Hormone Replacement Therapy
Women
Symptoms of Menopause
Irregular periods
Hot flashes and night sweats
Mood changes
Sleep problems
Fatigue
Dry skin
Joint aches
Body changes (weight gain)
Hair thinning
Forgetfulness
Decreased sex drive
Contraindications to treatment:
Blood clots
Breast, uterine, or cervical cancer
Men
Symptoms of Low Testosterone
Decreased sex drive/libido
Erectile dysfunction
Reduced energy
Increased irritability
Difficulty concentrating
Depressed mood
Memory Issues
Contraindications to treatment:
Blood clots
Recent heart attack or stroke
Prostate or breast cancer
High number of red blood cells
Elevated PSA levels
Trying to conceive
Treatment Options
Topical
Includes creams, gels, and patches. Can be applied to inner thigh and inner arm.
Pros: Easily applied.
Cons: Absorption rates vary greatly. Can be difficult to monitor serum levels with lab work. Possible transfer to others via skin.
Injections
Can be injected into muscle or fat once or twice weekly.
Pros: Consistent delivery and absorption of medication. Low cost, and self-administered.
Cons: Not suitable for those afraid of needles or travel frequently.
Pellets
Implanted under skin by provider in office every 3-6 months.
Pros: Convenient. Provides consistent and long-term dosing and absorption.
Cons: Higher cost compared to other options.