frequently asked questions
Yes, under the care of expert physicians who utilized advanced diagnostic testing and the latest medical research, Hormone Therapy is indeed safe. In fact, thousands of clinical studies have been conducted on the safety and efficacy of safe, responsibly administered Hormone Replacement Therapy. All Bio Performance Physicians are highly trained Medical Doctors, each specializing in the treatment of adults over the age of 30 who are experiencing hormone deficiencies/imbalances.
Those who suffer from a hormone imbalance should seek advice at any time but typically, hormones start to decline in the mid-to-late twenties. By age 35 declines are sufficient that symptoms may be evident. The best time to start replacing hormones is between age 35 and 40. However, it is never too late.
The optimal age for treatment varies for each individual. Some are affected at a younger ages due to adverse health conditions that impact hormone balance. Symptoms of andropause, perimenopause and menopause, which occur around middle-age are usually the reason that individuals seek treatment through hormone balance.
Many find it beneficial to have their hormones tested in their 20s or 30s and establish an optimal baseline of what their normal is. With an established baseline, you can take steps to monitor and maintain balanced hormones. In the event of an imbalance at any point, your physician may refer to your baseline and develop a treatment plant to restore an optimal baseline.
In most cases, the answer is no.
Unlike Eastern medicine practices, Western medicine ignores the importance of endocrine system maintenance and hormone balance, choosing instead to treat the symptoms of hormone deficiency versus the causes. As is typical with insurance companies, they follow narrow criteria to qualify a patient for Hormone Replacement therapy, and anything falling outside of those parameters, is considered an elective treatment and will not be covered.
The short answer is that it depends. For some hormones, there are one or two optimal and safe methods of delivery. In other instances, client preference may come into play. You will be informed as to what the pros and cons are of any particular method of delivery, so that you and our providers can decide what makes the most sense for you. Regardless, our providers will not allow you to do something that isn't safe.
Your commitment to hormone therapy should last as long as you want the results. If this thought is daunting, consider that men and women of previous generations had the same age-related challenges that we face today. They could not, however, do anything about it. When you consider the improved quality of life that hormone therapy affords, not to mention a longer life, making the commitment becomes easier.
There is no danger in starting or stopping treatment. If you stop, your internal feedback system will likely revert to where you were when you started. It often takes about three months for the body to feel the full effects of hormone replacement therapy.
- Night sweats
- Weight gain
- Mood swings
- Loss of sleep/insomnia
- Trouble sleeping
- Vaginal dryness
- Loss of sex drive
- Loss of muscle
- Dry skin
- Urinary incontinence - Use of estrogen plus progestin can increase the risk of urinary incontinence.
- Dementia - Use of estrogen plus progesterone can increase the risk of developing dementia among postmenopausal women age 65 and older.
- Stroke, blood clots, and heart attack - Women who either combine hormone therapy treatments or take estrogen alone have an increased risk of stroke, blood clots, and heart attack.
- Breast cancer - Women who take estrogen plus progesterone may be at a higher risk of being diagnosed with breast cancer.
- Irritability – Some women have reported increased aggressiveness or irritability at the start of hormone therapy that includes Testosterone. These issues are generally resolved as levels become balanced. If this is a concern, please advise your HRT Wellness provider, and have Testosterone removed from your treatment plan.
The female body's hormones surge and ebb as a part of a natural rhythm, controlling all endocrine function, predominantly a woman's health for reproduction. It is the circadian clock in our cells that measures one 24 hour spin of the planet. For 28 days the moon tracks the repeat of that cycle, and so does the body.
HRT Wellness uses the female body's natural rhythm of hormone production to establish the proper doses of estradiol, testosterone, and progesterone that mimic the natural hormones which would be produced by your body if you were young. The topical creams and their amounts vary throughout the 28 day cycle to restore the hormone levels of a woman in her prime because young women, for the most part, don't have heart attacks, breast cancer, Alzheimer's, osteoporosis, or type 2 diabetes.
Our entire bodies need estrogen and progesterone. The cycle supports our bones, our brains, the myelin coating of our nerves, our hearts and many other systems. Many of the women in HRT Wellness have had various forms of hysterectomies. Some still have ovaries and some do not. Women without these organs tend to need more hormone replacement because of what is missing. A woman without a uterus follows the cycle of the moon (lunar calendar) for her monthly rhythms. She has her day 12 peak on the full moon.
While women experience Menopause, all men starting around the age of 30, will experience a male form of Menopause, also known as Andropause. Testosterone levels deplete overtime, and inevitably men start experiencing the symptoms of aging.
- Muscle Loss
- Weight Gain
- Hot Flashes
- Erectile Dysfunction
- Lower Sex Drive
- Hair Loss
- Urinary Problems
- Night Sweats
- Adrenal Fatigue
- Thyroid Health
Some patients could experience side effects and many of them are linked to dosage which may need changing over time. It is always recommended that you communicate side effects to your physician to be promptly addressed. These effects may include:
- Increase in red blood cells - This can be beneficial patients with anemia (low blood counts). However, it can cause blood vessel blockage and lead to a heart attack or stroke.
- Irritability - Some men and women have reported increased aggressiveness or irritability at the start of testosterone hormone therapy. These issues are generally resolved as levels become balanced.
- Prostate effects – Prostate issues can arise with higher levels of Testosterone. If you have an enlarged prostate, referred to as benign prostatic hyperplasia (BPH), testosterone may worsen your symptoms, particularly if you are more than 50 years of age. If you have a history of prostate cancer, you cannot receive testosterone therapy.
- Infertility - This is common in young men when sperm production is reduced but usually reversible after stopping testosterone therapy.
- Sleep apnea - This is a condition that disrupts breathing during sleep. Although uncommon, it is a reported side effect.
- Fluid retention - Although uncommon, you must use caution if you have a history of heart failure or kidney disease.
- Other - Acne, oily skin, increased body hair and flushing have also been reported. Occasionally, hormone therapy patients will complain of itching or redness at the injection or insertion site, bit these symptoms diminish as the body adjusts to treatment.
Testosterone levels (also known as T levels) between 350ng/dL and 1000ng/dL are considered normal, however you may still fall within this range and still be considered to have low T. The brain, pituitary gland, hypothalamus and the testicles work together to keep testosterone in the normal range. If testosterone levels are below normal for your body, the brain signals the testicles to produce more. When testosterone levels are adequate, the brain signals the testicles to produce less. If one of these areas is not functioning properly it is likely to reduce testosterone production.
No. It can have the opposite effect. Introducing additional testosterone can reduce the amount of sperm the body produces. Other treatments can help the body to produce more sperm.
Body hair is mostly tied to genetics and hereditary backgrounds. Men with Low T can experience a reduction in hair but testosterone therapy does not stimulate hair growth in areas you previously did not have hair.