fbpx
Category

Uncategorized

Why are hormone pellets so popular?

By | Blogroll, Uncategorized

Have you heard about hormone pellets?  Here is why you may be interested  in learning more.

Hormones change as you age

As we age, things change.  One of those changes is a drop in our hormone levels!  Hormones, like estrogen and testosterone,  affect your energy, mood, memory, sex drive, and metabolism. (Did you know that the average woman gains 20 pounds as she goes through menopause and has three times the risk of depression?) Problems with your hormones affect the health of your skin, hair, and nails, and increase your risk of diseases like osteoporosis, dementia, and heart disease.

Bio-identical hormone therapy can help!

Bio-identical hormone replacement therapy can help you get back to feeling like yourself again!

When I started my practice in 2007, I mostly prescribed topical bio-identical hormone creams. This allowed me to prescribe the right mixture of hormones based on your unique needs (a pinch of estrogen, a dollop of progesterone and just a drop of testosterone, for example!).  It worked well – but not everyone had great results. In 2009, I started offering hormone pellet therapy, and now 70% of my patients prefer pellets to topical cream.

Hormone pellets are smaller than a grain of rice, contain a natural plant source of estrogen and/or testosterone, and are available in a variety of doses. They are inserted under the skin of your buttock in a simple, painless office procedure. The pellets gradually dissolve, and a small, steady stream of hormone is released into the bloodstream.

Pellets can fix hormone symptoms fast – sometimes within 48 hours!  The convenience is very popular – you simply come in every 3-4 months to have the pellet replaced.

Hormone pellets can help resolve your symptoms

Hormone pellets can  help with a wide variety of symptoms including:

– insomnia

– fatigue

– low sex drive

– lack of motivation

– hot flashes and night sweats

– heart palpitations

– headaches (especially premenstrual or hormonal migraines)

– irritability/mood swings

– depression

– anxiety

– memory loss

– leakage of urine

– aches and pains

– vaginal dryness

– lack of muscle tone

– dry skin and hair

– loss of strength

Pellets help with Low T

Bio-identical testosterone pellets are popular with men too.  They help men with the same symptoms! (just swap out vaginal dryness for erectile function!)

Are pellets safe?

This treatment seems “new” but in fact hormone pellets have been used with great success in the United States, Europe and Australia since 1938! Pellets deliver consistent, steady levels of hormones and avoid the fluctuations of hormone levels seen with other kinds of hormone replacement, like topical creams.

Hormones delivered by pellets bypass the liver, and don’t increase the risk of blood clots (which is a problem with estrogen pills).

Medical studies have found that hormone pellets are very effective at preventing and treating bone loss and for relieving menopausal symptoms, with even better success than pills or creams in some cases.  This is why they have become the most popular method of bio-identical hormone replacement in my practice – patients  are getting better results!

Pellets do not have the same risk of breast cancer as synthetic hormone replacement pills.  In fact, some studies show there may be a reduction in the incidence of breast cancer with pellet therapy. In a study on breast cancer survivors, testosterone pellets did not increase the risk of cancer recurrence.

I have listed some medical studies on hormone pellets below.

You have choices!

There are many options for bio-identical hormone replacement therapy including topical or vaginal creams, patches, pills, sublingual lozenges and pellets.  It is nice to have choices, and important to have thorough discussion of all your options, including all the risks, benefits and possible side effects, so you can make the best choice!

Wondering whether your symptoms could be due to hormone deficiency?  Take our hormone quiz! Please don’t suffer with symptoms due to hormone deficiencies.  You deserve to LOVE the way you feel!

Yours in health!

Dr Deb Matthew MD

References:

Beneficial effects of testosterone therapy in women measured by the validated Menopause Rating Scale (MRS)Glaser R, York AE, Dimitrakakis C. Maturitas. 20011;68:355-361

“Testosterone, delivered by subcutaneous pellet implant has been shown to improve hot flashes, heart discomfort, sleep problems, depressive mood, irritability, anxiety, physical fatigue, memory loss, migraine headaches, sexual problems, bladder problems (incontinence), vaginal dryness, joint and muscular discomfort in both pre-menopausal and post-menopausal patients without adverse drug events”

Moderate dosage estrogen–androgen therapy improves continuation rates in postmenopausal women: impact of the WHI reports Gambrell and Natrajan CLIMACTERIC 2006;9:224–233

“Long-term studies with up to 30 years follow up, confirm the safety of testosterone therapy and absence of adverse drug events with the pellet implant.   No increase of breast cancer even after 20 years of hormone pellet therapy”

Skeletal effects of oral oestrogen compared with subcutaneous oestrogen and testosterone in postmenopausal women.  Savvas et al.  British Medical Journal 1988  Jul 30;297(6644): 331-333

“Subcutaneous oestrogen is more effective than oral oestrogen in preventing osteoporosis, probably owing to the more physiological (premenopausal) serum oestradiol concentrations achieved.”

Reduced breast cancer incidence in women treated with subcutaneous testosterone, or testosterone with anastrozole:  a prospective, observational study.  Glaser et al.  Maturitas 2013 Dec;76(4):342-9

“Testosterone and/or testosterone+anastrozole, delivered subcutaneously as a pellet implant, reduced the incidence of breast cancer in pre and postmenopausal women.”

frazzled perimenopausal woman pulling her hair

Are You in Perimenopause?

By | Blogroll, Hormones, Uncategorized, Women's Health

Tired?  Irritable?  Over 35?  Maybe its your hormones!

Before you go through menopause, there is a period of time (starting around age 35) where things start to change. The changes can be subtle or not so subtle. We call this phase of life “perimenopause”, and it can be one of the most difficult transitions in a women’s life. Sadly, some women are told to tough it out and that it will pass. And often women are told that they are too young to be in perimenopause.

Addressing the hormonal symptoms of perimenopause can dramatically improve quality of life for many women. Lets talk about what is going on.

The two hormones that are involved in your menstrual cycle are estrogen and progesterone.  Estrogen levels start to drop when you are in your late 40s or early 50s (the average age of menopause is 52).  Progesterone levels start to decline much earlier.  In fact,  your progesterone  may drop by as much as 80% between age 30 and 40.  When progesterone levels start to decline because of age, and symptoms of hormone imbalance become noticeable, we call this “perimenopause”.

Progesterone levels decline after age 35

Progesterone levels naturally vary over your menstrual cycle, so the symptoms vary as well.  Typically the week after your period is a “good” week; you are eating your broccoli, exercising regularly, and cleaning out your closet.  Then as you get closer to your period,  symptoms get worse and worse – you may feel irritable, anxious, negative, critical, impatient, and easily frustrated – and this can affect how you behave towards your family and co-workers!  Other common problems before your period can be waking up at night, feeling more tired and having food cravings.

In fact, this variation in symptoms over the month is a big clue that hormones are the problem.  If your mood symptoms or insomnia are exactly the same on every day in your cycle, it is less likely that hormones are the cause.

Progesterone has mainly been studied for its effects on your uterus and monthly cycle.  As progesterone levels drop, menstrual cycles can start to change.  Your period may get heavier, your cycles may become shorter (less than 28 days), and you may have more PMS symptoms.

It turns out that progesterone has other important roles to play besides regulating your period.   You have progesterone receptors on cells in all parts of your body, and surprisingly,  the cells with the most progesterone receptors are your brain cells.  (If you have PMS symptoms with mood swings and irritability you may not be surprised at all!)  Progesterone is naturally calming and helps with sleep.  It is sort of like nature’s version of valium or a glass of red wine.

Symptoms of perimenopause

Here is a checklist of symptoms that you may experience if your progesterone levels are dropping:

  • Insomnia
  • Night sweats
  • Anxiety
  • Irritability
  • Mood swings
  • Weight gain
  • Increased PMS
  • Pre-menstrual headaches
  • Heavier periods
  • Shorter cycles (periods coming less than 28 days apart)
  • Irregular periods

If this sounds like you, please know that there is help!   You can feel like YOU again!  To learn more click here

You can find more information at our website www.signaturewellness.org or contact the office at 704-752-9346 or questions@signaturewellness.org.

After all, living well is the best medicine!

Dr Deb Matthew, MD