She had presented to the obstetrics and gynecology department with very high testosterone levels and postmenopausal hirsutism that included extra facial hair and male pattern balding. Though it is often advertised that products that are made from plants like soybeans and yams are “natural” choices, they are altered greatly in a lab so are no longer natural when done with processing. All rights reserved.
This is called compounding.
You can work with your doctor to find the right dose for your body, which may also help you find the right method as well.Meanwhile, injections can last longer and don’t present the contact problems these other methods do. Bio-identical hormone pellets are obtained in various strengths from a highly rated commercially licensed compounding pharmacy.
Also, a patient might have a bad reaction to the pre-made form. (The pellets used in our office are Yam based.) BioTE ® Medical’s method of bioidentical hormone replacement therapy, or BHRT, uses pellets, which are the preferred method of hormone replacement therapy (HRT). Many major medical groups do not support using them because not enough is known about their safety and long-term side effects.There are risks to taking the compounded hormones. They measure 3 millimeters (mm) by 9 mm and contain crystalline testosterone. They will then administer a local anesthetic before making a small incision in the skin and using a tool called a trocar to insert about ten pellets.The pellets should release a steady dose of the hormone for several months following the implantation.Many people who use some form of testosterone replacement therapy, including the pellets, report feeling an immediate boost in energy and sex drive.The same study shows that 64 percent of the people who chose testosterone pellets favored them over the other forms of therapy due to their ease of use.Even so, many doctors still recommend testosterone pellets as an option for males with hypogonadism, a condition in which the body does not produce enough testosterone.It can take some trial and error to achieve the correct testosterone dosage in replacement therapy.However, the dosage is difficult to adjust when using testosterone pellets because adding or removing pellets requires an additional medical procedure each time.As a result, some doctors recommend that people start with another form of testosterone replacement therapy, such as gels or injections, to get the dosage right before switching to testosterone pellets.Most doctors will consider using testosterone pellets for a person once they have determined a dosage that alleviates the symptoms of low testosterone without raising red blood cell counts.Medical professionals remain divided regarding the benefits of testosterone replacement therapy and whether or not it can help alleviate the symptoms of hypogonadism.However, for people using testosterone replacement therapy, testosterone pellets may offer benefits over other forms of this treatment.
), dose or mix of hormones for a patient. This can result in a rollercoaster-like series of changes in mood, sexual activity, and energy levels.These high peaks of testosterone exposure can lead to testosterone being broken and converted by enzymes in the body — usually in fat tissue — into estradiol, an estrogen.
If you have a side effect that you cannot manage or does not go away in a short time, your hormone level might be too high.Last reviewed by a Cleveland Clinic medical professional on 12/12/2014.
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The dose may need to be changed.
Most often, doses are adjusted according to a patient’s symptoms and needs, with the goal of keeping the dose to the minimum required to achieve your goals.
Whether patients are referred to us or already have a Cleveland Clinic ob/gyn, we work closely with them to offer treatment recommendations and follow-up care to help you receive the best outcome.The Glickman Urological & Kidney Institute offers innovative treatments in urology and nephrology, including minimally invasive, scarless options for urologic procedures and medical management of kidney disease.
The Endocrine…If you're an Endocrine Society member, what is your focus?© 2015 Copyright Endocrine Society. When her postoperative androgen levels remained elevated, she was referred to endocrinology.Only when Wierman did an in-depth history did the woman finally reveal that she and her husband had gone to an anti-aging clinic and been implanted with testosterone pellets. Some prescription forms of bioidentical hormones are pre-made by a drug company.
Your doctor can discuss these options to find the right method for you.Testosterone pellets, such as Testopel, are small. A small incision is made. BHRT pellets are subcutaneous implants generally inserted into the hip area and used to treat everything from low libido to hair loss. Cleveland Clinic is a non-profit academic medical center.
Your doctor can help you with this.Once you have an established dose that allows you to see the benefits without a rise in RBC or other negative effects, you’re a candidate for testosterone pellets.However, it’s currently difficult to provide the low-dose therapy women need.
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