Bioidentical Hormone Therapy
Bioidentical Hormone Therapy - Females
My Total Health Clinic advocates an integrative approach to bioidentical hormone therapy that encompasses a holistic approach that includes lifestyle management and preventative interventions where medically appropriate.

Bioidentical hormone therapy is not only for women suffering from symptoms of perimeonpause, early menopause, or menopause. Hormone imbalances can occur in women of all ages and hormonal imbalances are the root cause of many chronic health problems.

Bioidentical hormone therapy is an approach to correct any imbalance in hormones with bioidentical hormones. What "bioidentical" means is that the hormones prescribed are the hormones in their exact molecular form as they naturally occur in women. They are not the chemically modified salts and esters of physiologic hormones as are used in many commercially manufactured products.

Our Approach to Bioidentical Hormone Therapy

TO RESTORE
By incrementally adding the amounts of any hormone required (bioidentical) in an attempt to reduce or eliminate symptoms, replenish deficiencies, and/or prevent the onset of age-related diseases.

Examples of the more common bioidentical hormones we restore with female bioidentical hormone therapy are:
  • Estrogens (estriol (E3), estradiol (E2))
  • Progesterone (P4)
  • Testosterone

Each patient receives a customized therapy following a comprehensive medical evaluation of symptoms and hormone levels (blood and/or saliva tests).
TO BALANCE
When resorting the appropriate (physiologic) amount of one hormone we always take into account its impact and further need for other hormones, always considering the overall physiologic pathways and homeostatic mechanisms.
TO ADJUST
We regularly monitor subjective symptoms and perform objective tests (laboratory analysis, physical exam) while striving to achieve the best possible therapeutic outcome. We are cognizant of each individual patient's ever moving targets and goals of their individualized therapy.
TO MINIMIZE
With our approach of applying only the necessary amounts of hormones to achieve the maximum therapeutic outcomes, we are minimizing the potential for negative side effects
Additional Resources:
There have been clinical research studies on bioidentical hormone therapy and more are underway. There are risks associated with any prescription therapy and the risks versus the benefits for patients should always be considered by the patient and their doctor.
Bioidentical Hormones - Evidence Based Medicine

A Comprehensive Review of the Safety and Efficacy of Bioidentical Hormones for the Management of Menopause and Related Health Risks (Deborah Moskowitz, MD)
http://www.ncbi.nlm.nih.gov/pubmed/17217322 (download full text)

The bioidentical hormone debate: are bioidentical hormones (estradiol, estriol, and progesterone) safer or more efficacious than commonly used synthetic versions in hormone replacement therapy? (Postgrad Medicine - 2009)
http://www.ncbi.nlm.nih.gov/pubmed/19179815

Harvard Health Article on Bioidentical Hormones
http://www.health.harvard.edu/newsweek/What-are-bioidentical-hormones.htm

Bioidentical Hormones - in the Media

Oprah
http://www.oprah.com/health/The-Basics-of-Bioidentical-Hormone-Replacement-Therapy

General Media Clips
http://bioidenticalhormonedirectory.com/BHRT_Media.html