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BIOIDENTICAL HORMONE REPLACEMENT Hormones have a powerful effect on your body. They affect your health, mood, metabolism, and sexual functions. If your hormones become unbalanced, you will not feel the same. Bio‐identical Hormones help restore this balance. What are Bioidentical hormones? Bio‐identical Hormones are derived from plant sources and designed to have the same molecular structure as the hormones made by your own body. By contrast, synthetic hormones are different, being derived from horses. Unlike synthetic hormones which is often a one‐size‐fits‐all dosage regime. Bio‐identical Hormones allow for an individualized approach to hormone treatment. How does it work? Initially there is a hormone evaluation test ("hormone panel") to determine which hormones are depleted. When results are back, a compounding pharmacist prepares a precise dosage of bio identical estrogens, progesterone, testosterone, and/or DHEA. This is dependent on the quantity of hormone depletion. Each patient is then monitored carefully through regular follow‐up hormone panels to ensure she gets symptom relief at the lowest possible dosage. In the initial stages, hormone panels are taken every three months. Once balance is restored, one panel is done yearly. How do I take the hormones? There are several different strengths and dosage forms including: • • • • Capsules Topical Vaginal Cream Gel The answer is yes to both but that doesn't mean Bio‐identical Hormones are perfect. The great appeal of Bio‐identical Hormones is that they are natural, and our bodies can metabolize them as it was designed to do, minimizing side effects. Synthetic hormones are quite strong and often produce intolerable side effects. Furthermore, the Bio‐identical Hormones can be matched individually to each woman's needs, something that's unattainable with synthetic hormones. European medical studies suggest that Bio‐identical Hormones are safer than synthetic versions. However, they have not been well studied, especially for long‐term use. And in any case, we recommend that women never think of any drug as completely safe. Risks, benefits, and consents can be discussed with your physician. • • • Foams Suppositories Sublingual drops What conditions are Bioidentical Hormones used for? PMS Vaginal dryness Irregular Menstrual Cycles Hot flashes Mood fluctuation Night sweats Post partum depression Decreased libido Weight gain Painful sexual intercourse Endometriosis Are Bioidentical Hormones safer or more efficacious than synthetic hormones? Sudabeh Moein, M.D. | 4060 4th Ave., Suite 510, San Diego, CA 92103 | (858) 487‐2877