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biodentical hormone
replacement therapy for women

With age, women enter menopause and may experience uncomfortable symptoms due to hormonal imbalances Hormone replacement therapy can help restore hormone levels and ease symptoms associated with hormonal imbalances. In most cases, a woman begins menopause between the ages of 45 – 55, although some experience it as early as their 30s, or as late as their 60s. Regardless of timing, all women will experience a hormonal imbalance that leads to many uncomfortable symptoms. Some women may experience more severe symptoms associated with low hormones due to genetics, environmental factors, lifestyle choices, and more. Dr. Paukman can help address your individual symptoms and correct your hormonal imbalance with bioidentical hormone replacement therapy.

WHAT IS BIOIDENTICAL HORMONE REPLACEMENT THERAPY FOR WOMEN?

Bioidentical Hormone Replacement Therapy (BHRT) is a highly effective treatment for menopause. BHRT is even used by post-menopausal women for longevity and an improved quality of life and is uniquely different from other traditional forms of hormone replacement therapy because the bioidentical hormones are identical to the hormones your body makes. This approach to hormone replacement therapy provides many benefits over traditional hormone pills or injections.

NYC Hormone specialist, Dr. Paukman, prescribes customized implantable hormone pellets that recreate the natural balance of hormones your body had prior to menopause and continuously release hormones to mimic natural hormone ciculation. Additionally, by not using hormonal creams, you eliminate the risk of transferring hormones to your loved ones.

Three of the most common hormones affected during menopause are estrogen, testosterone, and progesterone. Estrogen and progesterone replacement, in combination with testosterone, can effectively treat symptoms and help regain pleasurable sexual function. Progesterone and estrogen are essential for mental, sexual, and physical health. Bioidentical hormone replacement therapy for women can increase these hormones and ease the symptoms associated with menopause.

WHAT CAN BIOIDENTICAL HORMONE REPLACEMENT THERAPY FOR WOMEN HELP TREAT?

Bioidentical hormone replacement therapy for women can help treat a variety of symptoms that women may experience when they enter menopause. Hormone replacement therapy is a highly effective treatment that can help treat irregular periods, vaginal dryness, hot flashes, and low libido. BHRT has also been shown to effectively treat anxiety, difficulty sleeping, rapid heartbeat, difficulty concentrating, or dry skin associated with menopause. Sexual dysfunction is also a common complication of menopause that can be treated with bioidentical hormone replacement therapy.

Sexual dysfunction affects nearly 40 million women but often goes undiagnosed and untreated. At Paukman BioAge Clinic, Hormone Specialist Dr. Paukman uses hormone replacement therapy to improve sexual dysfunction symptoms in women undergoing menopause. In many cases, sexual dysfunction comes down to an imbalance of hormones that control desire, response, and pleasure.

Bioidentical hormone replacement therapy (BHRT) is a highly effective treatment for menopause and its many symptoms, which include:
  • Hot flashes
  • Mood changes
  • Irregular periods
  • Vaginal dryness
  • Night sweats
  • Difficulty sleeping
  • Anxiety
  • Weight gain
  • Rapid heartbeat
  • Decreased skin elasticity
  • Low libido
  • Difficulty achieving orgasm
  • Painful intercourse
  • Vaginal bleeding after intercourse
  • Burning sensation while urinating
  • Difficulty concentrating
  • Slow metabolism
  • Thinning hair
  • Dry skin
  • Sexual dysfunction
  • Dizziness
  • Absence of Menstruation
  • Joint Pain
  • Osteoporosis

HOW DOES BIOIDENTICAL HORMONE REPLACEMENT THERAPY TREAT MENOPAUSE?

The age for reaching menopause ranges from 40 to 58 with 51 being the average age. As women age, their ovaries lose the ability to produce estrogen and progesterone, so the brain tries to increase that production by producing stimulatory hormones, including luteinizing hormone (LH) and follicle-stimulating hormone (FSH). Rising levels of these hormones are a hallmark of menopause that aids in the diagnosis. The levels of LH and FSH keep rising as the ovaries do not respond with sufficient amounts of estrogen and progesterone. This process is gradual and occurs over many months.

Hormone levels often fluctuate, and periods become irregular and may even stop as the levels become too low. The fluctuations in these hormones often give rise to symptoms that typically worsen as levels decrease. Most cells in the body have estrogen and progesterone receptors, so not having those hormones leads to a wide array of symptoms. For example, hot flashes occur when estrogens stops regulating the body’s thermostat center in the brain; libido decreases as other hormones drop along with estrogen and progesterone; vaginal mucosa atrophies as estrogen ceases to maintain proper tissue environment. Bioidentical Hormone Replacement Therapy can help address and correct these uncomfortable symptoms.

DO I HAVE LOW TESTOSTERONE, PROGESTERONE, OR ESTROGEN?

The below questionnaire is a basic series of questions that can be very helpful for women to understand their specific case of testosterone, progesterone, or estrogen imbalances and their individual symptoms, as well as how hormone replacement therapy can help them.

The questions are as follows:
1.Do you have a decrease in libido or sex drive?
2.Do you have a decrease in strength and/or endurance?
3.Are you experiencing anxiety or depression?
4.Are you fatigued or exhausted?
5.Are you experiencing hair loss?
6.Do you experience hot flashes?
7.Have you lost height?
8.Do you experience irritability or mood swings?
9.Have you gained weight or have difficulty losing weight?
10.Have you stopped menstruating, had missed periods, or noticed a lighter than normal cycle?

LOW ANDROGEN LEVELS

STUDIES SUGGEST THAT BY THE TIME A WOMAN IS 40 YEARS OLD, HER LEVELS OF ANDROGENS HAVE DECREASED BY NEARLY HALF.

MENOPAUSE

EARLY MENOPAUSE STRIKES IN 1 IN 20 WOMEN, PUTTING THEM AT GREATER RISK OF CARDIOVASCULAR DISEASE AS ESTROGEN PROTECTS THE HEART AND BLOOD VESSELS.

PRESCRIPTIONS

OF THE 57% OF WOMEN WHO DO SUFFER WITH MENOPAUSE SYMPTOMS, 22% REPORT THAT IT AFFECTS THEIR LIVES IN A MAJOR WAY AND THAT THEY COULDN’T COPE WITHOUT MEDICATION.

TREATMENT

SOME STUDIES SUGGEST THAT HORMONE REPLACEMENT THERAPY MAY REDUCE THE RISK OF BONE FRACTURES AND HEART DISEASE IN WOMEN.

WHAT ARE THE STEPS OF YOUR CLINICAL EVALUATION OF EACH PATIENT?

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Age-related diseases kill approximately 100,000 people daily. Our hormone specialist will identify your modifiable risk factors for potentially preventable diseases.

Disease Risk Factors:
  • Obesity
  • Physical inactivity
  • Hypertension
  • Insulin resistance
  • Dyslipidemia
  • Hormonal imbalance
  • Nutritional and vitamin deficiency
  • Unchecked stress
  • Smoking

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We take a sample of blood or saliva for a variety of laboratory tests and analysis.

Our goal is to detect, address and treat any metabolic abnormalities. We help to improve insulin sensitivity and blood pressure, lower serum inflammatory markers, improve levels of vitamins, and optimize lipid profile with hormone replacement therapy, IV therapy, vitamin injections, weight loss and more. A baseline profile must be established so that future testing can be compared to your initial screening.

Listed below are levels that major laboratory tests use as benchmarks of health.

  • Complete blood count (with differential)
  • Metabolic levels
  • C-reactive protein (High levels = inflammation)
  • Homocysteine levels
  • Lipid panel
  • Basic metabolic panel
  • Endocrine (hormone panel)
    • Follicle-stimulating hormone and luteinizing hormone
    • Testosterone (free and total)
    • Estradiol levels
    • Sex hormone-binding globulin (SHBG)
    • Thyroid panel with thyroid-stimulating hormone
  • Tumor markers
  • Hemoglobin A1C levels
  • Insulin-like growth factor (human growth hormone)
  • Vitamins and minerals
  • Prostate-specific antigen

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Biochemistry can be assessed to establish various risk factors for disease. An image of the vascular system (blood vessels) and heart can help determine if athererosclerotic disease (a degenerative disease of the arteries) is present. We conduct a thorough cardiovascular and pulmonary assessment inclusive of carotid artery screen, echocardiogram, aortic diameter (aneurysm survey), femoral artery peripheral blood flow, and pulmonary function. Ultrasound technology affords us the ability to detect vascular endothelial damage and also quantify and track plaque of peripheral vascular disease (PVD). Ultrasounds can also help size an atherosclerotic aneurysm of the abdominal aorta (AAA).

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Hormonal Optimization

Bioidentical hormone therapy can be life-changing, but is only prescribed to those meeting strict clinical and medical criteria. Some medical restrictions may make some patients unable to receive bioidentical hormones. In particular, growth hormones and testosterone may potentially be restored to their youthful levels. Many women are in need of bioidentical hormone replacement therapy, which can prevent osteoporosis.

Antioxidant Levels Score

Dr. Paukman will perform a diagnostic scan to measure antioxidants and possibly repeat the scan after supplemental antioxidant injection therapy to compare results. Following this test, a weight and body composition assessment is often performed. In some cases, Dr. Paukman may suggest genetic testing.

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One of the final steps is to synthesize the collected data found through physical examination, laboratory testing, and imaging findings. Dr. Paukman will formulate a customized treatment plan that covers nutrition, weight loss, hormone optimization, peptides, antioxidant injection, exercise, and stress reduction. If needed, various pharmaceuticals (mostly natural and bio-identical), may be prescribed. IV therapy is also used to supplement depleted minerals and vitamins needed for rejuvenation. Any treatment will be followed up by an evaluation with Dr. Paukman and laboratory every 1 – 3 months to determine effectiveness and adjust any details of your therapy.
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HOW CAN I GET STARTED WITH TESTOSTERONE REPLACEMENT THERAPY FOR WOMEN?

Dr. Paukman and the staff at Paukman BioAge Clinic are happy to discuss bioidentical hormone replacement therapy with you. To schedule a consultation, please call our Manhattan office at 212-336-1555, our Brooklyn office at 718-376-6501, or request an appointment online. Please feel free to view our patient information and review the steps of your clinical evaluation prior to your appointment with Dr. Paukman.