Hormone Therapy/Testosterone Therapy

For Women

Bioidentical Hormone Replacement Therapy (BHRT)
Female Sexual Dysfunction
IMPROVMENTS FOR WOMEN
INCREASED LEAN MUSCLE
IMPROVED MOOD
HOT FLASH RELIEF
REDUCTION IN BRAIN FOG
IMPROVED ENERGY
WEIGHT MANAGEMENT
INCREASED LIBIDO
IMPROVED VAGINAL LUBRICATION
IMPROVED VAGINAL ELASTICITY
BETTER MEMORY
REDUCTION OF URINARY SYMPTOMS
IMPROVEMENT IN BONE DENSITY

Perimenopause usually begins in a woman’s 40s, but it can start in some women’s 30s, or come later in the 50s. The duration of perimenopause can vary widely, lasting anywhere from a few months to several years before menopause is reached. Menopause is defined as the point in time when a woman has not had a menstrual period for 12 consecutive months.

For Men

Bioidentical Hormone Replacement Therapy (TRT)
Erectile Dysfunction
IMPROVMENTS FOR MEN
BETTER MOOD
INCREASED MUSCLE MASS
DECREASED VISCERAL FAT
INCREASED ENERGY AND STAMINA
IMPROVED SEXUAL FUCTION
BETTER FOCUS
IMPROVED MEMORY
BETTER SLEEP
IMPROVED BONE DENSITY

Testosterone levels in men typically start to decline gradually as they age, generally beginning in their late 20s or early 30s. For men older than 35 years, testosterone declines by nearly 2% each year. This age-related decline in testosterone referred to as “andropause” or “late-onset hypogonadism.” The rate and extent of decline can vary among individuals.

Commonly Asked Questions

Is hormone therapy safe?

Hormone therapy, when used appropriately and under the guidance of a qualified healthcare provider, is considered safe for many individuals with proper monitoring, dose adjustments, and management of complications and side effects. The goal is not to exceed natural hormone levels but to optimize them.

How long will it take hormone therapy to work?

Most patients notice the benefits of hormone therapy in as little as two weeks, but optimal results can take several months.

How much will BHRT cost?

Initial consultation cost: $300 includes blood work and comprehensive hormone visit reviewing health history, review of symptoms, physical assessment, hormone goals, risk versus benefit, lifestyle modification recommendations, supplement recommendations, discussion of treatment options, discussion of plan, and informed consent.
Monthly memberships: starting at $200/month for BHRT or TRT therapy for at home or in office administration of creams, pills, and/or injections.
BHRT pellets: Women’s $400/insertion every 3-4 months (includes follow-up and labs) or Men’s $600/insertion (includes follow-up and labs) every 4-6 months

What are the risks and side effects of hormone therapy?

Risks and side effects can include an increased risk of blood clots, breast tenderness, mood changes, acne, hair loss, and vaginal bleeding (in women). Your provider will monitor your blood work and your symptoms closely to manage any side effects that may arise.

Is hormone therapy permanent?

The duration of hormone therapy varies. It can be short-term or long-term, depending on the reason for treatment and individual health needs.

Are there alternatives to hormone therapy?

Yes, alternatives include lifestyle changes, dietary modifications, over-the-counter remedies, non-hormonal medications, and complementary therapies to manage symptoms without hormones.

How often should hormone therapy be monitored?

Regular monitoring by a healthcare provider is essential to assess hormone levels, adjust treatment as needed, and evaluate potential risks and benefits. Typically blood work may be done every 3-6 months but may need to be done more frequently depending on individualized treatments and response.

Can hormone therapy be used for birth control?

No, hormone therapy for menopause, andropause, or hormone replacement is not a form of birth control and should not be used for that purpose.

Are there age restrictions for hormone therapy?

The suitability of hormone therapy depends on individual health factors rather than age. It can be used at various stages of life, including peri-menopause, menopause, and andropause.

Does Aliva Balance take insurance?

At this time Aliva Balance does not take insurance for hormone replacement therapy.

Does Insurance cover BHRT?

If your insurance company does not cover “holistic” or “natural” treatments, your insurance will likely not cover BHRT. Reach out to your insurance provider to find out if they will cover the cost of BHRT through your primary health provider.

Other hormonal treatment with Aliva Balance may include management of thyroid disorders, PCOS, and adrenal dysfunction.

For Men

Testosterone Replacement Therapy (TRT) examples:

Intramuscular Injections: Testosterone can be administered through intramuscular injections, typically weekly. These can be self-administered at home or in the med office.
Pellets: Testosterone implants, small pellets inserted under the skin, release a steady supply of testosterone over several months. Typically, pellets are inserted every 4-6 months for men.
Transdermal Patches: Patches are applied to the skin and deliver a controlled dose of testosterone over time. They are usually changed daily.
Topical Gels: Testosterone gels or creams are applied to the skin daily, usually on the shoulders, upper arms, or abdomen. They are absorbed through the skin and gradually release testosterone.
Oral Tablets: Oral testosterone preparations are less commonly used due to concerns about potential liver toxicity. They are not as commonly prescribed as other forms of TRT.

Erectile Dysfunction (ED) Treatment examples:

Oral Medications: Phosphodiesterase type 5 (PDE5) inhibitors like sildenafil (Viagra) and tadalafil (Cialis) are commonly prescribed to enhance blood flow to the penis, making it easier to achieve and maintain an erection.
Lifestyle Modifications: Lifestyle changes such as regular exercise, maintaining a healthy weight, managing chronic conditions (e.g., diabetes, hypertension), reducing stress, and quitting smoking can often improve ED.
Psychotherapy: Counseling or psychotherapy may be beneficial for men with psychological or emotional factors contributing to ED.
Hormone therapy (Testosterone)

Signs and Symptoms of Andropause:

Memory Lapses or Difficulty Concentrating
Reduced Hair Growth
Sleep Disturbances
Decreased Physical Endurance and Stamina
Hot Flashes similar to those is women’s menopause
Decreased Testicular Size

For Women

Bioidentical Hormone Replacement Therapy (BHRT) examples:

Bioidentical Estrogen:

Estrogen Pellets: Small pellets containing bioidentical estrogen are implanted under the skin and slowly release hormones over several months. This route avoids daily application of creams or frequent injections. Pellets are easily placed under the skin every 3-4 months on average in women.
Estrogen Creams: Topical creams containing bioidentical estrogen are applied to the skin, allowing for controlled absorption.
Estrogen Gels: Similar to creams, estrogen gels are applied topically.
Estrogen Patches: Patches deliver a consistent dose of estrogen through the skin. They are typically replaced every few days.
Oral Estrogen: Bioidentical estrogen is available in pill form. It is taken orally, usually daily.

Bioidentical Progesterone:

Progesterone Creams: Topical creams containing bioidentical progesterone can be applied to the skin.
Oral Progesterone: Bioidentical progesterone is available in pill form and is taken orally.

Combination Therapies:

Some BHRT regimens combine both bioidentical estrogen and progesterone to mimic the hormonal balance of the natural menstrual cycle.

Bioidentical Testosterone:

In some cases, women may receive BHRT containing bioidentical testosterone, especially if they have low testosterone levels that affect libido and overall well-being. Testosterone is also available in pellets, injection, or topical applications.

Custom Compounded BHRT:

Compounding pharmacies can prepare BHRT formulations tailored to an individual’s specific hormone needs and dosages.

Individualized Hormone Replacement Plans:

Healthcare providers may develop individualized BHRT plans for women, which may include a combination of hormones in various forms and dosages based on a woman’s symptoms, hormone levels, and medical history.

Female Sexual Dysfunction (FSD) therapy examples:

Signs and Symptoms of Perimenopause:

Irregular Menstrual Cycles
Hot Flashes and Night Sweats
Mood Changes
Vaginal Changes
Breast Tenderness
Changes in Libido
Fatigue
Urinary Symptoms
Sleep Disturbances

Signs and Symptoms of Menopause:

Cessation of Menstruation
Hot Flashes and Night Sweats
Vaginal and Genitourinary Changes
Bone Health Decline
Higher Cholesterol Levels
Mood Swing
Memory Loss and Brain Fog
Weight Changes

BIOIDENTICAL THERAPY FOR 2?

Bioidentical Hormone Replacement Therapy (BHRT) can have a significant impact on the lives of a couple when one or both partners are undergoing treatment. Here’s how BHRT can affect a couple’s life:

Improved Relationship Quality: When one partner experiences relief from the symptoms of hormone imbalance, such as mood swings, irritability, or low libido, it can lead to a more harmonious and satisfying relationship. Improved emotional well-being can enhance communication and reduce tension within the couple.
Increased Motivation and Energy: Hormone therapy can boost energy levels and overall vitality. This can translate to increased motivation to engage in activities together, increase motivation to work on goals together, pursue shared interests, and maintain a more active lifestyle.
Enhanced Libido and Sexual Satisfaction: Hormone therapy can improve sexual desire (libido) and address issues related to sexual function, such as erectile dysfunction in men or vaginal dryness in women. Couples often report an improvement in their sexual relationship, leading to greater intimacy and satisfaction.
Better Sleep Patterns: Hormone therapy may help regulate sleep patterns and alleviate sleep disturbances that can affect both partners. Improved sleep quality can lead to better overall health and mood.

Better Mutual Understanding: BHRT treatment often involves open communication between partners and healthcare providers. This can lead to a better understanding of each other's health needs and concerns, fostering a sense of teamwork in managing health and well-being.
Reduced Stress: Hormonal imbalances can lead to stress and anxiety, affecting not only the individual but also their partner. When hormone-related stress is reduced through BHRT, it can create a calmer and more supportive environment within the relationship.
Joint Decision-Making: Deciding to pursue BHRT is often a joint decision made by the couple, with input from healthcare providers. This collaborative approach can strengthen the bond between partners.

Kansas