Female Hormone Replacement Therapy in Manchester, NH

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Female Hormone Replacement Therapy in Manchester, NH

Female Hormone Replacement Therapy in Manchester, NH

The Alchemy Clinic is excited to offer hormone replacement therapy (HRT). As we age, our bodies go through various changes, including a rapid decline in hormone levels, which can lead to profound effects on our physical and mental well-being. Our therapeutic approach to hormone optimization includes improving your quality of life, reducing and eradicating bothersome symptoms associated with hormonal decline, and improving your overall well-being. By utilizing traditional hormone replacement (systemic oral options, transdermal, or pellets) as well as bioidentical hormones, we offer an effective approach to treating hormonal imbalances. If you’re experiencing symptoms of a hormonal imbalance, book an appointment at The Alchemy Clinic to explore how hormone replacement therapy can benefit you.

What is Hormone Replacement Therapy?

Hormones are chemical substances produced by our body that regulate and control various physiologic processes, such as growth, development, metabolism, libido, mood, and reproduction. They are excreted into our bloodstream and carried to different parts of the body, where they bind to specific receptors on cells and trigger a response. When your hormones are out of balance, such as in perimenopause or menopause, they can have serious implications for your health and well-being.

Hormone replacement therapy aims to replace these dropping levels of hormones that the body does not produce or is no longer capable of producing in order to alleviate the symptoms of hormone imbalance. In women, it helps relieve menopausal symptoms such as vaginal dryness and discomfort, insomnia related to menopause, hot flashes, and bone loss. In men, during andropause, it can help restore various bodily functions, such as sexual drive, reproductive function, maintaining healthy bones and maintaining muscle mass.

What Symptoms Can Hormone Replacement Help Alleviate in Women?

Benefits

Types of Female Hormone Replacement Therapy

The most common methods to replace female hormone imbalances aim to replace deficient estrogen or progesterone levels through systemic oral tablets, intravaginal tablets, patches, creams, or pellet implants. During your consultation, your provider will choose the best option based on your symptoms.

Hormone Replacement Pills:

Oral pills are one of the most common and easiest ways to give hormone replacement therapy to women. There are estrogen-only tablets or estrogen combined with progesterone. There are also intravaginal estrogen tablets, which are inserted daily for two weeks and then titrated down to 2-4 days a week.

Hormone Replacement Patches:

Topical patches are applied to the skin and are very common and convenient. You place them on your skin and replace them daily.

Estrogen Cream:

Estrogen Cream is similar to the patches. The topical application of estrogen cream is applied vaginally daily and then titrated down to 2-3 times per week.

Estrogen Vaginal Rings:

This estrogen ring is inserted vaginally and replaced every three months. This brings the convenience of replacing it every three months.

Estrogen Implants:

These small pellets are placed under the skin, usually on the stomach. The process involves numbing the skin with a local anesthetic. The implant keeps releasing estrogen. They are replaced every 3-4 months.

What is Bioidentical Hormone Replacement Therapy

Bioidentical hormone replacement therapy (BHRT) utilizes hormones that are molecularly identical to those our bodies naturally produce. Derived mainly from plant sources like soy or yams, these hormones are tailored by pharmacists into specific doses for each individual. This customization, known as compounding, ensures that the hormones match the body’s natural chemistry. While some standardized bioidentical hormones have FDA approval, custom-compounded ones do not. BHRT is often preferred due to its potential for reduced side effects, given the hormones’ natural compatibility with the body. Additionally, the ability to fine-tune dosages allows for more personalized treatment and potentially fewer adverse effects compared to synthetic hormones.

Risks of Female Hormone Replacement Therapy

After the widespread speculations about the potential risks of using Hormone Replacement Therapy (HRT), women became more cautious about whether they should go for the therapy or not. However, according to the American College of Obstetricians and Gynecologists and the North American Menopause Society (NAMS), the list of benefits outweighs the potential risks for many women. Hormone replacement therapy risks are mainly determined by the type of hormone therapy used, the dose, and the duration of treatment.

Benefits

Risks of Female Hormone Replacement Therapy

After the widespread speculations about the potential risks of using Hormone Replacement Therapy (HRT), women became more cautious about whether they should go for the therapy or not. However, according to the American College of Obstetricians and Gynecologists and the North American Menopause Society (NAMS), the list of benefits outweighs the potential risks for many women. Hormone replacement therapy risks are mainly determined by the type of hormone therapy used, the dose, and the duration of treatment.
Hormone Replacement Therapy carries the following risks:

Breast Cancer:

It is important to take breast cancer screening tests regularly due to potentially increased risk of breast cancer during hormone replacement therapy.

Weight Gain:

There is no scientific data that supports that you will gain weight while on BHRT. Research has actually shown that appropriate hormone replacement can support a healthy weight.

Blood Clots or Thrombosis:

There is limited conclusive evidence regarding the association between bioidentical hormone replacement therapy (BHRT) and blood clots or thrombosis.

Muscle and Bone Problems:

Some women may exhibit some bone and muscle changes with the onset of HRT. Complaints of joint pain and muscle pain are often self-limiting in a few weeks of therapy. Exercising to build muscle mass, such as cycling, running, walking, or weight training, can help build muscle mass and protect bone density. Numerous studies show the benefits of HRT in protecting and restoring bone and muscle mass.

Bioidentical hormone replacement therapy (BHRT) utilizes hormones that are molecularly identical to those our bodies naturally produce. Derived mainly from plant sources like soy or yams, these hormones are tailored by pharmacists into specific doses for each individual. This customization, known as compounding, ensures that the hormones match the body’s natural chemistry. While some standardized bioidentical hormones have FDA approval, custom-compounded ones do not. BHRT is often preferred due to its potential for reduced side effects, given the hormones’ natural compatibility with the body. Additionally, the ability to fine-tune dosages allows for more personalized treatment and potentially fewer adverse effects compared to synthetic hormones.

Hormone replacement therapy is contra-indicated in anyone who has or previously had an estrogen receptor postive cancer history, including breast cancer, uterine cancer, and ovarian cancer. However testosterone replacement therapy may still be beneficial in some patients.    For those with a history of thrombosis (deep vein thrombosis or pulmonary embolus, for example), liver disorders, uncontrolled or untreated hypertension, or is pregnant, alternative treatments may be recommended under these circumstances. Alternatives to hormone replacement therapy include a healthy diet, lifestyle changes, and some medications.

PRICING:

FEMALE BHRT FEE SCHEDULE:

Topical Bio-identicalProgram:

Initial Cost
$ 250
  • $150/month PLUS the cost of BHRT medications.
  • Initial labs $200 (not included).
  • Typically, medications cost $40-50 and are set by the compounding pharmacy.
  • Labs are rechecked at three months, then as needed based on your symptoms (labs not included in the plan).

BHRT Biote Pelleting Program:

Initial Cost
$ 250 goes toward the program
  • Cost: Initial Pellet insertion $1150 then subsequent pelleting every 3-4 months based on symptoms $600
  • Includes second visit for lab review and plan of care for pellets.
  • Visit for recheck and labs for pelleting at week 5-6 weeks post insertion.
  • Dim SGS+ Hormone + Detox Dietary Supplement for the duration of treatment.
  • Initial and first follow-up labs are included in the cost above.

Save $50 per month with combined BHRT and hormone therapies.

  • In-Office Medical Weight Loss for the first four weeks – $750 for the first month and then $350 monthly thereafter.
  • At-Home Medical Weight Loss – $350/monthly.

Female SExualFunction Index (FSFI)

FEMALE HEALTH ASSESSMENT

FAQ

Individual responses vary, but many women report improvements in symptoms within a few weeks to months of starting BHRT.
BHRT may address a range of hormonal issues, including imbalances that impact energy levels, bone health, and overall well-being.
BHRT is tailored based on an individual’s hormone levels, symptoms, and health history. Precise diagnostic testing helps create a customized treatment plan.
Regular follow-up appointments are essential to monitor hormone levels, adjust treatment as needed, and address any concerns or changes in symptoms.
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