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Hormone Replacement Therapy

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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

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Contraindications to treatment:

Blood clots

Breast, uterine, or cervical cancer

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Men

Symptoms of Low Testosterone

Decreased sex drive/libido

Erectile dysfunction 

Reduced energy

Increased irritability

Difficulty concentrating

Depressed mood

Memory Issues

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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

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Treatment Options

Cream Tube

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.

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Vaccine

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. 

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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.

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