Bio-Identical Hormone Replacement Therapy – Common Medical Protocols for Women/Female Patients.

Female patients often ask what some of the more common female patient Hormone Replacement Therapy protocols are. While it’s important to emphasize that every patient can vary, the hormone protocols shown below can provide a broader context for how our HRT Doctors provide treatment.

What Are BioIdentical Hormones?

All of our female protocols use BioIdentical Hormones.
None of our female protocols use Synthetic Hormones.

BioIdentical hormones are identical in molecular structure to the hormones women make in their bodies. They’re not found in this form in nature but are made, or synthesized, from a plant chemical extracted from yams and soy. The most significant consideration is that your body can’t distinguish bioidentical hormones from the ones your ovaries produce.

Unlike bioIdentical hormones, synthetic hormones do not have the exact chemical and molecular structure as the hormones made in your body. As a result, this difference causes the body to react to synthetic hormones.

Female Balance 

This treatment plan is for women at any stage of life that need improved hormonal peaks and peak timing to balance the roles of Estrogen and Progesterone in your body on a monthly basis.  Dosing is biorhythmic, our patient care team will work with you to create a customized calendar so you’ll know exactly how much cream to apply, and which type, each day of the month.

  • Estradiol Cream 10mg/mL
  • Progesterone Cream 200 mg/mL Topi-Click 30mL

A metered dispenser of bio-identical Estradiol cream is used to treat twice daily on the upper torso. Daily dosing is variable and designed to reinforce the appropriate timing of the estrogen peak in a healthy female menstrual cycle. Care should be taken for at least two hours after treatment to avoid contact of the treated areas with men or male children to reduce the risk of progesterone transference.

A metered dispenser of bio-identical Progesterone cream is used to treat twice daily on the thighs or buttocks starting on the 15th day of the menstrual cycle and continuing until your period begins. Daily dosing is variable and designed to reinforce the appropriate timing of the progesterone peak in a healthy female menstrual cycle. Care should be taken for at least two hours after treatment to avoid contact of the treated areas with men or male children to reduce the risk of progesterone transference.

Female Balance Plus                                                                                                                                                                        

This treatment plan is the same as Female Balance, but with the addition of a low dose of Testosterone is added to the Estrogen cream for women that test low for testosterone.  Low testosterone levels in women pose the same health hazards as they do for men.  The testosterone in this plan helps support your bone, tissue, and sexual health.

  • Estradiol/Testosterone Cream 10mg/1mg/mL
  • Progesterone Cream 200mg/mL Topi-Click 30mL

A metered dispenser of bio-identical Estradiol/Testosterone cream is used to treat twice daily on the upper torso. Daily dosing is variable and designed to reinforce the appropriate timing of the estrogen peak in a healthy female menstrual cycle. Care should be taken for at least two hours after treatment to avoid contact of the treated areas with men or male children to reduce the risk of progesterone transference.

A metered dispenser of bio-identical Progesterone cream is used to treat twice daily on the thighs or buttocks starting on the 15th day of the menstrual cycle and continuing until your period begins. Daily dosing is variable and designed to reinforce the appropriate timing of the progesterone peak in a healthy female menstrual cycle. Care should be taken for at least two hours after treatment to avoid contact of the treated areas with men or male children to reduce the risk of progesterone transference.

Female Dominance Plus 

This treatment plan is intended for women that present symptoms and lab results that indicate an imbalance between the Estrogen and Progesterone in their bodies.  This is known as Estrogen Dominance.  For pre-menopausal women this can be particularly problematic, causing sever PMS symptoms, incomplete menstruation, and inconsistent period timing and duration.  In this formula 80% of the Estradiol is replaced with Estriol, a less potent estrogenic hormone that is more easily metabolized by your body, helping to get your Estrogen and Progesterone levels more closely aligned.  Testosterone is also included at low dosage to support bone, tissue, and sexual health.

  • Estriol/Estradiol/Testosterone Cream 8mg/2mg/1mg/mL
  • Progesterone Cream 200mg/mL Topi-Click 30mL

A metered dispenser of bio-identical Estriol/Estradiol/Testosterone cream is used to treat twice daily on the upper torso. Daily dosing is variable and designed to reinforce the appropriate timing of the estrogen peak in a healthy female menstrual cycle. Care should be taken for at least two hours after treatment to avoid contact of the treated areas with men or male children to reduce the risk of progesterone transference.

A metered dispenser of bio-identical Progesterone cream is used to treat twice daily on the thighs or buttocks starting on the 15th day of the menstrual cycle and continuing until your period begins. Daily dosing is variable and designed to reinforce the appropriate timing of the progesterone peak in a healthy female menstrual cycle. Care should be taken for at least two hours after treatment to avoid contact of the treated areas with men or male children to reduce the risk of progesterone transference.

Bio-Identical Hormone Replacement Therapy For Non-Cyclic, Post-Menopausal Women

Non-cyclic post-menopausal women have much to gain from our HRT program below.  It is not a coincidence that a healthy female cycle is 28 days.  It’s lunar.  So that’s what we do for post-menopausal women, is that we restore the lunar biorhythm.  Day 1 is on the new moon, day 14 the full moon, day 28 is the end of the lunar cycle.  This benefits bone, tissue, brain, and sexual health for our female patients.  The protocol would either be Female Balance or Balance Plus (which adds testosterone) depending on symptoms and labs.  E2 is ramped up and down for the full 28 days, Progesterone is used only during the last 15 days, with both dropping to minimal dosing by day 28.  See below for a typical hormone replacement therapy treatment calendar.  The calendar is typical of what we give to patients and reference clicks of each hormone for ease of use.  Note that one click is .25 mL of cream.

 E2/ T 10/1 mg/mLPro Cream 200 mg/mL
Cycle DayAMPMAMPM
1.5 mL.5 mL  
2.5 mL.5 mL  
3.5 mL.5 mL  
4.5 mL.5 mL  
5.5 mL.5 mL  
6.5 mL.5 mL  
7.5 mL.5 mL  
8.5 mL.5 mL  
9.75 mL.75 mL  
10.75 mL.75 mL  
11.75 mL.75 mL  
12.75 mL.75 mL  
13.25 mL.25 mL.75 mL.75 mL
14.25 mL.25 mL.75 mL.75 mL
15.25 mL.25 mL.75 mL.75 mL
16.25 mL.25 mL.75 mL.75 mL
17.25 mL.25 mL1.25 mL1.25 mL
18.25 mL.25 mL1.25 mL1.25 mL
19.25 mL.25 mL1.25 mL1.25 mL
20.25 mL.25 mL1.25 mL1.25 mL
21.5 mL.5 mL.75 mL.75 mL
22.5 mL.5 mL.75 mL.75 mL
23.5 mL.5 mL.75 mL.75 mL
24.5 mL.5 mL.75 mL.75 mL
25.5 mL.5 mL.5 mL.5 mL
26.5 mL.5 mL.5 mL.5 mL
27.5 mL.5 mL.5 mL.5 mL
28.5 mL.5 mL.5 mL.5 mL

HRT Doctors Male Patient Treatment Program Examples for HRT-TRT.

Male patients considering Hormone Replacement Therapy (Testosterone Replacement Therapy/TRT) often ask us what some of the more common protocols are. The examples below are common, but your specific protocol can vary based on your hormone blood test results and symptoms.

Our Testosterone Therapy Plans eliminate existing hormone deficiencies and stimulate testicular production of testosterone.

MaxMale Protocol Medications:

• Testosterone Cypionate/Propionate 160/40mg/mL in Grapeseed Oil

• hCG Lyophilized 6,000iu Kit

• Anastrozole 0.25mg Capsule

Our injectable protocol is a proprietary Testosterone Cypionate / Propionate blend to produce even hormone levels throughout the treatment cycle. Injections are twice weekly, subcutaneously in the upper buttock area.We use hCG to maintain healthy natural production of testosterone by the male body. Testosterone therapy without hCG can cause natural production to drop, resulting in testicular atrophy and depleted LH levels, resulting in elevated Estradiol levels. hCG is injected twice weekly, subcutaneously in the abdomen. Anastrozole is used as an aromatase inhibitor to counteract the male body’s tendency to create more estrogenic hormones when testosterone supplements are introduced. Estrogen and Estradiol can bind to testosterone molecules,rendering them unavailable to receptors in organs, muscles, bones, brain, and tissue. Anastrozole is a small twice-weekly pill that inhibits the production of estrogenic metabolites.

MaxMale Topical Protocol Medications:

• Testosterone Cream 200mg/mL 30gm

• hCG Lyophilized 6,000iu Kit

• Anastrozole 0.25mg Capsule

A topical Testosterone treatment option that includes a metered dispenser of bio-identical testosterone cream used to treat twice daily on the upper back or thighs. Care should be taken for at least two hours after treatment to avoid contact of the treated areas with women or children to reduce the risk of testosterone transference.We use hCG to maintain healthy natural production of testosterone by the male body. Testosterone therapy without hCG can cause natural production to drop, resulting in testicular atrophy and depleted LH levels, resulting in elevated Estradiol levels. hCG is injected twice weekly, subcutaneously in the abdomen. Anastrozole is used as an aromatase inhibitor to counteract the male body’s tendency to create more estrogenic hormones when testosterone supplements are introduced. Estrogen and Estradiol can bind to testosterone molecules,rendering them unavailable to receptors in organs, muscles, bones, brain, and tissue. Anastrozole is a small twice weekly pill that inhibits the production of estrogenic metabolites.

Most Common Menopausal Hormone Imbalance Symptoms

Every day when our HRT Doctors speak with our female patients, our patients state their respective symptoms and then ask “Is this normal?”.

The list of symptoms below reflects the most common symptoms that our perimenopausal, menopausal, and post-menopausal patients bring up. Keep in mind that this isn’t a list of all symptoms, but rather the most common. Additionally, the experience of these symptoms can vary patient by patient. Some find them minor and slightly irritating while others find them debilitating. Using Natural BioIdentical Hormone Replacement Therapy, our Doctors work to provide relief to the symptoms listed below.

Most Common Perimenopausal, Menopausal, and Post-Menopausal Symptoms:

Hot flashes
Cold flashes
Night sweats
Clammy feeling
Heart palpitations
Irritability
Mood swings
Trouble sleeping
Irregular periods
Low sex drive
Dry vagina
Fatigue
Anxiety
Depression
Lack of focus
Poor concentration
Poor memory
Incontinence
Itchy, crawly skin
Achy joints and muscles
Tense muscles
Sore breasts
Headaches
Digestive issues
Bloating
Allergies worsen
Weight gain
Hair loss & thinning
Increased facial hair
Dizziness-Vertigo
Changed body odor
Tingling extremities

Male TRT Patient – Clinical Overview

MALE PATIENT
Acceptance Criteria:
HRT Wellness only accepts male patients over the age of 30, with a total testosterone (ng/dL) tested below reference levels.
Patients must also exhibit symptoms, complaints, or conditions consistent with a testosterone deficiency, and deemed by an HRT Doctors Group physician to not have any contraindicating or disqualifying conditions.

Treatment Goals:
Increase Total and Free Testosterone levels through supplementation and improved organic production without significantly increasing Estrogen or PSA levels. Reduce or eliminate the symptoms and health risks associated with low testosterone in an otherwise healthy male patient.

Common Symptoms:
• Weight Gain
• Muscle Loss
• Poor Sleep
• Anemia
• Trouble Concentrating
• Fatigue
• Erectile Disfunction
• Irritability

Male Treatment Protocols:

Max Male
The HRT Max Male protocol is designed to supplement the testosterone patients already have, encourage their body to produce more testosterone organically, and reduce the production of estrogenic hormones that impair the effectiveness of testosterone receptors in organs and tissues. Max Male is administered using two injectable medications, and one oral. The Rx package will include everything needed for home treatment, including syringes, needles, and alcohol prep pads.
• Testosterone Cypionate/Propionate 160/40mg/mL in Grapeseed Oil
• hCG Lyophilized 6,000iu Kit
• Anastrozole 0.25mg Capsule

Our injectable protocol is a proprietary Testosterone Cypionate / Propionate blend to produce even hormone levels throughout the treatment cycle. Injections are twice weekly, subcutaneously in the upper buttock area. We use hCG to maintain healthy natural production of testosterone by the male body. Testosterone therapy without hCG can cause natural production to drop, resulting in testicular atrophy and depleted LH levels, resulting in elevated Estradiol levels. hCG is injected twice weekly, subcutaneously in the abdomen. Anastrozole is used as an aromatase inhibitor to counteract the male body’s tendency to create more estrogenic hormones when testosterone supplements are introduced. In particular Estradiol can bind to testosterone molecules, rendering them unavailable to receptors in organs, muscles, bones, brain, and tissue. Anastrozole is a small twice-weekly pill that inhibits the production of estrogenic metabolites.

Max Male Topical
The topical version of Max Male delivers roughly the same testosterone supplementation as the injectable version, replacing testosterone injections with topical cream. Everything needed for home treatment is delivered discreetly to the patient’s home by our partner pharmacy.
• Testosterone Cream 200mg/mL 30gm
• hCG Lyophilized 6,000iu Kit
• Anastrozole 0.25mg Capsule

A topical Testosterone treatment option that includes a metered dispenser of bio-identical testosterone cream used to treat twice daily on the upper back or thighs. Care should be taken for at least two hours after treatment to avoid contact of the treated areas with women or children to reduce the risk of testosterone transference. We use hCG to maintain healthy natural production of testosterone by the male body. Testosterone therapy without hCG can cause natural production to drop, resulting in testicular atrophy and depleted LH levels, resulting in elevated Estradiol levels. hCG is injected twice weekly, subcutaneously in the abdomen. Anastrozole is used as an aromatase inhibitor to counteract the male body’s tendency to create more estrogenic hormones when testosterone supplements are introduced. Estrogen and Estradiol can bind to testosterone molecules, rendering them unavailable to receptors in organs, muscles, bones, brain, and tissue. Anastrozole is a small twice-weekly pill that inhibits the production of estrogenic metabolites.

Female HRT Patient – Clinical Overview

FEMALE PATIENT
Acceptance Criteria:
HRT Doctors Group only accepts female patients over the age of 30 that exhibit symptoms of hormone imbalance. Female conditions and symptoms vary widely and must be considered in conjunction with the results of a full array of female wellness lab results. Lab testing is most informative if the blood collection date is on day 21 of a menstrual cycle, but we can accept collection dates between day 5 and 23. All renewal labs and re-tests will be done on day 21. Patients using a hormone-based birth control must cease that treatment at least 2 weeks before lab testing. Hormone-based birth control medication cannot be used in conjunction with our treatment programs. Any pre-menopausal patient in our care may use non-hormonal birth control methods to avoid unwanted pregnancy.

Treatment Goals:
Our treatment goal for women is to restore normal hormone levels and correctly time peaks of Estrogen and Progesterone. Positioning these peaks correctly within a 28-day cycle will have the secondary effect of restoring normal peaks and levels of Follicle Stimulating Hormone (FSH) and Luteinizing Hormone (LH).

Common Symptoms:
• Weight Gain
• Muscle Loss
• Poor Sleep
• Anemia
• Low Libido
• Mood Swings and Anxiety
• Night Sweats
• Vaginal Dryness and Atrophy

Hormone Peaks and Timing Goals:
Our Patient Care Team will provide each female patient with a treatment calendar customized to their current hormone profile and designed to achieve a day-14 Estrogen and Testosterone peak, a day-21 Progesterone peak, an Estrogen luteal sub-peak on day-21, and gradual ramp ups and downs to each of these peaks. Desired outcomes include the elimination or reduction of symptoms related to female hormone deficiencies or imbalances, and improved tissue and cognizant health.

Female Treatment Protocols:

Female Balance
This treatment plan is for women at any stage of life that need improved hormonal peaks and peak timing to balance the roles of Estrogen and Progesterone in their body on a monthly basis. Dosing is biorhythmic, and our patient care team will work with the patient to create a customized calendar so they know exactly how much cream to apply, and which type, each day of the month.
• Estradiol Cream 10mg/mL
• Progesterone Cream 200 mg/mL Topi-Click 30mL

A metered dispenser of bio-identical Estradiol cream is used to treat twice daily on the upper torso. Daily dosing is variable and designed to reinforce the appropriate timing of the estrogen peak in a healthy female menstrual cycle. Care should be taken for at least two hours after treatment to avoid contact of the treated areas with men or male children to reduce the risk of progesterone transference. A metered dispenser of bio-identical Progesterone cream is used to treat twice daily on the thighs or buttocks starting on the 15th day of the menstrual cycle and continuing until your period begins. Daily dosing is variable and designed to reinforce the appropriate timing of the progesterone peak in a healthy female menstrual cycle. Care should be taken for at least two hours after treatment to avoid contact of the treated areas with men or male children to reduce the risk of hormone transference.

Female Balance Plus
This treatment plan is the same as Female Balance, but with the addition of a low dose of Testosterone added to the Estrogen cream for women that test low for testosterone. Low testosterone levels in women pose the same health hazards as they do for men. The testosterone in this plan helps support bone, tissue, and sexual health.
• Estradiol/Testosterone Cream 10mg/1mg/mL
• Progesterone Cream 200mg/mL Topi-Click 30mL

A metered dispenser of bio-identical Estradiol/Testosterone cream is used to treat twice daily on the upper torso. Daily dosing is variable and designed to reinforce the appropriate timing of the estrogen peak in a healthy female menstrual cycle. Care should be taken for at least two hours after treatment to avoid contact of the treated areas with men or male children to reduce the risk of hormone transference. A metered dispenser of bio-identical Progesterone cream is used to treat twice daily on the thighs or buttocks starting on the 15th day of the menstrual cycle and continuing until your period begins. Daily dosing is variable and designed to reinforce the appropriate timing of the progesterone peak in a healthy female menstrual cycle. Care should be taken for at least two hours after treatment to avoid contact of the treated areas with men or male children to reduce the risk of hormone transference.

Female Dominance Plus
This treatment plan is intended for women that present symptoms and lab results that indicate an imbalance between the Estrogen and Progesterone in their bodies. This is known as Estrogen Dominance. For pre-menopausal women this can be particularly problematic, causing sever PMS symptoms, incomplete menstruation, and inconsistent period timing and duration. In this formula 80% of the Estradiol is replaced with Estriol, a less potent estrogenic hormone that is more easily metabolized by the body, helping to get Estrogen and Progesterone levels more closely aligned. Testosterone is also included at low dosage to support bone, tissue, and sexual health.
• Estriol/Estradiol/Testosterone Cream 8mg/2mg/1mg/mL
• Progesterone Cream 200mg/mL Topi-Click 30mL

A metered dispenser of bio-identical Estriol/Estradiol/Testosterone cream is used to treat twice daily on the upper torso. Daily dosing is variable and designed to reinforce the appropriate timing of the estrogen peak in a healthy female menstrual cycle. Care should be taken for at least two hours after treatment to avoid contact of the treated areas with men or male children to reduce the risk of hormone transference.
A metered dispenser of bio-identical Progesterone cream is used to treat twice daily on the thighs or buttocks starting on the 15th day of the menstrual cycle and continuing until your period begins. Daily dosing is variable and designed to reinforce the appropriate timing of the progesterone peak in a healthy female menstrual cycle. Care should be taken for at least two hours after treatment to avoid contact of the treated areas with men or male children to reduce the risk of hormone transference.


Klinefelter Syndrome Treatment

Klinefelter’s syndrome is a genetic disorder when a male is born with one or more extra X chromosomes. HRT Doctors Group has extensive experience with Klinefelter Syndrome Treatment using Testosterone Replacement Therapy. We recognize that many patients have health insurance policies that no longer reimburse their hormone replacement therapy or the cost of medication has simply become prohibitive.

HRT Doctors Group has created a specific lower-cost Klinefelter Syndrome Treatment Protocol:

  • Initial Hormone Blood Test + Doctor Consultation: $79.95 (Note: This is a one-time fee)
  • Monthly Medical Rx Protocol: $155.95

*Details: Includes unlimited access to your HRT Doctor ($0 co-pays), Free Hormone Blood Test every 6 months, Complimentary access to our family tele-medicine General Practice Doctors 24×7, 365 days a year. No contract required so you can start or stop the program at any time. Note that this program is only available to Klinefelter patients.

Patients opting to enroll must use this link: KLINEFELTER SYNDROME TREATMENT

HRT Doctors Group Launches a Nationwide Telemedicine Clinical Practice Specializing in Hormone Replacement Therapy (HRT)

HRT Doctors Group is proud to launch it’s telemedicine clinical practice and to assist men and women with their hormone imbalance-related issues. Our technology combined with our U.S. Board Certified HRT Physicians enables patients to have world-class HRT & TRT therapy services at an exceptional value. Our Board Certified HRT doctors are part of a telemedicine practice which provides convenient and more affordable access to quality care. HRT Doctors Group operates in 45 states nationwide. We specialize in medically supervised Hormone Replacement Therapy (HRT) for both male and female patients over the age of 30 who show symptoms of hormone deficiencies. Some of these hormones include Testosterone, Progesterone and Estrogen.

For More Information: https://www.prweb.com/releases/hrt_doctors_group_launches_a_nationwide_telemedicine_clinical_practice_specializing_in_hormone_replacement_therapy_hrt/prweb16130043.htm