How Do I Begin Bioidentical Hormone Replacement Therapy?

Bioidentical hormone replacement therapy uses plant based hormones that have a similar molecular structure to the ones produced by your own body to help resolve signs and symptoms of aging or menopause.

If you suspect you may be suffering from hormone deficiency, the first step is to visit your doctor and discuss your symptoms. Your doctor may perform a physical exam and order a blood test to determine if your hormone levels are indeed low for your age.

A unique advantage of bioidentical hormone replacement is that bioidentical hormones can be produced in customized doses to correspond to your hormone levels and symptoms. The various ways in which the bioidentical hormones can be taken includes injections, creams, gels, tablets, or pellets. Your doctor will discuss this with you and the option most suitable to you will be recommended.

The pellet form consists of hormones compressed into small short cylinders, each a little bigger than a grain of rice. Pellet therapy has certain advantages over the other forms. The hormone levels achieved with the pellet form are consistent and do not fluctuate as with the other forms. Pellet implantation also has advantages when considering hormone ratios, bone density, urinary and vaginal complaints, sexual function, mood and cognition.

The pellets are inserted through a small skin incision made in the lower abdomen or the upper buttocks. It is a simple painless procedure performed under local anesthesia. Men usually require a higher dose (larger pellets) than women. The pellets gradually dissolve on their own and do not need to be removed. They effectively raise hormone levels for 3-4 months in women and 4-5 months in men.

You are generally started off on a lower dose that can be increased at a later stage. While on bioidentical hormone replacement therapy you will have to undergo regular check-ups to monitor your progress and assess for any side effects.