Hormone Therapy

Male and Female Replacement

Andropause (Male Menopause)

Male hormone levels decline with age (ARHD = Age Related Hormonal Decline).  Testosterone is the primary male hormone.  Testosterone peaks during adolescence and early adulthood.  After age 30, your testosterone level declines, typically about 2% per year.  It is not uncommon for males to feel pre-andropause symptoms in their late 30’s and 40’s.  Simple laboratory studies can diagnose Testosterone deficiency.

 

Andropause is associated with low male hormone levels and can cause physical, mental and emotional complaints.

Do you have any of these signs or symptoms?

  1.  Low energy, fatigue
  2.  Poor concentration, confusion
  3.  Loss of mental focus
  4.  Memory loss
  5.  Fewer sexual thoughts
  6.  Low sex drive (libido)
  7.  Erectile dysfunction
  8.  Loss of early morning erections
  9.  Irritability, moodiness
  10.  Depression, sadness
  11.  Poor stamina
  12.  Poor endurance
  13.  Decreased muscle mass
  14.  Decreased strength
  15.  Increased body fat
  16.  Loss of height
  17.  Sleep difficulties/insomnia

Laboratory Evaluation

Male hormones levels including free and total Testosterone are obtained as part of your Comprehensive Laboratory Evaluation.  Other tests include PSA free and total, DHEA-S, LH, FSH, Prolactin, Estradiol, SHBG, Dihydrotestosterone (DHT), Electrolytes, Liver function, Kidney function, Complete blood count, Thyroid hormones, Vitamin levels, Iron levels and Lipid panel.

If you receive hormone replacement, laboratory evaluation will be performed periodically to monitor treatment effect on hormone levels.

Additional Diagnostic Testing

Magnetic Resonance Imaging (MRI), Ultrasound, and Bone Densitometry studies may be necessary.

Medical Specialty Referral(s):  Endocrinology, Urology and other medical specialty referral(s) may be necessary.  HealthSmart M.D. will provide you with the necessary specialty referral(s) or you can choose a medical specialist(s) on your managed care plan.

Treatment Options

  1.  Natural supplements
  2.  Compounded hormones
  3.  Hormone gel – Androgel, Testim
  4.  Hormone injections – Testosterone Cypionate, Testosterone Enanthate

 

We will discuss the risks and benefits of each treatment option and customize a program that is right for you.

 

PLEASE NOTE – a review of the medical literature shows that:

 

~Normal for age testosterone levels are not optimal and may represent significant deficiency.  Typical laboratory range for normal testosterone values is between 300 – 1100.  Most physicians are unaware that our bodies function best in the upper 1/3 of this range: 850-1100.

~Men with low testosterone died 88% sooner than men with high testosterone.

~Higher testosterone levels were correlated with lower death from heart disease, cancer and all causes.

~There is no increased risk of prostate cancer with testosterone therapy.

 

*Testosterone and related compounds are classified as Schedule III controlled substances.  They will only be prescribed for legitimate medical purposes.*

 

Menopause

Female hormone levels decline with age (ARHD = Age Related Hormonal Decline).  Estrogen and Progesterone are the primary female hormones.  Testosterone is very important in women.  Menopause is the period when less estrogen and progesterone are produced, and menstruation becomes less frequent, eventually stopping.  No menstrual period for 12 consecutive months means natural menopause has occured, usually between the ages of 45 and 55.  Several years before menopause age, periods may become irregular.  They may be normal for a few months and then stop for another few months; they may be more or less intense; the duration and flow may start to vary.  Women begin to experience a gradual slowdown of their reproductive cycle between their 30’s and 40’s which may result in the premenopausal signs and symptoms below.

 

Menopause is associated with low female hormone levels and can cause physical, mental and emotional complaints.

Do you have any of these signs or symptoms?

  1.  Changes in menstrual periods
  2.  Hot flashes and night sweats
  3.  Vaginal dryness
  4.  Memory loss and Forgetfulness
  5.  Frequent urination
  6.  Headaches
  7.  Palpitations
  8.  Joint pain
  9.  Heart pounding or racing
  10.  Thinner skin and wrinkles
  11.  Thinner hair and hair color loss
  12.  Irritability, moodiness
  13.  Depression, sadness
  14.  Weight gain
  15.  Increased body fat
  16.  Loss of height
  17.  Sleep difficulties/insomnia

Laboratory Evaluation

Female hormones levels including Estradiol and Progesterone are obtained as part of your Comprehensive Laboratory Evaluation.  Other tests include LH, FSH, Prolactin, SHBG, DHEA-S, Free and Total Testosterone, Electrolytes, Liver function, Kidney function, Complete blood count, Thyroid hormones, Vitamin levels, Iron levels and Lipid panel.

If you receive hormone replacement, laboratory evaluation will be performed periodically to monitor treatment effect on hormone levels.

Additional Diagnostic Testing

Magnetic Resonance Imaging (MRI), Ultrasound, and Bone Densitometry studies may be necessary.

Medical Specialty Referral(s):  Endocrinology, Gynecology and other medical specialty referral(s) may be necessary.  HealthSmart M.D. will provide you with the necessary specialty referral(s) or you can choose an “in network” medical specialist(s) on your managed care plan.

Treatment Options

  1.  Natural supplements
  2.  Compounded hormones – Please see Suzanne Somers books “Ageless” and “I’m too young for this”.
  3.  Pharmaceutical hormones
  4.  Hormone cream
  5.  Hormone patch

 

We will discuss the risks and benefits of each treatment option and customize a program that is right for you.

 

PLEASE NOTE – a review of the medical literature shows that:

 

~The risk of breast cancer is not increased with bio-identical hormones but is increased with synthetic progestin.

~Low testosterone in women causes decreased vitality, strength and libido.

 

*We recommend that you continue medical care with your Gynecologist.  We will send information regarding your treatment to your Gynecologist upon your written request.*

We generally use the “Compounding Docs” pharmacy to fill BioIdentical Hormones for our patients.

1000 Clint Moore Rd., Unit 201

Boca Raton, Florida  33487

561.826.0711

 

If you would prefer a different pharmacy please let us know during your visit.