Proudly serving patients in Tampa Bay including Pasco, Pinellas, Hillsborough, Polk,
Citrus and Hernando Counties
Hormones for Men & Women
•DHEA – An adrenal cortex steroid hormone that raises levels of sex hormones and has been linked to increased lean
body mass, improved immune and cognitive functions and skin tone.
•Estrogens – The primary female hormones consisting of Estradiol / Estrone/ Estriol
•Melatonin – Helps regulate a good sleep/wake cycle and is recognized as a powerful free radical scavenger.
•Pregnenolone – a steroid hormone produced by the adrenal glands and synthesized directly from cholesterol. It is a
precursor hormone, from which all other steroid hormones are made.
•Progesterone – An ovarian hormone that helps maintain menstrual cycles, PMS and mediates other hormones.
•Testosterone – The primary male hormone.
•Thyroid - the thyroid gland secretes two hormones, T3 and T4 which helps to regulate metabolism. The thyroid-
stimulating hormone (TSH) is produced by the pituitary gland which prompts the thyroid to produce T3 and T4.
Like all medical therapies, Hormone Replacement Therapy (HRT) may not be appropriate for all patients. Both the benefits
and potential risks of the therapy should be discussed with our physician before beginning treatment.
Tests for Hormone Levels
Given the current literature and sensitivity to the issues relating to HRT, the practice of routinely prescribing hormones
without the appropriate testing for levels is highly questionable. Testing will include levels of free (bioavailable) hormones
that are more significant indicators of true deficiency or imbalances. Testing choices include serum (blood) or saliva tests.
Prescribe the Right Dosage
We use hormone baseline test results to prescribe hormone replacement therapy to bring your hormones to their
optimum targeted levels. Then, we monitor hormone levels with periodic follow-up visits and re-testing to assess the
effectiveness of the therapy and adjust as necessary.
Estrogen Replacement Therapy (ERT)
Estrogen Replacement Therapy (ERT) restores declining hormone levels associated with menopause (women with a
personal history or a family history of breast cancer may not be candidates for estrogen replacement). The principal
estrogens in a woman are estrone (E1), estradiol (E2), and estriol (E3). Estradiol is the most potent of these estrogens and
is produced by the ovary. Estrone and estriol are both metabolites of estradiol and are less potent, with estriol being the
weakest. The most common form of ERT is a compounded formulation of Bi-Est (80% estriol / 20% estradiol) and Tri-Est
(80% estriol/10% estradiol/10% estrone). The percentages of estrogen in each compound can be adjusted based upon
test results to achieve an optimal patient outcome.
Progesterone Replacement Therapy
Progesterone (P4) is a hormone produced in women by the adrenal glands, the ovaries and in the placenta during
pregnancy. In men, smaller amounts of progesterone are produced in the testes and adrenal glands. Progesterone
interacts with and mediates estrogen. Progesterone is known as a precursor hormone for estrogen, luteinizing hormone,
and testosterone, among others. To a certain extent, progesterone controls the production of these other hormones and
can help balance any deficiencies or excesses of them in your body. In addition to helping relieve the symptoms of
menopause and PMS, progesterone is known to enhance energy and sexual libido, and to heighten feelings of well-being.
Progesterone can be administered orally (powder or micronized in oil base as capsules, oral drops, or sublingual tablets),
vaginally or rectally (with suppositories), through injections or topically with transdermal creams or gels.
Testosterone Replacement Therapy (TRT)
Testosterone, although a primary male hormone, also plays a role in women’s health. A decline in testosterone levels in
men may be indicated by symptoms including loss of libido, erectile dysfunction, deterioration in ability to concentrate,
poor muscle tone and strength, lack of endurance and mood swings. A decline in testosterone levels in women may
accompany a decreased libido, irritability, weight gain, loss of lean muscle and osteoporosis. Testosterone contributes to
higher energy levels and overall sense of well-being, increases lean body mass, and helps in building strong bones.
For people not producing high enough levels of testosterone, Testosterone Replacement Therapy (TRT) may be
appropriate. This therapy should be considered when hormone deficiency has been clinically proven through laboratory
testing of blood serum or saliva.
Testosterone can be administered orally, topically (through creams or gels), or via pellet implant (which is a pellet placed
underneath the skin) or injectable. The oral route is not considered to be a primary method of delivery. Topical application
of testosterone is usually the preferred method for TRT. Our compounding pharmacy offers testosterone creams, gels,
and injectables in a variety of strengths. There are different advantages associated with different dosage forms, our
physician will discuss with you the appropriate dosage.
15619 Premiere Drive, Suite 204, Tampa, Florida 33624