WOMEN'S HEALTH

Estradiol and Testosterone can be administered subcutaneously or intramuscular. Discuss with your Provider the preferred route, dosage, and frequency of administration. 

Delivery of the bioidentical hormones  through the skin as a cream or gel has become a mainstay of bioidentical hormone replacement therapy (BHRT) for women and men. A plethora of FDA-approved pharmaceuticals, and  compounded products are available. The popularity of these products lies not only in their ease of use, but in proven clinical efficacy [1-5] in treating hormonal deficiencies mostly brought on by aging of the female (menopause) and male (andropause) reproductive systems.

Pellets are compounded estradiol or testosterone that are made from organic plant materials, which have the exact molecular structure of those hormones found in the body. They are pressed into a solid compound that is about the size of a cooked grain of rice. Using a painless office procedure, they are inserted under the skin in the hip area. The pellets release small amounts of hormone directly into the bloodstream similar to that which the ovaries and testes produced during our younger adult years.

A troche is a small lozenge designed to dissolve between a person’s cheek and gum over a period of time; typically 30 minutes. As the troche dissolves in the patient’s mouth, the medication is absorbed through the oral mucosa and gradually  absorbs into the bloodstream. Troches are commonly used to administer bioidentical hormones in a patient, and can be flavored to mask bitterness, if needed.