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Hormone Replacement Therapy

As we age, whether male or female, our steroid hormone (sex hormones) production decreases. Steroid hormones consist of Estrogen (Estradiol/E2) and Progesterone for women, and Testosterone for men. HRT simply refers to figuring out which hormones are deficient, and restoring them back to an effective balance.

Prolotherapy uses a sugar-based solution which is injected into the ligament or tendon where it attaches to the bone. This will cause a localized inflammation in the weak area increasing the blood supply and flow of nutrients. This in turn stimulates the tissue to repair itself. This strengthens and tightens and thereby stabilizes the area. See below for a list of conditions which have been successfully treated with Prolotherapy Treatment.

Why is hormone balance important?

Hormones regulate almost every vital function in the human body including brain function, cellular metabolism, and reproduction. Hormone imbalance can create a host for many problems such as accelerated aging, a weakened immune system, which leads to an increased risk of disease.

What happens to our hormones as we age?

Women go through a process called “menopause”, where they lack the production of Estrogen and/or Progesterone.  Estrogen (Estrodiol/E2) is the main female steroid hormone, which normally is balanced with the correct production of Progesterone.  When menopause sets in and Estrogen levels decrease, women are at risk for many potential problems.  These problems consist of increased stress on the cardiovascular system and the musculoskeletal system.

  • Cardiovascular System: As the steroid hormone production decreases, so does the metabolism of fats, leading to more fats in the blood.  This increases the risk of arteriosclerosis (fatty deposits in arteries), which can lead to coronary artery disease and strokes.
  • Musculoskeletal System: The decrease in steroid hormones can affect the musculoskeletal system by accelerating bone loss leading to osteoporosis.  Osteoporosis is where the bones become porous from the decrease in bone mineral density (BMD).  The decrease in BMD can very easily lead to bone fractures, which is a very common problem in aging women.

Men also go through a similar process called “andropause”, where they have a decline in the production of Testosterone and/or Dehydroepiandrosterone (DHEA).  For men, the process typically has a much later onset, although andropause in younger men seems to be a current trend.  The signs and symptoms for men going through andropause are loss of libido (sex drive), depression, poor memory and concentration, nervousness, fatigue and insomnia.

What is the procedure for HRT?

The procedure begins with a standard patient intake and physical exam, routine blood work focusing on hormones, a return visit to the doctor’s office for blood work interpretation and a treatment plan.

The treatment plan usually consists of a series of injections of the deficient hormone or hormones, and then blood work is done again to see where the levels are at.  Once the levels are ideal, then a particular hormone cream will be prescribed for the patient’s application to maintain the appropriate hormone levels.

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