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Have you ever felt off but couldn’t quite pinpoint why? Symptoms like fatigue, mood swings, or stubborn weight gain are often linked to the natural decline in testosterone and estrogen that occurs with aging. As we age, these hormone imbalances can affect everything from energy levels to metabolism and mood. Hormonal changes are particularly common during menopause for women and andropause for men, making you feel tired, irritable, or generally unwell. When these imbalances interfere with your quality of life, it’s time to seek a solution.
At Skinly Aesthetics in NYC, Dr. Schwarzburg offers Bioidentical Hormone Replacement Therapy (BHRT) for both men and women. This personalized treatment is designed to address age-related hormone imbalances, restoring optimal testosterone and estrogen levels. With minimal disruption to your daily life, BHRT helps you regain control over your body and feel like your best self again.
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Frequently asked questions
What is Bioidentical Hormone Replacement Therapy?
Bioidentical Hormone Replacement Therapy (BHRT) is a natural, personalized treatment using hormones like estrogen and testosterone that are identical to those produced naturally by the body. These bioidentical hormones work seamlessly with your body’s receptors to alleviate age-related hormone imbalances, such as fatigue, brain fog, weight gain, hot flashes, and reduced libido.
One popular method of BHRT involves the use of tiny, customized pellets inserted under the skin, which release hormones steadily over time. This approach helps maintain hormonal balance without the need for frequent injections, pills, or creams. A tailored treatment plan offers a safe, effective way to restore vitality and improve your overall quality of life.
What is the Difference Between Synthetic and Bioidentical Hormone Therapy?
Synthetic Hormones:
- Made from non-natural sources including horse urine, synthetic hormones like estriol and progesterone are chemically altered to mimic the effects of natural hormones. These hormones are commercially produced and standardized, meaning they come in fixed doses as pills and patches.
Bioidentical Hormones:
- Derived from plant-based sources, bioidentical hormones are chemically identical to those naturally produced by the body. They are often customized by compounding pharmacies to meet individual needs, offering greater flexibility with tailored dosing options to suit each patient’s unique hormone balance.
- Bioidentical hormones are available via multiple administration routes including creams and gels, pills, patches, injections, and implantable pellets.
How Does Bioidentical Hormone Therapy Work?
BHRT works by replenishing your body’s natural hormone levels with bioidentical hormones that are molecularly identical to those your body produces. Delivered through pellets, pills, creams, or gels, these hormones provide consistent absorption, restoring balance to estrogen, progesterone, or testosterone. BHRT alleviates symptoms related to menopause, andropause, or other hormonal imbalances, helping to improve energy, mood, and overall well-being.
What Are the Benefits of BHRT for Men and Women?
For Women:
- Reduction in hot flashes and night sweats
- Enhanced mental clarity
- Improved mood and sleep patterns
- Increased libido and sexual satisfaction
- Reduced risk of osteoporosis
For Men:
- Improved energy and strength
- Enhanced mood and focus
- Increased libido and sexual performance
- Reduced body fat and increased muscle mass
- Better sleep and mental clarity
Who Should Consider BHRT?
Both men and women experiencing symptoms of hormone imbalance, such as fatigue, mood swings, weight gain, and decreased libido, can benefit from BHRT. Women in perimenopause or menopause and men experiencing age-related testosterone decline (andropause) are particularly good candidates. Implantable BHRT pellets provide a convenient alternative to daily or weekly synthetic hormone injections, making it easier to restore hormone levels with minimal disruption.
When to Avoid Hormone Replacement Therapy?
BHRT may not be suitable for those with a history of certain cancers, blood clots, or untreated high blood pressure. It’s essential to discuss your full medical history with Dr. Schwarzburg to ensure that BHRT is safe for you.
How Do I Prepare for BHRT?
Before starting BHRT, you’ll undergo a comprehensive evaluation, including blood tests to assess hormone levels. Based on the results, Dr. Schwarzburg will create a customized treatment plan tailored to your specific needs.
How Is BHRT Administered?
BHRT therapy utilizes multiple methods as described below:
Pellet Therapy: Tiny pellets inserted under the skin provide a steady release of hormones over time.
Creams and Gels: Applied daily to areas like the inner forearms or lower abdomen for gradual hormone absorption.
Patches: Worn on the skin and replaced according to schedule, providing a steady release of hormones.
Oral Tablets: Taken daily as directed for consistent hormone levels.
At Skinly Aesthetics, pellet therapy is preferred for its convenience, long-lasting and predictable results, allowing for minimal maintenance and steady hormone levels.
What Is the Process of Pellet Insertion?
Pellet insertion is a simple, in-office procedure that typically takes about 15-30 minutes:
- Preparation: The targeted area, usually the upper buttock or flank, is cleaned and numbed with local anesthetic.
- Insertion: A small incision is made, and customized hormone pellets are inserted beneath the skin.
- Closure and Aftercare: The incision is closed with a bandage or sterile strip, and you can resume most activities immediately, though strenuous exercise should be avoided for a few days.
How Long Does BHRT Take to Work?
While the pellet insertion procedure takes about 15-30 minutes, the effects may take a few weeks to become noticeable. Full benefits typically develop over several months as hormone levels stabilize.
How Long Do Effects Last?
Results from Biocompatible Hormone Replacement with pellets can last between 3-6 months, depending on the treatment plan and the hormone concentration used. Regular follow-up appointments are essential to maintain optimal hormone levels.
How Long Can I Stay on Bioidentical Hormone Replacement Therapy?
You can continue Bioidentical Hormone Replacement Therapy (BHRT) as long as you and your healthcare provider deem it beneficial for managing your symptoms. There is no fixed limit on how long you can stay on BHRT, and many individuals use it for years to maintain balanced hormone levels and overall well-being. Regular follow-up appointments with your provider will ensure that your treatment plan remains safe and effective, with adjustments made as needed. If you decide to discontinue, your hormone levels will gradually return to their prior state, and any symptoms may reappear.
What Are the Risks and Side Effects of BHRT?
While generally safe, BHRT can cause side effects like weight gain, headaches, acne, mood swings, and mild discomfort at the pellet insertion site. Serious risks, such as blood clots or an increased risk of certain cancers, are rare. Dr. Schwarzburg will discuss all potential risks during your consultation.
Is Hormone Replacement Safe?
Yes, when administered by an experienced professional like Dr. Schwarzburg, BHRT is completely safe. The bioidentical hormones used in this therapy are compounded in FDA-approved pharmacies, ensuring they closely mimic the body’s natural hormones. This reduces the risk of adverse effects and provides a reliable, well-regulated treatment option for addressing hormonal imbalances.
When Should You Start Bioidentical Hormone Replacement Therapy?
The ideal time to start Bioidentical Hormone Replacement Therapy (BHRT) varies from person to person, depending on your symptoms and hormone levels. Generally, you may consider starting BHRT when you begin experiencing signs of hormone imbalance, such as fatigue, mood swings, hot flashes, weight gain, decreased libido, or brain fog. These symptoms often emerge during perimenopause or menopause in women and andropause (age-related testosterone decline) in men.
A thorough evaluation by Dr. Schwarzburg, including hormone level testing, will help determine if BHRT is right for you. Starting treatment early can help alleviate symptoms and prevent further health issues related to hormonal imbalance, such as bone loss or cardiovascular problems.
What Other Treatments Complement Hormone Therapy?
BHRT can be complemented with other treatments available at Skinly Aesthetics to enhance well-being, such as:
- IV Therapy and B12 shots for nutrient absorption and energy
- Bio Pro Plus to support growth hormone optimization
- Sildenafil and Tadalafil for sexual health
- Minoxidil and Finasteride to address hair loss
What Is the Cost of BHRT?
The cost of BHRT ranges from $500-$2,000 per session, depending on the type of therapy and treatment duration. Dr. Schwarzburg will provide a detailed cost estimate during your consultation based on your personalized plan.
Is There an Alternative to BHRT?
For those who cannot undergo BHRT, alternatives such as lifestyle modifications, non-hormonal medications, or nutraceuticals may be recommended. Dr. Schwarzburg will work with you to find the best solution for your needs.
Is BHRT Worth It?
Absolutely. BHRT can significantly improve your quality of life, helping you feel more energetic, balanced, and overall healthier. Many patients report increased well-being after starting treatment.
Getting Started with BHRT
Ready to experience the transformative benefits of BHRT? Schedule a consultation with Dr. Schwarzburg at Skinly Aesthetics today and take the first step toward restoring your vitality and well-being!
Why choose Skinly Aesthetics MedSpa?
At Skinly Aesthetics, our commitment to excellence in cosmetic treatments is led by Dr. Schwarzburg, a renowned board-certified cosmetic dermatologist and wellness expert with over a decade of experience. With tens of thousands of procedures performed, Dr. Schwarzburg ensures that our practice remains at the forefront of medical advancements and anti-aging innovations, transforming both skin health and body aesthetics.
Situated in a prime Upper East Side location in New York City we specialize in personalized skincare, body contouring and wellness treatments designed to deliver exceptional results.
Dr. Schwarzburg personally administers all treatments, ensuring the highest level of care and precision. His expertise is frequently featured in leading beauty magazines and publications, further cementing his reputation as a top expert in the field of wellness and medical aesthetics. Our premium services are meticulously tailored to address the unique needs of each client, helping you achieve your best appearance, performance and feel confident in your skin.
Start your beauty and wellness journey by scheduling your consultation online, or alternatively text us directly at (212) 774-4264 or email info@skinlyaesthetics.com.