Frequently Asked Questions
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.
Simply put, hormones are chemicals produced by the body to control and regulate various body functions. All hormones are present in both men and women at differing levels.
Some symptoms may include: Weight gain, limited energy, hair loss, low libido, depression, mood swings sleeplessness, loss of concentration, memory loss, fatigue, hot flashes, night sweats, insomnia, or irritability.
There are several modalities available for treating hormone imbalances including: Pills, gels, injections and pellets. Not all hormones are available in all methods of administration. Replacement hormones are made in several different ways - synthetically, plant sourced or animal sourced.
The benefits of a properly managed regimen of hormone replacement therapy can include: Improved energy levels, improved mood, reduction or elimination of night sweats and hot flashes, improved memory and concentration, improved sex drive, prevention of vaginal thinning & dryness, and muscle tone, decreased skin wrinkles, protection from osteoporosis, and reduced risks of certain types of heart disease. For any medical therapy, there are potential risks and side effects that must be carefully evaluated during the course of therapy. You will discuss each of these in detail with your provider. HerKare fosters a professional relationship between physicians and patients, focusing on regular interaction, monitoring and evaluation. Regular evaluation allows the treatment professionals at HerKare to closely monitor the course of therapy and adjust as necessary to reach for clinically optimal outcomes.
Oral route: Convenient, but must be taken daily and not all hormones are available via this method. Also, absorption varies with food. Cream/gel: Variable absorption and difficult to titrate or quantify. Must be applied daily to twice daily, can transfer to spouse, children and pets. Pellets: Less frequent administration, but as a minor surgical procedure, carries potential risks such as scar tissue formation, pain, and infection. Once placed, they are not removable if side effects occur. Nasal sprays: Must be dosed up to 4x daily, which decreases compliance. Injections: Easily titrated or measured, less frequent administration. Best to be supervised by a healthcare professional for appropriate dosing.
Hormone imbalances can occur for many reasons including: post-pregnancy perimenopause (also known as pre-menopause), menopause, post-menopause, genetic deficiency, birth control and obesity.
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.
Signs of menopause and related hormonal imbalance may include: Weight gain, hot flashes, night sweats, mood swings, depression, low libido, insomnia, fatigue, memory loss, and/or fibroids
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.
The thyroid is a gland located in the front of your neck. This gland is very important for the functioning of all organ systems. A poorly functioning thyroid can be responsible for a myriad of symptoms and organ dysfunction.
There are numerous clinical manifestations of hypothyroidism which include fatigue, reduced endurance, weight gain, cold intolerance, constipation, impaired concentration and short-term memory loss, skin and hair changes (loss of hair, dry skin), edema and cardiac dysfunction, mood changes, depression, lack of coordination, numbness and tingling in extremities, muscle cramps and aches, irregular menstruation, lack of menstruation and inability to achieve pregnancy.
The manifestations of hyperthyroidism include nervousness, anxiety, irregular heart rhythms, lack of menstruation, weight loss, muscle weakness and wasting, tremors, bulging of the eyes, edema, and diarrhea.
The evaluation of thyroid function is determined by blood analysis. True thyroid function or dysfunction can only be ascertained through complete evaluation of both the lab tests and the patient’s symptoms.
Your blood will be drawn and analyzed to determine whether you have a decreased estrogen level.
The medical providers at HerKare will complete a physical assessment, evaluate your lab results, and discuss available treatment options that are designed to meet your specific needs. If Estrogen Replacement Therapy (ERT) is appropriate, your provider may recommend a plant-derived estrogen replacement therapy, (as compared with synthetic, or animal-derived), as they are deemed most effective and appropriate for your therapy.
Folate is a B vitamin that plays a vital role in cell division and nerve health and is an anti-oxidant.
Folate deficiency is diagnosed by blood analysis.
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.
At HerKare, the providers test for progesterone deficiency on your initial visit by taking a sample of your blood and running a serum progesterone test.
The medical providers at HerKare will review your lab results and determine whether a progesterone deficiency exists. After an assessment and discussion with you, our healthcare providers will customize a treatment regimen specific to your needs. HerKare’s most common method of delivering the therapy is an oral, plant-derived progesterone. As always, your provider will prescribe the treatment modality that is most appropriate for your needs.
At HerKare, your medical provider will draw and analyze your blood in our in-house lab while you wait. Once the level of serum testosterone in your blood is determined, your provider will discuss whether treatment with testosterone could be beneficial for you. The goal of testosterone therapy in women is to normalize the level of the hormone to improve symptoms that are caused by less than optimal levels.
If the physicians and medical providers at HerKare determine that your serum testosterone level is below the normal range, they may discuss treating your deficiency with testosterone. The preferred method of delivering testosterone at HerKare is by injection. The HerKare medical Providers prefer this treatment method because it allows for the most precise and controlled dosage, and allows the provider to modify treatment on a week to week basis to optimize results, and manage any side effects if any arise during treatment. The use of testosterone in women is considered "off-label". 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.
Vitamin B12 deficiency is determined by evaluating a sample of your blood.
Once your assessment is complete and your lab results have been evaluated, the medical providers at HerKare will discuss your options and customize a treatment regimen to treat your specific needs. At HerKare, the preferred treatment options for vitamin B12 deficiency are vitamin B12 shots/injections and oral administration.
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.
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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.*