Bio-identical Hormone Replacement

Dr. Dean is an expert in hormone replacement. He has years of experience using and teaching bio-identical hormone replacement.
Bio-identical hormones are sex hormones that are natural to the body. Their molecular structure is the same as the woman’s ovary makes. So when a woman is low in hormones, it only makes sense to supplement or replace what she is low in with the identical hormones.

Are bio-identical hormones safer than synthetics?

European medical studies suggest that the answer is yes; bio-identical hormones are safer than synthetic versions. This makes perfect sense. But we must be cautious here, because the FDA labels all types of hormone replacements with the same warnings until when and if further evidence is presented. Everything in medicine is determined by risk, benefit, and informed consent. The more educated and informed patients are the better it is. We work together with our patients to optimize their health using the appropriate hormones properly when indicated.

What symptoms can respond to treatment?

For women, symptoms of perimenopause and menopause may include:

  • Anxiety, depression, mood swings
  • Chronic fatigue
  • Decreased sex drive
  • Dry skin and dry hair
  • Fatigue
  • Fibromyalgia
  • Hot flashes and night sweats
  • Loss muscle tone
  • Loss self-confidence
  • Memory lapse
  • Menstrual migraines
  • Migraine
  • Mood swings, depression, anxiety
  • Osteoporosis
  • Painful intercourse
  • Palpitations
  • Poor mental clarity and forgetfulness
  • Sleep problems
  • Weight gain

What are the different ways bio-identical hormones can be given?  What are bio-identical pellets?

The hormones can be replaced by different “delivery systems.” This means they can be introduced in the body by the patient rubbing a hormone cream on the skin, wearing a patch on the skin, or a more recently popular way is using a subcutaneous insertion of bio- identical hormone(s). This is called bio- identical hormone pellet therapy.

The advantages to the pellet is that it is not dependent on the daily routine of rubbing a cream on and hoping it was not forgotten, washed off, or absorbed into clothing. Also, patients seem to feel even better, likely due to a more constant blood level. The disadvantage (or advantage depending how you view it) is that that they only need  to be replaced every 3-4 months. As they are used up they dissolve and then are gone. Insertion of the pellet(s) is an easy 2 minute procedure in the doctor’s office.

Hormone pellet therapy has been around for years.
Bio-identical hormone pellets are derived from soy, a natural plant material. Unlike synthetic hormones, as stated above the estradiol or testosterone hormones contained in the pellets are molecularly identically in structure and in function to what is produced by the human body.