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Bioidentical Hormone Replacement Therapy for Women

At Princeton Plastic Surgeons, we offer women complete wellness and anti-aging solutions. Many common conditions are due to low hormone levels that decrease with age. When estrogen and testosterone levels drop, you may experience uncomfortable symptoms that make you feel tired and irritable, gain weight and lose your sexual drive. Low hormonal levels can also increase your risk for other health conditions, including heart disease and diabetes.

What Are the Female Hormones?

Female hormones include estrogen, progesterone, and testosterone.

Estrogen is not a single hormone but a group of three closely related hormones: estriol, estradiol, and estrone. When off balance, the estrogen group can cause problems with other hormones, such as progesterone. A deficiency or excess of either hormone will negatively affect how you feel, and many of the early symptoms of menopause are frequently caused by lower levels of progesterone.

Perimenopause is when your body naturally transitions to menopause, signaling the end of the reproductive years with hormonal changes. Menopause is when you experience one whole year since your last menstrual cycle. This time is characterized by fluctuating levels of estrogen and progesterone and drops in female testosterone levels. While normal testosterone levels for women are 15% normal for men, women need testosterone to function normally. A woman’s normal testosterone can be as high or even higher than the estrogen they need.

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What Are the Signs of Female Hormonal Imbalance?

Female hormonal imbalances, especially estrogen, can cause symptoms in many different body systems. Low estrogen reduces collagen production, which causes thinner, dryer skin that appears older and wrinkled. Declining estrogen levels are also responsible for difficulty focusing and concentrating, with a decline in your cognitive ability taking the form of brain fog or memory loss.

Additionally, insufficient estrogen causes the rapid onset of osteoporosis. Because estrogen promotes new bone growth and slows bone deterioration, low estrogen levels cause less bone growth while increasing the chance of osteoporosis due to your bones being more brittle and weak.

When estrogen and testosterone decline, you may also experience sexual dysfunction. This is a condition covering multiple symptoms such as:

  • Loss of libido
  • Vaginal dryness
  • Difficulty achieving orgasm
  • Decreased intensity of orgasms

If you are perimenopausal or in menopause, you may also experience the following symptoms:

  • Vasomotor symptoms such as hot flashes and night sweats, usually due to low estrogen levels
  • Mood swings due to fluctuating estrogen, progesterone, and cortisol levels
  • Low energy and fatigue, such as being in a state of lethargy, are usually attributed to low estrogen and testosterone levels
  • Insomnia or difficulty sleeping due to night sweats and hot flashes keeping you awake
  • Excessive weight gain despite a healthy diet associated with low testosterone and progesterone levels

How Does Bioidentical Hormone Replacement Therapy Treat Perimenopause and Menopause?

Many women consider the symptoms mentioned above as unavoidable effects of aging when they could indicate high cortisol levels or a decline in estrogen, testosterone, and progesterone. Dr. Hamawy can manage these symptoms through bioidentical hormone replacement therapy (BHRT) to maintain steady and safe youthful physiologic hormone levels.

Hormone replacement therapy (HRT) is widely recognized as the most effective way to slow the adverse effects of the aging process. For most women, bioidentical hormones effectively manage the symptoms of hormonal imbalance without the potential side effects of synthetic hormone therapy, such as increased breast cancer risk.

Bioidentical hormones have the same composition as the natural hormones in the human body. While mass-produced synthetic hormones come in pre-determined strengths, bioidentical hormones are adjusted to meet your specific needs. They are also delivered in a way that can be absorbed by the body to maintain a steady natural level.

Treatment plans for female hormonal imbalance may also include the following:

  • Medications
  • Supplements
  • Lifestyle changes
  • Ongoing health monitoring to help you feel your best

What Are the Benefits of Hormone Pellet Therapy?

Progesterone is most often prescribed as a pill, cream, or capsule. While oral estrogen does exist, cream or gel is most commonly prescribed.

All forms of hormone replacement therapy require frequent administration to maintain consistent physiologic levels in your system, and the creams and gel may need to be applied several times daily. Transdermal patches can have difficulties reaching an adequate dose, and if you have an active lifestyle, they have problems sticking and may loosen or fall off when you sweat and exercise. Patches must also be applied daily and are sensitive to heat and moisture, which makes them less than optimal for some lifestyles. Weekly or biweekly injections can result in hormone levels with high peaks and low troughs, which can be physically and emotionally uncomfortable.

Something else to consider is that the body becomes less sensitive to these methods over time. Because of these factors, many women choose hormone pellet therapy which can comfortably restore and maintain their hormone balance.

Unlike traditional injections, creams, gels, and patches, pellets provide consistent and steady hormone supplementation without requiring frequent administration. This sustainable delivery method is inserted into the upper part of the buttocks every three to six months. The pellets typically contain tailored levels of estradiol or testosterone based on your body’s needs and are slowly metabolized by your system over four months.

The slow and steady release of bioidentical hormones is the most natural method that simulates your body’s natural hormones are secreted, circumventing the uncomfortable side effects associated with fluctuating hormone levels from other treatment methods. Bioidentical hormone pellet therapy may be a more effective and tolerable choice for most women.

How Does Bioidentical Hormone Replacement Therapy Treat Perimenopause and Menopause?

The best way to determine if bioidentical hormone replacement therapy is right for you is to get tested for hormonal imbalances. Based on these test results, the symptoms you describe, and your health goals, we’ll conduct a comprehensive analysis of your health to prescribe a healthcare plan tailored to you. During your consultation, we encourage you to ask questions to help you feel better about your decision to alleviate the adverse effects of the aging process through hormone replacement.

We will also discuss the risks associated with hormone replacement therapy. An example of such risks would be how older women are more likely to have adverse reactions to HRT. Women who smoke while using HRT are also at an increased risk of blood clots and cardiovascular disease.

Bioidentical Hormone Replacement Therapy for Women New Jersey

Why Choose Princeton Plastic Surgeons for Bioidentical Hormone Replacement Therapy in New Jersey?

At Princeton Plastic Surgeons, we strive to bring out the best in you by offering a full array of anti-aging treatments, both surgical and non-surgical. If you are searching for an accomplished medical professional who listens, cares, and delivers the highest quality results in bioidentical hormone replacement therapy, choose Princeton Plastic Surgeons. We would love to meet with you at our premier plastic surgery center in Princeton, NJ, where you can experience results and service beyond the expected.


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