Hormone Therapy
Peri- Menopause Treatments
Women still having periods.
Estradiol
For women who do not need contraception or control over heavy periods. Offered as patches, pills or creams.
Low Dose Birth Control
For women that want contraception and regulation of periods.
Progesterone
Useful in all women. A must have for uterine protection. Helps with anxiety and sleep. Offered as oral capsules, injections or vaginal/rectal suppositories.
Testosterone
For women suffering from sexual disfunction, low libido, brain fog, low energy, mood issues, weight gain. Offered as cream or weekly injections.
Vaginal Estradiol
For vaginal discomfort like dryness, irritation, painful sex, decreased sensation, urinary leakage, frequent UTIs, and bladder urgency. Offered as cream or vaginal tablet.
Menopause Treatments
Estradiol
This is the foundational treatment-restoring estrogen. Patches, pills, cream or gel.
Progesterone
For insomnia and sleep issues, anxiety, uterine protection. Oral pills.
Vaginal Estradiol
For vaginal discomfort like dryness, irritation, painful sex, urinary leakage, frequent UTIs, and bladder urgency. Tablets or cream.
Progesterone
Info Video
How can progesterone be beneficial?
Progesterone can help with symptoms like insomnia, anxiety, and mood swings. Our treatment plans include bioidentical, FDA approved, micronized progesterone.
No uterus- so why do I want progesterone?
Progesterone serves multiple purposes beyond just protecting the uterus. It plays a crucial role in balancing estradiol treatment, mitigating fluid retention and swelling, and easing symptoms like irritability, anxiety, nervousness, and anger. Additionally, it contributes to improved sleep quality. Research reveals that progesterone has broader effects on neuroprotection, mood regulation, and systemic health. Progesterone reduces the risk of Alzheimer’s Disease, has cardiovascular protections, and benefits for bone health. In fact, patients who take birth control we put on progesterone because the synthetic progesterone in the birth control does not offer the same protections.
Do I have to take progesterone if I have a uterus?
Yes. Progesterone counteracts the risk of endometrial hyperplasia and cancer that can be increased by estrogen therapy alone in women with an intact uterus.
Is it bio-identical?
Yes. We only prescribe micronized progesterone and not synthetic progestins.
I have a peanut allergy can I take progesterone?
The commonly available progesterone is formulated with peanut oil as a carrier. A peanut free version is available from our compounding pharmacy. There is an additional cost.
Estradiol
What symptoms does Estradiol help with?
Estradiol helps with all symptoms of menopause including hot flashes, night sweats, mood issues, low libido, weight gain, insomnia. It provides protection against osteoporosis and is an FDA approved treatment for osteoporosis. It provides protection for the heart and brain. It is the foundation of hormone replacement.
Is estradiol the same thing as estrogen?
Estradiol one of three types of estrogen. Estradiol is considered the most potent and dominant form of estrogen in women of childbearing age. It plays a crucial role in regulating the menstrual cycle, affecting reproductive organs, and maintaining the health of tissues throughout the body, including bones and skin.
Is it bio-identical?
Estradiol is bioidentical.
How does it come?
Estradiol is available as pills, a daily cream or gel, or a weekly patch.
Vaginal Estrogen
Info Video
What is vaginal estrogen for?
- Improving vaginal health: Restores vaginal tissue elasticity and thickness.
- Relieving vaginal dryness: Alleviates discomfort due to lack of natural lubrication.
- Reducing vaginal irritation and itching: Helps soothe the vaginal lining.
- Decreasing urinary symptoms: Can improve urinary frequency and urgency, and reduce the risk of urinary tract infections (UTIs).
- Enhancing sexual health: Improves comfort and pleasure by alleviating vaginal dryness and discomfort during intercourse.
- Helps increase sensation: applied to the clitoris and external genitalia enhances blood flow and restores tissue.
I have urinary burning, frequency, urgency will it help?
Yes. The bladder and urethra love estrogen! When they become deficient the tissue deteriorates becoming thin, weak and dry. This makes it hard to hold in urine and you might leak or have to pee constantly. You start to experience urinary symptoms similar to an infection- yet no infection is present. Or you get prescribed antibiotics but they don’t seem to work. One word ladies: Estrogen!
What’s the difference between pills and cream?
If you have internal dryness, painful sex you can use pills or cream. If you have external dryness and irritation- cream is best. You can use both! Pills internally and cream externally. Both are included in our bladder subscription program.
Is it safe if I have cancer history or am older than 60?
Yes! Vaginal estrogen is safe for all women in peri and menopause. It’s safe for those with a history of cancer. You don’t have to stop using it due to age. You can start using it at any age despite if you’ve taken HRT before. Vaginal estrogen is not systemically absorbed and only acts on the local tissue of the vagina, vulva (external genitals) bladder and urethra.
If you are currently taking an aromatase inhibitor for active cancer this product is contraindicated.
What else is it good for?
Wrinkles and skin! That’s right you can apply this same cream to your face, neck, back of hands. It improves skin thickness, tone, texture and wrinkles. Combine it with generic retin-a and your other skin care products. Find out more on our skin care page.
