Hormone replacement for men

Dr. Mark Richards is one of a handful of nationally and internationally recognized experts in the emerging field of bio-identical pellet hormone therapy. He instructs physicians in how to start this therapy in their practices. He also lectures to physicians at medical specialty conferences (Plastic Surgery and Anti-Aging) regarding the extensive science of the last 70 years supporting the use of bio-identical hormone pellets to enhance and restore health and well-being in aging humans. He has practiced and taught Plastic Surgery for over 21 years, and has practiced and educated others in bio-identical pellet therapy since 2008. He is board certified in Plastic Surgery.

Hormone therapy can help relieve the symptoms of perimenopause and menopause. Hormone therapy means taking estrogen and, if you have never had a hysterectomy and still have a uterus, progestin . Progestin is a form of progesterone. Taking progestin helps reduce the risk of cancer of the uterus that occurs when estrogen is used alone. If you do not have a uterus, estrogen is given without progestin. Estrogen plus progestin sometimes is called “combined hormone therapy” or simply “hormone therapy.” Estrogen-only therapy sometimes is called “estrogen therapy.”

For those who want to avoid estrogens in any form, phytoestrogens from plants are a consideration. A soy extract that provides at least 50 mg of soy phytoestrogens are often a key ingredient for effective natural estrogen replacement therapy. Based upon records of dietary soy consumption inJapan, where breast cancer incidence is very low, daily soy isoflavone intake has been estimated at 50 mg per day. The typical Western diet, on the other hand, only provides 1 to 5 mg a day of the soy isoflavones that may protect against several forms of cancer.

Comparisons between orally administered pill and transdermal patch suggests that when estrogens are taken orally the risks of thrombophlebitis and pulmonary embolism are increased, an effect which is not seen with topical administration. Transdermal and transvaginal administration are not subject to first pass metabolism , and so lack the anabolic effects that oral therapy has on hepatic synthesis of Vitamin K dependent clotting factors . [28] This effect refers only to patches for post menopausal hormone replacement, which contain estradiol , not those used in oral contraceptive therapy, which contain ethinylestradiol . The latter is associated with an increased incidence of venous clot. [29] The WHI also showed an increased incidence arterial disease, namely stroke, in patients who began HRT after the age of 65, although this effect was not significantly present in those who began therapy during their fifth decade.

Hormone replacement for men

hormone replacement for men

Comparisons between orally administered pill and transdermal patch suggests that when estrogens are taken orally the risks of thrombophlebitis and pulmonary embolism are increased, an effect which is not seen with topical administration. Transdermal and transvaginal administration are not subject to first pass metabolism , and so lack the anabolic effects that oral therapy has on hepatic synthesis of Vitamin K dependent clotting factors . [28] This effect refers only to patches for post menopausal hormone replacement, which contain estradiol , not those used in oral contraceptive therapy, which contain ethinylestradiol . The latter is associated with an increased incidence of venous clot. [29] The WHI also showed an increased incidence arterial disease, namely stroke, in patients who began HRT after the age of 65, although this effect was not significantly present in those who began therapy during their fifth decade.

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