Hormone Replacement Therapy
Hormone replacement therapy can be successfully used to treat men or women suffering from various health concerns such as all phases of menopause, andropause and varied medical conditions that can impact hormonal balance. The success of bio-identical hormone replacement therapy (BHRT) relies on several key factors: • the training and expertise of the treating physician, • the dosing methodology utilized, • the follow up and maintenance protocols followed for continuity of care, • and finally, the quality of the pellets. The changing perspective and understanding of BHRT has recently been explored and further expanded in current studies. These findings show that more and more physicians are prescribing BHRT.
According to a recent survey conducted by The North American Menopause Society and presented at the American Society for Reproductive Medicine 2015 Annual Meeting, 60 percent of clinicians are prescribing bioidentical (compounded) hormones for the treatment of menopause. The results don’t come as surprising news considering that patient demand for bioidentical hormone replacement therapy (BHRT) has reached a whopping 41 percent, despite its controversial status with many national medical organizations. A number of national organizations still push practitioners to use FD Approved conventional hormone therapies, but more than 47 percent of clinicians say they disagree with these guidelines. This includes 36 percent of OB/GYNs and 58 percent of family practitioners surveyed. The physicians who prescribe bioidentical hormone therapy cite safety and efficacy as the primary reasons for their decision. 1 The prescribing paradigm is shifting to BHRT by clinicians which is supported by recent data and the increased patient demand for the “natural” and safer alternative of HRT.
After several decades of experience, working and training many of the practitioners currently administering BHRT, our collective patient data reflects a 98% success and satisfaction rate. Patients not only try BHRT, but the majority continue treatment beyond the first year. Patient satisfaction, retention and continuity of care can be attributed to abatement of presenting symptoms and increase in quality of life. The key in this high degree of success is directly related to: • the level of expertise of the medical practitioners administering the BHRT; • implementation of appropriate dosing; • maintenance and follow up; • patient awareness and education; • quality of BHRT pellets. More information is now readily available to patients on alternative therapies and/or holistic approaches. This information, and the quest for relief to the often-debilitating symptoms some patients can experience, drives the demand for BHRT as a safe effective therapeutic option. Many of these patients are not candidates for synthetic variants of HRT as they are contraindicated due to other preexisting medical conditions or medications. For example, BHRT is not synthesized via the liver, so for patients with liver concerns, synthetic forms of HRT may be precluded as an option to treat hormonal imbalance and symptoms that impact quality of life. However, pellets can be a safe and effective therapeutic option.
For a properly trained practitioner using quality pellets, BHRT represents a medically sound and effective option for the treatment of hormonal deficits and to maintain hormonal equilibrium in a manner that supports the patient’s lifestyle. The subcutaneous insertion of BHRT pellets has solid empirical data to support the effectiveness of this delivery method and coupled with “no effort” patient compliance (patients don’t have to remember to dose themselves or risk taking an incorrect amount) increases patient success, satisfaction and effectiveness. Additional clinical information on the actual process for implementation of pellets is available upon request with our Physician Support Team.
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