Diferentes tipos de trauma podem levar a lesões no ombro e cotovelo. O mais comum é queda ao solo, quando pode haver lesão por impacto direto sobre o local ou por tentativa de apoio com o membro. Fraturas, luxações e rupturas tendinosas são algumas possibilidades de lesões.

What is a bioidentical hormone?

A bio-identical hormone is exactly the same, atom for atom and molecule for molecule, as the hormone your own body makes. They are produced from plants to create hormones that are exact replicas of human hormones. Patients who use them generally feel much better than when they are on the synthetic hormones. Synthetic hormones are often created in a lab or extracted from the urine of pregnant horses. Synthetic hormones are not identical to human hormone molecules. Why are bioidentical hormones better than synthetic hormones? Unlike synthetic hormones manufactured by big pharmaceutical companies, bioidentical hormones are created just for you with the exact dose that your doctor recommends to meet your individual needs. And unlike synthetic hormones, bioidentical hormones are made at the time they are prescribed right in a compounding lab. There is no need to include unnecessary additives or preservatives.

How do I know if I need BHRT (BioIdentical Hormone Replacement Therapy)?

Do you experience any of the following: Mood swings, insomnia, anxiety, weight gain, hot flashes, anxiety, low libido, fatigue, depression, PMS? If any of these symptoms are effecting your ability to be happy and function normally through life, then you might want to consider bioidentical hormone replacement therapy.

How do you test my hormone level?

We perform a comprehensive blood panel designed to measure the inactive and active forms of hormones in your body. This testing is much more involved than your usual primary care annual blood testing. After beginning the therapy, we retest your hormone levels to ensure safe and optimal levels are obtained. Testing will continue at specific intervals and adjustments to your program will be made to assure levels remain optimized.

Is Bioidentical Hormone Replacement Therapy the only thing I should do to improve my symptoms?

No- getting regular exercise, reducing carbohydrate intake, increasing vegetables in your diet, limiting red meat, moderating use of alcohol, quitting smoking and taking needed supplements all play a role.

How would I take bioidentical hormone therapy?

There are a variety of options. These include creams, gels, oral medications, lozenges, injectables, or implantable pellets. Your provider will explain the different types of hormone delivery and determine which is best for you.

Are bioidentical hormones safe?

There is a body of research that shows that bioidentical hormones are not the same as synthetic hormones. Bioidentical hormone replacement therapy is an increasingly popular alternative to traditional (synthetic) hormone replacement therapy. Many doctors and others have turned away from providing hormone replacement to women as a result of the U.S. government-sponsored Women’s Health Initiative study in 2002. The study showed that traditional, synthetic hormone therapy increases a women’s risk of breast cancer, heart attack, blood clots and stroke. This is not the case for bioidentical hormones. When it comes to bioidentical hormones, there is a large body of evidence that supports the safety of natural bioidentical hormones. They have been linked with lowering a patient’s baseline risks for breast cancer, cardiovascular disease and osteoporosis. There is other research that has found that bioidentical hormones have favorable action on blood vessels and are associated with a decreasing risk of dementia. Studies of both bioidentical estrogens and progesterone show that they are not associated with an increased risk of blood clots.

Does Testosterone Therapy increase risk of heart disease?

In early 2014 the media cited a flawed study that was retrospective, poorly designed, and implied that testosterone therapy had negative cardiovascular effects. Numerous physicians including leading urologists have criticized these studies, and they point out that there are many, many studies documenting the beneficial cardiovascular effects from testosterone optimization.

Does Testosterone Therapy increase risk of prostate cancer?

There have been numerous studies documenting no increased risk of prostate cancer with testosterone therapy. Dr. Abraham Morgentaler is a well known and respected Harvard urologist who has devoted a much of his career to studying this issue. He has written extensively on the safety of testosterone replacement therapy. He has shown that testosterone replacement is safe to give even in patients who have a history of having had prostate cancer in the past.

Is pellet therapy safe?

Yes, the minimally invasive procedure to implant the pellets is carried out through a very small incision in the buttocks area. Most patients state that the area is mildly sore for several days following implantation. You will enjoy the benefit of a steady reliable release of hormones to achieve optimal blood levels 24 hours a day.

What do patients experience after starting bioidentical hormone therapy?

Most patients experience an increase in energy, improved libido and a greater sense of well-being soon after beginning their BHRT regimen.