Hormone Therapy Treatment Options

There is a therapy option for any lifestyle, and the decision is always yours.

Step 1. Consultation

At Serenity Women’s Care, hormone therapy begins with a very detailed consultation.
We explore your:

  • Symptoms
  • Medical and family history
  • Individual health risks
  • Work and family life
  • Stress levels
  • Bloodwork
  • Individual views on hormones
  • Treatment goals

We may recommend a complete physical examination (if one has not been done recently), a mammogram, and/or possibly a pelvic ultrasound.

When all of the results are available, we sit down with each woman and review everything in detail. With your help, we and develop a treatment plan that will be appropriate and suitable for you. We take into account your health, risk status, and individual preferences and goals.

Step 2. Hormone Treatment Recommendations

A number of hormones may be part of a woman’s treatment plan. Among these are:

  • Estrogen
  • Testosterone
  • Thyroid hormone

Some women need particular supplements, such as DHEA or Vitamin D3. As part of your hormonal treatment at Serenity Women’s Care, you are educated about any possible side effects and monitored for any complications. If concerns arise, we address them promptly. Your safety is our number one priority.

Step 3. Administering The Hormone Treatment

Hormone therapy is never “one size fits all.” At Serenity, depending on your situation, we may prescribe some of the following:

Hormone Pellet Therapy

Hormone pellet therapy is a method of delivering estrogen and/or testosterone by inserting small “pellets” — about the size of a “Tic Tac” mint — into fatty tissue under the skin.

The skin is numbed well, and then a tiny incision is made. The pellets are inserted deeply into the fat, and work by timed-released delivery, meaning that the hormones are absorbed by the body over time.

Typically, for women, the hormones are dosed every 3-4 months. Men’s hormones are dosed every 6 months. The pellet delivery system is known for keeping blood levels generally steady, and keeping people feeling great until it’s time to dose again.

Creams, patches, and gels

Hormones can also be dosed using creams, patches, or gels. With this method, the hormones are absorbed into the bloodstream through the skin. The advantages of this method include the ability to adjust dosing easily, and infinite dose adjustability, in the case of the compounded products.

The disadvantages are the inconvenience of needing to dose often, and the less reliable absorption of the hormones with variations in weather and vigorous exercise.

Lozenges and troches

When dosing hormones through lozenges or troches (pronounced “Tro’ Keys”), they are placed under the tongue. The hormones are absorbed into the bloodstream across the oral mucosa. The lozenges are not swallowed. To achieve consistent blood levels, lozenges and troches should actually be dosed twice daily.

Oral pills and capsules

Historically, oral dosing of hormones was the mainstay of therapy. More recently, however, many clinicians have advised other methods over oral dosing, particularly in the case of estrogen.

When hormones are swallowed, they make, two “trips” through the liver. This means that a very large percentage of the hormone is lost to metabolism in the liver.

A general rule with hormones, especially with estrogen, is to use the lowest possible dosage. Methods other than oral pills allow us to use much lower dosing. An exception to this is Progesterone. Oral micronized Progesterone is still the proven best way of dosing Progesterone.

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