Question 1

What is bioidentical hormone replacement therapy?

Accepted Answer

Bioidentical hormones are substances designed to be molecularly identical to the hormones naturally produced by your body. This means that, in theory, your body cannot distinguish between its own hormones and those provided by bioidentical supplements.
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These hormones typically begin as compounds derived from soy or yam. In a laboratory setting, they are transformed into estrogen, progesterone, or testosterone, resulting in a product identical to the hormones your body produces.
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This approach contrasts with synthetic hormones, which are artificially created to simulate natural hormones but do not match them exactly. As a result, the risks and benefits of synthetic hormones can differ, and there are no standard lab tests to measure their levels in your body.

Question 2

What is the difference between synthetic hormones and bioidentical hormones?

Accepted Answer

Bioidentical hormone replacement therapy is a natural alternative to synthetic hormone replacement therapies.  With bioidentical hormones, the structure of the hormone - testosterone, estrogen, or both - is matched to the individual patient's needs.  Bioidentical hormones are natural plant-based substances that metabolize in our bodies the way nature intended.

Synthetic hormones are mass-produced and artificially formulated in a lab.  Artifical hormones are intentionally manufactured to be slightly different than natural human hormones, so the manufacture can patent the formulation.

Consequently, synthetic hormones may not provide a good fit or optimu outcome for the human body like bioidentical hormones do.

Question 3

What are bioidentical hormone pellets and how do they work?

Accepted Answer

Compound of either estradiol or testosterone, bioidentical hormone pellets are larger than a grain of rice but smaller than a Tic Tac.  During a sterile procedure, we administer a local anesthetic, make a small incision, then insert pellets into the fatty tissue under the skin - typically in the flank or upper buttocks.  The incision is then closed without any needs for stitches.

The pellets release testosterone or estrogen into the bloodstream based on cardiac output.  This steady stream of hormones helps keep symptoms such as mood and energy fluctuations at bay.

Subcutaneous (under the skin) pellets have been used to treat hormone imbalance since the 1930s, and research consistently shows bioidential hormone replacement therapy with pellet implants is the superior method to deliver hormones in both men and women.

While bioidentical hormone replacement therapy via pellets effectively treats symptoms related to hormone imbalanced testosterone and estogen levels, research also suggests that hormone optimization may play a key role in preventing diseases such as osteoporosis, cardiovascular disease, Alzheimer's disease, certain cancers, and others.

Question 4

Who can benefit from BHRT via pellets and how?

Accepted Answer

As we age. testosterone, estrogen and progesterone naturally decline over time.  Around age 35, men experience a gradual reduction in testosterone, typically 2 to 10 percent per year.  For women pre-menopause may start in the early 30s.  In fact, often hormone imbalance kicks in long before hot flashes do - by 10 to 15 years.

Patients need to listen to their bodies.  Is the body saying, "I feel a bit off?"  In other words, do they feel like many men and women in their 30s, 40s, and beyond who...
- Lack motivation and feel more tired than usual.
- Gaine weight for no reason - especially belly fat
- Wonder why their sexual desire and libido have tapered off.
- Experience mood swings more frequently.
- Feel anxious and depressed.
- Struggle with brain fog and insomnia.

If these symptoms sound familiar, the patient may be an excellent candidate for subcutaneous hormone pellet implants.

Question 5

How do other bioidentical hormone replacement therapy options - creams, patches, pills and injections - compare to pellets?

Accepted Answer

Research consistently shows pellet implants offer the most effective method to deliver hormones in both men and women.  Implanted in the fatty tissue under the skin, pellets release a constant stream of hormones into the body 27/7/365 most closely mimicking the way the body naturally releases hormones.

Convenience is also a big factor.  With pellets, patients undergo the procedure two or three times a year and get on with their lives.  Other modalities, like pills and messy creams, need to be used daily.  Patiches work a bit better, but the absorption of skin-based delivery methods is variable.  Plus, we often lose sensitivity over time, which means patients will regularly need to find a new spot to apply cream or adhere the patch.

Question 6

How often do I need BHRT pellet implants?

Accepted Answer

On average, pellet implants last 5 to 6 months in men (two visits per year) and 4 to 5 months in women (three visits per year).

Question 7

Does the pellet implant procedure hurt?

Accepted Answer

Since patients receive a topical anesthetic during the procedure, most can expect to experience little to no discomfort during or after the procedure.

Question 8

Is there any downtime?

Accepted Answer

We ask that patients take it easy and avoid strenuous  exercise for a few days following the procedure - 72 hourse for women and 5 to 7 days for men.  This helps ensure the incision  heals and can help prevent extrusions of the pellet from under the skin.

Women's Health

Bioidentical Hormone Replacement Therapy (BHRT)

in Elkton, Maryland

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