medicines.

There may also be symptoms of constipation, temporary difficulty with urinating (which happens because of fluctuations in estrogen which is responsible for keeping the bladder healthy), vaginal discharge, and bleeding. Psychological changes such as emotional disturbances, anxiety, and mood swings are also common for women who went through hysterectomies.

In a total hysterectomy, the patient may also experience certain symptoms of premature menopause or early menopause. This condition is called surgical menopause and is predominant in hysterectomy patients who have not yet experienced menopause naturally. These menopausal symptoms typically occur after an oophorectomy where the ovaries are also extracted from the body.

Estrogen is an essential hormone in women that’s responsible for keeping the body’s normal menstrual and reproductive functions. It’s typically produced by the ovaries, adrenal glands, and fat tissues. Some of the important roles of estrogen are:

It helps stimulate the growth of egg follicles to encourage a normal menstrual cycle.

It develops and maintains the thickness of the vaginal wall as well as the lubrication which can prevent vaginal dryness.

It’s responsible for the development of breast tissues and helps stop the flow of milk when breastfeeding.

It manages the mucous membranes in the uterine lining and controls the flow of mucous secretions.

When the ovaries are removed during hysterectomy, there’s a significant hormonal imbalance which can produce symptoms of natural menopause such as:

Hot flashes

Night sweats

Weight gain

Hair thinning

Dry skin

Vaginal dryness

Chills

Sleep problems

Mood changes

Hormone Replacement Therapy After Hysterectomy for Postmenopausal Women

Postmenopausal patients who receive hysterectomies are at risk for possible major health problems and may require further invasive surgeries if estrogen levels are not managed. Some of the rare but serious negative effects that come with hysterectomy after menopause are:

Cardiovascular disease

Estrogen is believed to have a role in helping regulate blood flow in the inner layer of the artery wall. When there’s a decline in estrogen levels, heart disease and complications are likely to increase for women after menopause. It’s important to exercise regularly and have a healthy diet to manage and reduce chances for heart attacks, strokes, or high blood pressure.

Osteoporosis or bone problems

The estrogen hormone is also linked to helping promote strong bones. Osteoporosis is a disorder that causes bones to get thin and weaken, most likely as a result when the osteoblasts (responsible for rebuilding) and osteoclasts (responsible for breaking down bones) lose their ability to work together.

Estrogen powers the osteoclasts to absorb bones. The lack of this hormone can lead to bone loss or make the vulnerable parts of the body such as the spine and hips more prone to fractures.

Neuropathy

Postmenopausal women are also at risk for neurological problems after hysterectomy. This is commonly known as peripheral neuropathy which is a condition where nerves are damaged and can cause numbness, pain, and weakness in the hands and feet.

Neuropathy disorders for women after menopause happen because low estrogen hormones hinder the body’s ability to regulate visceral pain. They experience this mostly in the pelvis, abdomen, and chest during menstruation. Patients may be advised to take hormone therapy to maintain hormonal balance to minimize risks of neuropathy.

Vaginal atrophy

Also known as atrophic vaginitis, this is a condition characterized by thinning, drying, and inflammation of walls in the vagina that happens when estrogen levels drop. Women who experience this report pain during intercourse and urinary discomfort and infections (UTI). Other symptoms that may require a consultation with a doctor are vaginal spotting, bleeding, unusual discharge, and soreness.

Understanding Hormone Replacement Therapy

The best course of treatment to relieve the negative side effects and symptoms of hysterectomy for postmenopausal women is menopausal hormone therapy (MHT). Nowadays, it’s better known as hormone replacement therapy (HRT) and is a popular treatment for women with low hormone levels.

Hormone therapy is a process where women take estrogen and progestin (a synthetic progestogen with similar effects to a female’s natural sex hormones) to help reduce symptoms of hormonal imbalance. It works by introducing new hormones through systemic hormone therapy or low-dose vaginal products.

To differentiate, systemic hormone therapy usually contains higher doses of estrogen and progestin and is the go-to treatment for common signs of menopause. On the other hand, low-dose vaginal products minimize the amount of estrogen and are only used to treat vaginal and urinary problems due to menopause.

Long-term estrogen therapy is recommended for women who are nearing menopause and have undergone a hysterectomy. Hormone therapy can be administered in different forms by registered physicians depending on their diagnosis on the individual. It comes in:

Tablets or pills — These are the most common forms of progestin and estrogen therapy and are usually taken orally once a day.

Skin patches — They’re known by their generic name Estradiol patch and are usually applied on the skin for at least a few days.

Gels or creams — This is a topical alternative that can be rubbed onto the skin once a day. Estrogen creams are popular for helping relieve vaginal dryness specifically. There are also testosterone gels that are applied onto the skin to help increase low levels of sex drive during postmenopause.

Pellets/implants — These consist of pure estrogen which is commonly inserted beneath the skin and fatty layer of the abdomen or buttocks. It’s good for long-term hormone therapy as most pellets release estrogen that lasts for 4 to 8 months. It’s taken with the guidance of a doctor, and the patient is usually under local anesthesia as a small incision is created to insert the pellet under the skin.

Today, bioidentical hormones are used for most estrogen therapies. These are natural hormones derived from plants and vegetables like yam and soy and are preferred because they produce hormones that are similar to those already present in the body.

Most bioidentical products include a variety of estrogens (usually estradiol, estriol, and estrone), progesterone, and testosterone. Unlike traditional hormone therapy which uses manufactured hormones, bioidentical products are safer and more compatible with the body. They present lesser risks as long as they’re regulated and prescribed by trusted doctors.

Overall, getting estrogen therapy for postmenopausal women prevents the outbreak of more serious health conditions. It’s also discovered that taking HRT after hysterectomy can reduce the risk of dying due to heart diseases. It brings back balance to the hormones in the body and improves the quality of life after menopause.

Learn More About Hormone Replacement Therapy at Revitalize You MD

Hysterectomies and menopause can cause drastic changes to the hormones in the body. These negative side effects can greatly impact the way of living and may even cause severe health problems for a postmenopausal woman. The best way to restore the lost estrogen and maintain the body’s normal functions while minimizing possible health risks from postmenopause is through hormone therapy.

At Revitalize You MD, we give hormone replacement treatments that are tailor-fit according to your needs. Our professional and skilled medical staff take careful measures before administering you with bioidentical hormone products. To ensure a safe procedure, we can formulate a custom dosage for your hormone therapy. Aside from hormone replacements, we also offer other medical and cosmetic procedures to help achieve total wellness living.

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Will Breasts Stop Growing When You Stop Hormone Replacement Therapy?

The development of breasts and nipples are one of the irreversible changes of feminizing hormone replacement therapy. This is usually brought about by estrogen, the female sex hormone, which stimulates growth of tissues to sculpt the shape and size of the breasts.

So what will happen to the developed breasts when hormone therapy is stopped? Quitting estrogen medications will stop further growth of breasts but the actual tissues that have formed during the treatment will remain. Surgical augmentation may be performed if a trans woman wants to reverse the effects of the therapy on their breasts.

How Hormone Replacement Therapy works for Transwomen

Gender dysphoria is a medical condition wherein an individual experiences feelings of distress and anxiety over a strong desire to become another gender than the one they are born with. It is sometimes associated with gender identity disorder where they exhibit self-identification with the opposite sex.

Upon diagnosis and mental evaluation, a doctor may recommend medical treatment to address gender dysphoria and help people fit into the gender role they identify with. In cases of transwomen (individuals born as male but identify as female), feminizing hormone therapy is taken as a first step towards transitioning to womanhood.

Feminizing hormone therapy, also known as estrogen therapy, is an important procedure in gender reassignment of a male to female. It is a type of treatment done by taking medicine to change the lower the testosterone level in the body. These sex hormones are responsible for the development of secondary sex characteristics that appear at puberty such as facial and hair growth, changes in breast density, and voice changes.

During feminizing hormone therapy, a patient will receive natural female hormones to induce changes to their fertility, reproductive ability, and physical appearances such as in hair, skin, and breast growth. To better understand how hormone treatment works for transwomen, it's important to know what medicines are involved in the treatment and how they affect the transformation of the body.

The three common hormones involved in a feminizing hormone therapy are:

Estrogen

Estrogen is the primary hormone receptor taken by most transgender women as it is the one responsible for promoting feminine physical traits. It works by decreasing testosterone production to reduce the appearance of masculine features and effectively enhance female characteristics. There are three common forms of estrogen:

Estradiol (E2) - The hormone which is most active during a woman's puberty and reproductive years. It causes the maturation and release of the egg, as well as thickening of the uterus lining during a menstrual cycle. Increased levels of estradiol are reported to be linked to uterine cancer, breast cancer risk, and potential heart disease.

Estriol (E3) - A type of estrogen mostly produced during pregnancy. It is found in the placenta and it is responsible for keeping the mother and the baby healthy during childbirth. It is also helpful in preparing the woman for labor and breastfeeding.

Estrone (E1) - It is common in many postmenopausal women. Although generally weaker than the two types of estrogen, estrone is responsible for maintaining the woman's normal sexual development and function. It also serves as a repository for estrogen when needed.

It can be taken through pills (orally or under the tongue), injection (intramuscular or subcutaneous), and skin patch or gel (transdermal). Estrogen helps redistribute body fat to the hips and breasts to transform to a female body, as well as broadening of the pelvis to accentuate curves. This female hormone also improves the skin texture, develops fuller lips, and slows down growth of hair in the face and body.

There are also certain risks that come with taking estrogen. For one, it can increase potential for blood clotting which can cause lung damage, brain damage, increased blood pressure, heart attack, or chronic problems. Estrogen medications can also cause menopausal symptoms such as mood swings, weight gain, migraines, and hot flashes (also known as hot flushes). Before taking estrogen, you should consult with a surgeon to determine the right amount of dosage that you may need.

Androgen-blockers

Androgen is a hormone primarily responsible for masculine features. An androgen-blocker (also known as anti-androgens, androgen antagonists) has similar feminizing effects to estrogen and can effectively block the androgen receptor responsible for male traits and characteristics.

Spironolactone is a common androgen-blocker used in hormone replacement therapies. It functions by blocking the production and normal action of testosterone. It can assist in slowing down male pattern baldness, reduce growth of facial and body hair, and stop instances of waking up with or spontaneously having an erection.

Likewise, there are also some side effects that come with taking spironolactone such as urinating excessively and uncontrollably and feelings of lightheadedness. It can also increase the body's potassium levels which is dangerous for patients with a history of kidney disease.

Another androgen-blocker known in the medicine industry is the Bicalutamide. However, it only works to prevent the normal function of testosterone and does not completely stop its production. It is usually administered for treating advanced prostate cancer.

Finasteride and dutasteride are also anti-androgen options which counter production dihydrotestosterone which affects the development of male skin and hair. Compared to spironolactone, these two alternatives are weaker blockers and may be useful for those who cannot tolerate spironolactone.

Progesterone (Progestin)

This is another important hormone for facilitating feminizing therapy. It is a natural hormone secreted by the placenta and corpus luteum (an endocrine structure in the female ovaries). The progesterone, or progestin, helps maintain balance in uterus lining and prepares the body for potential pregnancy.

It is also useful as a partial testosterone blocker and vital in enlargement of the breasts when taken alongside estrogen. It also helps improve skin elasticity and nerve tissues to support the body's transformation. Doctors would also prescribe progesterone as a medication to reduce risk of fibrosis and ovarian cancer among women.

Progesterone is taken with caution as it can have negative side effects on blood cholesterol and cause significant mood changes like anxiety, depression, or irritability. As a rule of thumb, progesterone is started after desired hormone levels have been achieved from estrogen and testosterone blockers. And as with all hormone treatments, this should be regulated and taken as per doctor's recommendation.

What are some changes to expect for transitioning male to female?

There is no one-size-fits-all approach when making the transition from male to female. Feminizing hormone therapy differs from person to person. The time it takes for the changes to manifest depend on a person's age, amount of dosage, and hormone combination prescribed by the doctor. The current health condition of the patient is also taken into consideration to control the risks and side effects.

Generally, HRT can ease a person's anxiety brought by gender dysphoria and can help them regain confidence in themselves and feel better about their body. These psychological changes most likely take effect as soon as the patient starts taking the hormones.

On the other hand, the expected physical changes from the female hormones may take a few weeks to months until they are completely visible. Here's an overview of the effects brought by each medicine and the usual time it takes to be seen:

Changes from Estrogen

Most of the changes from this hormone take at least 2 years to have full effects. Estrogen is mainly responsible for the growth of breasts and nipples in trans women. Its development varies greatly from person to person, and there is also a range in how large these breasts can grow.

Transwomen can expect their own breasts to grow only to a cup size due to the presence of testosterone that stops breast growth when they are males. It should also be noted that breasts developed from estrogen are permanent and nipples will not shrink even after deciding to stop the medicine.

However, there are circumstances where genetic males can experience an imbalance in their hormones and see unwanted breasts enlargement. This condition is called gynecomastia and it occurs during a man's puberty. It generally goes away on its own but taking an estrogen modulator or an aromatase inhibitor such as letrozole can treat this condition.

Patients who are not satisfied with the size of their breasts after 18 to 24 months can start considering surgical augmentation. The procedure for breast enhancement usually makes use of implants (mostly made of silicone gel) to make them look natural while waiting for the full effects from the hormones.

Aside from breast growth, the changes that occur within two to three years are the slowed down growth of facial hair and body hair. Testicles will start appearing smaller and male pattern baldness would be controlled.

Meanwhile, the immediate effects that show within one to six months of HRT include softening of skin to appear more feminine and acne-free, reduction of muscle and body fat, and redistribution of fat to the hips to add shape to the body. There will also be a decrease in libido (sex drive) and lessened chances of waking up with an erection and decreased ability to make sperm and ejaculation fluid.

Androgen-blockers

Most changes induced by anti-androgens are reversible. This means that when the medicine is stopped then the body will return to how it was before starting the estrogen therapy. For example, breast growth brought by spironolactone without estrogen is usually small and reversible. However, there are people whose breast tissues remain even after quitting spironolactone.

Androgen-blockers generally have the same effects as estrogen. In about one to three months, patients will experience lower sex drive, difficulty in getting an erection, and decreased chances of sperm production. This is followed by the physical improvements around the breasts and the slowed growth of hair and male baldness which can happen in at least two years.

What happens when you stop Hormone Replacement Therapy

When the time comes that a patient decides to stop HRT, the doctor will recommend lower doses of hormones to gradually take them off the treatment. The degree to which the changes will be reversed depend on how long a patient has been under hormone therapy. However, it must be noted that breast growth is often permanent. On the other hand, there are good chances that the sperm count may return after stopping HRT drugs.

The estrogen receptor is also used in menopausal hormone therapy to treat a menopausal woman and reduce risk of certain illnesses such as breast cancer, osteoporosis, and other female disorders. When taken off HRT, their chances for these conditions are increased and they may experience menopause symptoms again. There are also increased possibilities for high blood pressure when coming off hormones medication.

To lessen the possible risks and ensure a desirable outcome, patients should schedule follow-up visits to the doctor for regular care and checkups during the first year of their feminizing therapy. During these checkups, the doctor will document the physical changes the body is experiencing, monitor hormone concentration and decide if dosage should be changed, and examine mental and behavioral health.

Along with this, there are certain routine screenings that are done to prevent long-term health problems such as:

Breast cancer screening - A study reports that transgender women who are taking HRT are at high risk for breast cancer. This goes the same for postmenopausal women who are taking HRT to relieve their surgical menopause symptoms such as vaginal dryness, night sweats, and hot flashes.

To prevent this, doctors recommend conducting monthly breast cancer exams and mammograms for transgender women. For medication, LHRH agonist may be suggested for long-term hormone therapy for breast cancer. Radiation therapy is also a viable option for breast cancer treatment.

Supplements - It's important to keep the bones strong to support the physical changes in the body. With that said, supplements for calcium and Vitamin D are prescribed to manage bone density and protect against osteoporosis.

Prostate screening - Similar to breast cancer screening, preventive care for prostatic cancer must be done monthly. High levels of specific antigens may indicate the possibility of prostate cancer cells and HRT can help lower PSA by about 50%.

Bioidentical Hormones vs. Traditional Hormones

Doctors have the choice to use either bioidentical hormone or traditional hormone in therapies. While both are effective in addressing symptoms of hormonal imbalance in the body, bioidentical hormone therapy (BHRT) is considered to carry less risks these days.

Conventional or traditional hormones are sourced from synthetic estrogens which are manufactured in laboratories. They are specifically designed to replicate hormones naturally produced by the body. On the other hand, BHRT hormones are derived from natural plant molecules (such as yams and soy) and are chemically identical to the ones already inside the body.

The hormones from BHRT are more easily absorbed by the body as compared to the synthetic hormones which have a long breakdown process. There are cases when the body may also recognize these conventional hormones as toxins and carcinogens because they are not natural.

Likewise, therapy using traditional hormones are more limited in standardized doses which can affect its efficacy. Bioidentical hormones can be tailored to the needs of each patient to effectively stimulate change in the body without any excess risks or negative side effects. As with all medical treatments, BHRT is regulated and prescribed by doctors so patients are assured that their procedures are safe.

Consult with Experts at Revitalize You MD for your Hormone Replacement Therapy

Transsexuals may opt to take feminizing hormone therapy to aid in their transition to their desired gender identity. By introducing specific female hormones, their bodies naturally go through transformation and permanent changes such as breast growth start to show. Individuals who decide to stop HRT are advised to seek a doctor's guidance to help ease them off the treatments and manage post-therapy withdrawal.

Get reliable and professional advice about hormone therapies from the trusted doctors at Revitalize You MD. As a top medical spa in Roswell, we guarantee safe and quality HRT treatments that deliver optimal results customized to your needs. We also offer other medical and cosmetic augmentation procedures to help you enjoy wellness living. Contact us now to learn how you can get started on hormone replacement therapy.

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