Bio-identical Hormone replacement in Men and Women

Happy Couple Receiving Bio-Identical Hormone Replacement Therapy

Testosterone Replacement for Men

Testosterone Replacement Therapy in MEN (TRT)

Where menopause occurs in 100% of the female population, at least 30% of men in the United States experience outward symptoms of what is popularly called “male menopause” (diminishing testosterone levels) and the other 70% if closely examined have signs of low testosterone and feel like a “new man” when treated.

Sometimes called “puberty in reverse,” male menopause, “Low T” or Andropause as it is clinically diagnosed– is the period of a man’s life when production of a vital number of hormones – primarily testosterone – begins to decline. Similarly, women experience a reduction in estrogen and progesterone production during menopause. But not everyone buys into the idea that males have their own version of menopause. The public perception is that men of a certain age are having “a mid-life crisis” that will pass eventually.

Decline usually begins in the 30s but becomes significant by ages 45 – 60, but varies from man to man. There are men who remain virile into their 80s with no visible signs of reduction in the hormone, but this is extremely rare.

Common signs and symptoms of low/diminishing testosterone levels:

Diminished libido

Erectile dysfunction

Muscle wasting, weight gain & decrease in lean body mass

General lack of energy

Mood swings, depression and anxiety

Memory loss

Elevated cholesterol

Anemia and osteoporosis in the later stages

It becomes evident from all these possible symptoms that testosterone plays an extensive role in male health beyond just muscle building.

If you have several of these symptoms above you should schedule an appointment with Affinity Wellness 4 Life to further investigate the possibility of low testosterone and if so develop a treatment plan to get you feeling lean, strong, energetic, sharp, and sexually active again.

Measuring testosterone levels is a simple blood test that can yield significant information. It is important to measure the bio-available or “free” testosterone in the body. Bound testosterone is ineffective because it is not available to the testosterone receptors throughout the body, thus only ‘free’ testosterone will give you an accurate measurement. Unfortunately, this test is not ordered as often as it should be by most physicians.Low levels of available testosterone are easily treated through a regimen of testosterone hormone weekly injections or daily gels and patches applied directly the skin. For most men, the results are dramatic and immediate.

While effective, testosterone replacement therapy should be administered only under strict medical supervision. Physicians familiar with testosterone therapy know many tricks for optimizing results while at the same time minimizing side effects – such as those related to acne, estrogen conversion, and mood swings. Candidates should first be screened for the prostate specific antigen, as prostate cancer can actually grow under testosterone therapy if the patient is predisposed. The therapy doesn’t cause the cancer, but it can exacerbate it if the condition already exists.” Blood and liver enzyme levels also need to be monitored throughout the course of treatment.

Under no circumstances should a patient self-medicate such as with over-the-counter ‘natural’ products often advertised in the back of men’s magazines. These are not regulated by the FDA, and actually cause can more harm than good – for example many of these products are pro-hormones that actually convert more frequently to estrogen than testosterone. Real testosterone products are tightly regulated by the DEA and labeled as “Class III” controlled substances.

Patients on Viagra or the like may also be candidates for testosterone therapy, and the treatments can be prescribed simultaneously. Viagra does nothing to stimulate hormone production or the libido; it is used only to treat erectile dysfunction, which is different from low sex drive. In fact, getting testosterone levels back to normal actually may alleviate the need for that little blue pill!

Exercise is a valuable tool in staving off depletion in testosterone. Exercise and working out actually stimulate production of testosterone in the body. Inactive men who gain considerable weight may have more estrogen in their bodies, because testosterone is converted into estrogen in the peripheral fat of the body if not ‘burned off’ through a regular course of exercise.”

Whatever the case, there is an answer and a treatment. “Women have benefited greatly from hormone therapy. Men deserve the same consideration to prolong quality of life.”

BHRT and Progesterone Therapy

BHRT and Progesterone Therapy

Progesterone provides those youthful, cheerful, calming, steady, well-balanced, and fertile features, primarily in women. In the past progesterone was regarded as simply the “pregnancy hormone” but research has proven its role to be much more expansive. Progesterone affects many tissues other than the uterus, including the urinary tract, heart, blood vessels, breasts, bones, hair, skin, pelvic muscles, and brain.

Progesterone is produced primarily after ovulation by the empty egg sac. Therefore, if you don’t ovulate, you make much less progesterone. There are several other (less common) reasons for low or declining progesterone levels. These include high cortisol levels, certain synthetic chemicals that incompletely mimic and interfere with estrogen (xenoestrogens), and luteal phase defects in which you ovulate but still don’t produce an adequate amount of progesterone. All these scenarios lead to an imbalance between estrogen and progesterone. As discussed before all hormones, especially estrogen’s and progesterone are kept in a very tight critical balance in order for us to function and feel our best.

Signs and Symptoms of Low Progesterone May Include:

Uterine fibroids

Fibrocystic breasts


Weight gain



Excessive menstrual bleeding

Increased risk of breast cancer

If you have several of these symptoms you should schedule an appointment with Affinity Wellness 4 Life to further investigate the possibility of low progesterone and if so develop a treatment plan to get you feeling youthful, cheerful, balanced and like a woman again.

BHRT and Estrogen Therapy

BHRT and Estrogen Therapy

Estrogen provides those womanly, curvaceous/sexy, stern/driven, and confident features and characteristics in a woman. In addition estrogen in vital to the maintenance of strong bones, a healthy heart and brain function, elasticity of not only the skin but also all of the reproductive organs/genitalia and breast tissue. With menopause women experience signs and symptoms including hot flashes, irritability, insomnia, loss of sex drive, vaginal dryness, dry skin, sagging breasts, depression, and decreased memory. Bio-identical hormone replacement can decrease the risk of stroke and heart attack by 50%, reduce the risk of broken bones from osteoporosis by 50%, reduce the risk of Alzheimer’s Disease by 80%, reduce the risk of osteoarthritis by 40%, reduced the risk of periodontal disease and tooth loss by 40%, and reduce the risk of colon cancer by 30%. It can also significantly reduce wrinkles and the signs of aging –women who do not use bio-identical hormones after menopause will look older than their age.

Signs and Symptoms of Low Estrogen May Include:

Rapid pulse rate, low blood pressure


Fatigue that worsens during the day

Constant fatigue and with exertion

Poor memory

Hot flashes

Joint pain, swelling and stiffness

Decreased sex drive



Osteoarthritis (joint aches & pains)

Osteoporosis (brittle bones)

Low back pain

Dry &/or wrinkling skin

Sagging breasts

Vaginal dryness&/or looseness

Recent unexplained weight gain

If you have several of these symptoms you should schedule an appointment with Affinity Wellness 4 Life to further investigate the possibility of low estrogen and if so develop a treatment plan to get you feeling womanly, sexy, and confident again.

BHRT and Thyroid

BHRT and Thyroid

It is estimated that between 30% to as much as 80% of the population has some degree of low thyroid function (Hypothyroid). Even more unfortunate is that this imbalance, which affects so many aspects of health, is frequently either misdiagnosed, misunderstood, or completely overlooked. Hypothyroidism can be due to a genetic inheritance, menopause/peri-menopause, exposure to certain viruses, iodine deficiency, direct physical trauma to the thyroid gland, head trauma affecting the pituitary, autoimmune disease, or environmental toxins.

Common signs and symptoms of low thyroid levels:


Accelerated aging

Weight gain

Cold dry skin

Joint and muscle pain (even Fibromyalgia)


Memory loss

Brain fog

Hair thinning/loss

If you have several of these symptoms you should schedule an appointment with Affinity Wellness 4 Life to further investigate the possibility of hypothyroidism and if so develop a treatment plan to get you feeling refreshed and energetic again.

Goal of BHRT

3 Goals of Bio-Identical Hormone Therapy

1. Alleviate or slow down the symptoms caused by the natural decrease in production of hormones by the body.

2. Give the protective benefits which were originally provided by the naturally occurring hormones

3. Re-establish hormone balance & harmony

As stated above the goal of any Hormone replacement therapy regimen should be to provide an adequate supply of the deficient hormone in the form that is as close as possible to that which the body originally produced, therefore resulting in normal physiologic effects and ultimately symptom free effects.

No single person is alike so it is imperative that you and your physician or medical professional work together to customize BHRT. Bio-identical hormones are compounded by a pharmacist in needed strength and dosage and administered orally, topically or subcutaneously to meet each individuals needs. The precise components of each patient’s response to therapy will need to be determined and considered by us after:

1. Physical examination

2. Medical history

3. Symptoms Experienced

4. Laboratory testing

Close monitoring with your Affinity Wellness 4 Life at intervals ranging from every 3 months for 1st year of therapy then 1-2x per year thereafter  will be essential to ensure that appropriate dosage adjustments are made.