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    Hormone Replacement Therapy FAQs

    What does HerKare do?

    HerKare was created to exclusively focus on the treatment of women. The physicians and treatment professionals at HerKare focus on improving the overall health and well-being of women through hormone replacement therapy, and other complimentary therapies and services. Whether a patient is suffering from the effects of post pregnancy, a genetic deficiency, or stages of menopause, the physicians at HerKare will develop a customized treatment plan designed to support and improve common symptoms of hormone imbalance, including fatigue, depression, low libido, weight gain, hot flashes and/or muscle loss. Hormone imbalance can be the cause of a variety of health issues, and some studies link hormone imbalance to the risk of more serious ailments such as heart disease, osteoporosis, stroke, memory loss, high cholesterol, depression and mood swings. Fortunately, imbalances may be treatable. Treatment options may include modalities such as injections, prescriptions and/or supplements. Some HerKare locations also provide broader wellness services, well-woman exams, gynecologic, and aesthetic services. Please call to confirm if the services you are seeking are provided by your local HerKare.

    What are some Hormone Replacement Therapy (HRT) options?

    Depending on the type of hormones needed, hormone replacement therapy (HRT) can be administered using pills, patches, gels, injections, creams and pellets. Bioidentical hormone replacement offers HRT with hormones made from natural sources instead of synthetic hormones. Some types of HRT are estrogen-only while others include progesterone. At HerKare, we offer bioidentical hormone replacement therapy administered with injections.

    What are the benefits of Hormone Replacement Therapy (HRT)?

    Hormone replacement therapy offers many benefits! We'll talk to you specifically about what to expect based on your individual health, but benefits may include more energy, a better mood and an improvement in your memory and concentration. You may enjoy sex more along with reduced vaginal dryness and thinning and improved muscle tone. Additional potential benefits include a lower risk of heart disease, stronger bones, fewer wrinkles and no more hot flashes or night sweats.

    What are the pros and cons of the different Hormone Replacement Therapy (HRT) options?

    Pills require you to remember to take them daily, and how they are absorbed into your system may vary based on what you eat. It can be hard to measure dosage with creams and gels. You can't adjust the dosage on pellets for weeks, and insertion could lead to infection. Patches can cause skin irritation, and you must remember to change them every few days. At HerKare, we believe injections are the optimal method for administering hormone replacement for several reasons, including convenience and ability to control dosage. We can better monitor your health and how you react to treatment when you receive them via injection.

    Who needs hormone replacement therapy?

    You may associate HRT with menopause, and this is one of the common reasons for prescribing hormone replacement therapy to women. However, you can develop a hormone imbalance at any time in your life. Symptoms like fatigue, a loss of interest in sex, vaginal dryness and mood swings can all indicate a hormone imbalance that may be improved with HRT. We will recommend HRT based on your symptoms, your test results and your overall health.

    How long will I receive HRT?

    This depends on the individual. An average amount of time for many women is 3-5 years, but you may find that you need HRT for a longer or shorter time. We'll monitor your health and help you determine what's right for you.

    Risks & Contraindications

    Each woman's treatment is personalized at HerKare. This means you and your provider will discuss the therapies that are medically indicated for you based on the results on your physical assessment, diagnostic testing, and your overall goals for therapy. Each treatment or therapy may have different side effects, or contraindications for treatment, which may vary based on a variety of factors. Some of the treatments offered at HerKare may be offered on an "off-label” basis. This means the medication is being used in a manner not specified in the FDA’s approved packaging label, or insert. Physicians regularly use medications "off-label" after considering the patient's symptoms, goals for treatment, or when the physician determines that the medication may provide the best available intervention. It is important, before starting or continuing any course of therapy at HerKare, that you fully discuss your medical history with your provider, talk about other medications you may be taking, and thoroughly review the potential benefits of each treatment, as well as the potential side effects and contraindications for those treatments. As your treatment progresses, talk with your provider. Tell them how you are feeling. Tell them how you are responding. This information will be critical as your provider tailors your treatment to your health, well-being and goals.

    Estrogen Replacement Therapy FAQs

    What is estrogen?

    Estrogen hormones get your body ready for pregnancy and increase your desire for sex. They also help regulate your cholesterol levels and strengthen your bones. Although estrogen is usually produced by the ovaries, your fat tissue or adrenal glands can also produce estrogen. During perimenopause or menopause, your estrogen levels drop. For some women, this can lead to such uncomfortable symptoms as depression, fatigue, hot flashes and a low sex drive. You may also experience symptoms of low estrogen at other times in your life. We may be able to treat your low estrogen with bioidentical estrogen replacement therapy.

    How are low estrogen levels diagnosed?

    We'll discuss your symptoms and use a blood test to determine whether your estrogen levels are too low. When you start estrogen replacement therapy, we'll continue to monitor your levels to ensure that you are getting the right dosage and make adjustments as required.

    How do you treat low estrogen levels naturally?

    If we determine that you need estrogen replacement therapy, we'll use bioidentical estrogen. This offers natural estrogen replacement with estrogen derived from plants rather than made synthetically. Bioidenticals are safe and offer the same benefits as synthetic hormones. At HerKare, you'll receive your hormones by injection since this is the preferred method for us to regularly monitor your dosage.

    Who should get estrogen replacement therapy?

    Any woman who suffers from a hormone imbalance may benefit from estrogen replacement therapy. If we determine through a discussion of your symptoms and a blood test that you need estrogen, you'll either get a combination of estrogen and progestin or just estrogen. The combination is for women who still a uterus. If you've had a hysterectomy, you can take estrogen on its own. You might need estrogen replacement therapy if you are in menopause since your estrogen levels drop during menopause. However, your estrogen levels can become out of balance at any time of your life.

    What are the effects of estrogen replacement therapy?

    As is the case with all forms of hormone replacement therapy, it may take from a few weeks to several months to get relief from some of your symptoms. But once you've been on HRT for a while, you should have more energy and fewer mood swings. With estrogen replacement therapy, you might also find your sex life improving. Estrogen replacement therapy can help reduce migraines and night sweats. If you are not yet in menopause, taking estrogen might also make your periods more regular.

    Progesterone Replacement Therapy FAQs

    How do you test for low progesterone?

    Symptoms like fatigue or just not feeling like yourself might be the first sign that you are suffering from low progesterone, but we make sure to thoroughly assess your health and potential causes of those symptoms. We'll check your progesterone levels by taking a blood sample and doing a serum progesterone test to see if you need progesterone replacement therapy.

    How do you treat progesterone deficiency?

    Once we have determined that you are low in progesterone, we will assess your health and discuss the best treatment for you. If we prescribe progesterone replacement therapy, we will provide it in the form of bioidentical progesterone that we administer through injections. Bioidenticals are a type of natural hormone replacement. Once we begin hormone replacement therapy, also known as HRT, we will continue to monitor your hormone levels to make sure you are receiving the right amount of progesterone and make adjustments if necessary.

    What is the function of progesterone?

    Progesterone has a number of functions in a woman's body, but in hormone replacement therapy, it is important as an accompaniment to estrogen replacement therapy for women who have a uterus. Progesterone replacement therapy also helps balance other hormones after menopause. It can help strengthen bones, reducing the likelihood of osteoporosis. When you undergo bioidentical progesterone replacement therapy with natural progesterone, it affects you in the same way that progesterone produced by your own body does.

    Is progesterone replacement therapy only for women in menopause?

    HRT is most commonly prescribed to women who have gone through menopause since progesterone levels drop to almost zero. However, hormonal imbalances can affect women at other times in their lives. In the decade or more leading up to menopause, which is called perimenopause, women's hormones may also be out of balance. Progesterone can help regulate heavy or irregular periods during perimenopause as well as symptoms of PMS. At HerKare, we will design a treatment plan for you that could include hormone replacement therapy at any stage of your life.

    What are the symptoms of low progesterone?

    Low progesterone symptoms are similar to those related to other types of hormonal imbalances as well as other conditions. They include depression, moodiness, an irregular period, urinary tract infections and painful sex as a result of vaginal dryness. The variability of these symptoms is why it is important that we confirm a progesterone imbalance with a blood test so we can start you on the right treatment.

    Testosterone Replacement Therapy FAQs

    Do women need testosterone?

    Although testosterone is most commonly associated with men’s health, that doesn't mean it is not important for women as well. Women need lower levels of testosterone than men, but they do produce testosterone in small amounts in their ovaries and adrenal glands. Those small amount can still be critical to your health. Testosterone is important to your sex drive, your fertility and the production of new red blood cells. It affects your muscle mass and how you distribute fat. Hormone replacement therapy as a treatment for low testosterone is not just for men. Women can also benefit from testosterone replacement therapy as well.

    How do you test for low testosterone levels in women?

    Your symptoms may suggest low testosterone, but we will take a blood sample to check your levels. We'll also assess your health and talk to you about how you are feeling overall. If we think you may benefit from testosterone replacement therapy, we'll talk to you about your options.

    How do you treat low testosterone levels?

    If your testosterone levels are low, we can treat you with hormone replacement therapy. At HerKare, we administer bioidentical testosterone via injections. Bioidentical replacement therapy uses natural hormones instead of synthetic ones. Injections are our preferred method for HRT because they allow us to control the dosage, closely monitor your levels and make adjustments as necessary. You'll come in to our HerKare office every couple of weeks for an injection and a quick check of those levels.

    What are the symptoms of low testosterone?

    You might have low testosterone if your sex drive is suffering or if you are experiencing vaginal dryness. Generally feeling weak and fatigued can be another symptom of low testosterone as well as weight gain and insomnia. Low testosterone can make your periods irregular and affect your fertility. Bioidenticals offer natural testosterone hormone replacement that can help you feel better.

    What causes low testosterone in women?

    Menopause is a time that brings a number of hormonal changes that may be treated with HRT, and testosterone is one of those hormones that is present in lower levels as women age. However, you might also develop low testosterone if you need to have your ovaries removed or if you develop a condition called adrenal insufficiency, in which your adrenal glands do not function properly.

    Thyroid FAQs

    Do women need testosterone?

    Although testosterone is most commonly associated with men’s health, that doesn't mean it is not important for women as well. Women need lower levels of testosterone than men, but they do produce testosterone in small amounts in their ovaries and adrenal glands. Those small amount can still be critical to your health. Testosterone is important to your sex drive, your fertility and the production of new red blood cells. It affects your muscle mass and how you distribute fat. Hormone replacement therapy as a treatment for low testosterone is not just for men. Women can also benefit from testosterone replacement therapy as well.

    How do you test for low testosterone levels in women?

    Your symptoms may suggest low testosterone, but we will take a blood sample to check your levels. We'll also assess your health and talk to you about how you are feeling overall. If we think you may benefit from testosterone replacement therapy, we'll talk to you about your options.

    How do you treat low testosterone levels?

    If your testosterone levels are low, we can treat you with hormone replacement therapy. At HerKare, we administer bioidentical testosterone via injections. Bioidentical replacement therapy uses natural hormones instead of synthetic ones. Injections are our preferred method for HRT because they allow us to control the dosage, closely monitor your levels and make adjustments as necessary. You'll come in to our HerKare office every couple of weeks for an injection and a quick check of those levels.

    What are the symptoms of low testosterone?

    You might have low testosterone if your sex drive is suffering or if you are experiencing vaginal dryness. Generally feeling weak and fatigued can be another symptom of low testosterone as well as weight gain and insomnia. Low testosterone can make your periods irregular and affect your fertility. Bioidenticals offer natural testosterone hormone replacement that can help you feel better.

    What causes low testosterone in women?

    Menopause is a time that brings a number of hormonal changes that may be treated with HRT, and testosterone is one of those hormones that is present in lower levels as women age. However, you might also develop low testosterone if you need to have your ovaries removed or if you develop a condition called adrenal insufficiency, in which your adrenal glands do not function properly.

    Sleep Apnea FAQs

    What is sleep apnea?

    Sleep apnea is a condition in which you stop breathing periodically while you are asleep. This can cause you to wake up frequently throughout the night even when you don't remember doing so. Sleep apnea can cause fatigue, but it can also lead to more serious conditions, such as high blood pressure and a higher risk of stroke or heart attacks.

    What is enough sleep?

    The recommendation for adults is seven to nine hours of sleep per night. Many adults, especially women, do not get the minimum amount. If you often feel fatigued during the day, you may not be getting enough sleep or are experiencing poor sleep quality.

    What are the symptoms of sleep apnea?

    Sleep apnea is a condition that is often associated with men, but women can have it as well. In men, snoring is one of the main symptoms, but women's symptoms can differ significantly. Insomnia, fatigue, a dry mouth on waking up in the morning, headaches, poor concentration and depression can all be symptoms of sleep apnea.

    Can you have sleep apnea if you don't snore?

    Snoring or even gasping and choking while sleeping are common ways that sleep apnea is diagnosed in men. However, you can have sleep apnea without these symptoms, and women in particular may have sleep apnea even though they don't snore.

    How is sleep apnea diagnosed?

    Sleep issues can indicate a number of different conditions, and sleep apnea is only one of them. The only way to diagnose sleep apnea is with a sleep test. At HerKare, we can perform a home sleep test that will tell us whether you are suffering from sleep apnea.

    How is sleep apnea treated?

    If we determine after a home sleep test that you have sleep apnea, we will then talk to you about the options for sleep apnea management. Some people are able to control their sleep apnea through lifestyle changes. This includes weight loss, exercise and eating healthily. However, this is not sufficient in some cases, as people who have sleep apnea may be thin and have generally healthy habits. You may need a CPAP device to treat your sleep apnea. The mask that is worn while you sleep helps keep your airways clear. Your CPAP device will transmit information to us while you sleep which will help with making any needed adjustments. It may take a few adjustments before you are sleeping comfortably with the CPAP device.

    Vitamin FAQs

    What is folate used for in the body?

    Folate is a B vitamin that plays a vital role in cell division and nerve health and is an anti-oxidant.

    How is a Folate deficiency diagnosed?

    Folate deficiency is diagnosed by blood analysis.

    How is Folate deficiency treated?

    After an evaluation and a review of your lab results, the medical providers at HerKare will determine whether a Folate deficiency exists and customize a treatment regimen specific to your needs. Several different formulations are used for replacement. These are based upon absorption characteristics.

    How do you test for Vitamin B12 deficiency?

    Vitamin B12 deficiency is determined by evaluating a sample of your blood.

    How do you treat Vitamin B12 deficiency?

    Vitamin D deficiency is determined by evaluating a sample of your blood. After an assessment and evaluation of your lab results, the medical providers at HerKare will tailor a regimen customized to meet your specific needs. Vitamin D deficiency can be replaced orally.

    Still have a question?

    If you don’t find an answer to your question above a knowledgeable member of the HerKare staff will get back to you shortly with an answer. Contact us today! *NOTICE: The information contained on this page is general information and is not intended to take the place of your personal physician’s advice, or to diagnose, treat, cure, or prevent any disease. The FAQ contained herein are not a substitute for medical advice or treatment for specific medical conditions and should not be used as such. Only a qualified physician can determine if you qualify for and should undertake treatment.*