Bioidentical Hormone Replacement Therapy (BHRT) - MEN

If you experience physical and psychological symptoms from Testosterone Deficiancy, it may be time to take control of your health.

BHRT has shown benefits as a result of stabilising your testosterone levels. There are potential side effects associated with TRT. However, TRT is generally safe and beneficial in men. An open discussion with our Doctor about existing comorbidities can help determine the right dosage and avoid potential risks.

Here at The Door W4, we use BHRT for TRT to help men with low testosterone levels. We follow a step-by-step process to give you a personalised treatment plan – from symptoms diagnosis to blood tests – so you can achieve the best results possible.

Since testosterone levels vary by person, BHRT offers more customised and individualised doses for your treatment. Our Doctor will conduct a consultation with you, and order tests and blood work to determine the appropriate dosage for you.

The doses will depend on your symptoms and needs. Doctors may recommend any one of the various forms (skin patches, topical gels, oral therapy, pellets, and injections). A consistent follow up will be scheduled to monitor and adjust your dosage if necessary.

Bioidentical Hormone Replacement Therapy is administered on a case-by-case basis after thoroughly assessing each patient’s individual hormonal status.

Based on medical history, symptoms, lab work as well as other factors, each patient’s hormonal deficiencies and imbalances are determined and a course of treatment is prescribed accordingly.

Then, as treatment progresses for approximately 8 – 12 weeks, modifications are made according to continued testing results and clinical response. After the resolution of initial symptoms, semi-annual evaluations will continue to monitor the patient’s response. Often therapy will be readjusted after periods of stress or other physical changes.

Some side effects may occur after the first dose. These side effects get better as the body adjusts to the new levels of hormones. Some common side effects include:

• Worsening sleep apnea
• Breast enlargement
• Acne or other skin reactions
• Stimulating non-cancerous prostate enlargement
• Limited sperm production
• May stimulate red blood cell production, which may contribute to the formation of a blood clot

A study highlighting TRT’s update indicates that TRT is generally considered a safe and beneficial option in improving health-related quality of life in men. At present, some research has contradicted results regarding the nature of TRT and cardiovascular diseases. However, men with existing comorbidities should talk to their doctor about hormone therapy to side with caution.

Prescriptions may include individual hormones or multiple hormone combinations. Hormones commonly prescribed to men are:

• Progesterone
• Biest – a combination of Estriol and Estradiol
• Estriol
• Estradiol
• Testosterone
• DHEA

Bioidentical hormone prescriptions are available in different dosing forms. These include:

• Transdermal creams or gels applied to the skin
• Patches (estradiol) applied to the skin
• Pellets (testosterone or estradiol) inserted just under the skin in the buttocks
• Troches or lozenges
• Sublingual drops