Hormone Replacement: get back to being YOU
Is it ME or is it my HORMONES?
Even if you don’t have symptoms, hormone imbalances can happen and influence your health from feeling exhausted at the end of the day to stubborn weight gain, fatigue, decreased sex drive and mood swings. Unlike most practices that offer a “one size fits all” hormone treatment, our medical providers take time to determine the root cause of your problem through a comprehensive approach through a medical health consultation along with a comprehensive set of lab tests which will help develop a personalized hormone treatment plan. As we age, we experience a natural reduction of testosterone, estrogen, cortisol and progesterone levels for both men and women. By identifying and correcting age-related hormone decline, our providers at Joules Medical Aesthetics can develop a personalized “body chemistry program” to optimize the body’s overall health and function.
We believe that bioidentical hormone treatments should be administered by a medical practitioner and that not all bioidentical hormone treatments are the same. At Joules Medical Aesthetics, we believe in a continuous, long-term treatment plan that is closely monitored by our medical providers. The program is based on your individual lab results and includes medical oversight and safeguards to optimize hormone levels unique to each person. Our program includes frequent reviews, continuous client communications and our commitment to be available to address any questions or changes needed to our client’s treatments.
At Joules Medical Aesthetics, we believe in achieving an optimal body chemistry with an integrated approach that is evidence-based medicine, science and experience. Let’s work together to find your optimal balance for your life. – call us at Joules Medical Aesthetics!
Start to feel like YOU again!
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Vermeulen, A. (1996). Declining Androgens with Age: An Overview. In Vermeulen, A. & Oddens, & B.J. (Eds.), Androgens and the Aging Male (pp. 3-14). New York: Parthenon Publishing
Is it ME or is it my HORMONES?
- Hot flashes
- Night sweats
- Hair loss
- Difficulty sleeping
- Tiredness and chronic fatigue
- Changes in mood
- Memory loss
- Loss of libido
- Sexual Dysfunction
- Feelings of anxiety and depression
- Weight gain
- High cholesterol
- High blood pressure
- Bone demineralization
Bio-identical hormone replacement therapy (BHRT) can relieve these symptoms by carefully monitoring and increasing when necessary the levels of estrogen, progesterone, testosterone, and/of DHEA hormones in the body.
In men, testicles produce the majority of your testosterone. A small portion come from your adrenal glands. Testosterone is one of many hormones in your body. Hormones are responsible for communicating and signaling to help regulate your body.
Tests for testosterone levels are done by sampling the blood. Usually testosterone is highest early in the morning when you are waking up. Normal testosterone levels range from about 300 to 1000 nanograms per deciliter (ng/dL), although some labs consider 200 ng/dL the cutoff for low testosterone.
Your doctor will help interpret the tests for you. Your lab may signal that you have a normal testosterone level. However, there are multiple other factors involved. In fact, sometimes a normal testosterone may not be normal for you. Other components such as binding proteins like sex hormone binding globulin and even other hormones may impact your body to the point where a normal level is not really normal for you. We certainly look at your testosterone level, but it is just one aspect for treatment. As board certified urologists, we are experienced with the complexities of hormonal treatment.
If you suspect you have low testosterone, your doctor may suggest you see a specialist such as a urologist or endocrinologist. We are board-certified urologists experienced with multiple forms of treatment.
If testosterone replacement is indicated, there are options:
- Shots – Usually inexpensive but also the most painful. Shots are usually given once a week or every two weeks. The levels sharply spike after injection. Levels of testosterone rise above the normal range within the first 48 hours and fall below the normal range in the days prior to the next dose. This supraphysiologic rise and fall can be a matter of concern.
- Creams – This is a painless way of applying testosterone. Transdermal testosterone formulations (patches, gels) can have limitations, such as local reactions, poor adhesion, fear of transmission to others, unpleasant odor, and high discontinuation rates.
- Pellets– Testosterone pellets are bio-identical. In other words, it is the same type of testosterone as your body makes. Pellets can last for months at a time and have the benefit of holding steady levels. As a result, the erratic swings with other modes of therapy are avoided. The pellets are placed in the physician’s office in a 5-10 minute procedure. The pellets are shaped like large grains of rice and are placed in the upper hips or buttocks. Patients may experience soreness for a couple of days. It is a procedure, so there is a small risk of infection. The procedure itself is usually painless. Pellets are sourced from FDA registered 503B facilities. The sterile pellets are derived from yams, irradiated with E-beams to sterilize, and are in compliance with CGMP, which is the same as large commercial drug manufacturers.
There are no major concerns for using in testosterone in younger men with indications for testosterone. The use of testosterone in older men with coronary artery disease is controversial. Studies have contradicting results for cardiovascular risks with testosterone, so the risk is uncertain.
Other risks include:
- Prostate enlargement
- Increased red blood cell count
- Lack of fertility
- Swelling of the feet or ankles
- Breast swelling or soreness
Prostate cancer risk used to be a high concern. Research has dispelled many of these concerns. We maintain a vigorous screening protocol for our patients.
Is Hormone Replacement Right for Me?
Take this simple questionnaire to see if Hormone Replacement Therapy is right for YOU!
- Do you have a decrease in libido (sex drive)?
- Do you have a lack of energy?
- Do you have a decrease in strength and/or endurance? Yes No
- Have you lost height?
- Have you noticed a decreased “enjoyment of life”
- Are you sad and/or grumpy?
- Are your erections less strong?
- Have you noticed a recent deterioration in your ability to play sports?
- Are you falling asleep after dinner?
- Has there been a recent deterioration in your work performance?
If you Answer Yes to number 1 or 7 or if you answer Yes to more than 3 questions, you may have low Testosterone. Schedule a consultation to see how Hormone Replacement Therapy with Joules Medical Aesthetics can bring back the old you!
Is Hormone Replacement Right for Me?
Women have similar symptoms as men with low Testosterone. Here are some, which may make you think about hormone replacement.
- Decreased sex drive or libido.
- A decreased enjoyment of life.
- Sleep problems which include falling asleep, staying asleep or waking up exhausted.
- Migraine headaches
- Bloating or weight gain
- Vaginal dryness, hot flashes or night sweats.
- Dry skin or hair loss
- Bloating or swelling over the body
If you Answer Yes to any of these questions, you may have low Testosterone. Schedule a consultation to see how Hormone Replacement Therapy with Joules Medical Aesthetics can bring back the old you!