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Board Certified Gynecologist.

Natural Hormone Replacement Therapy with Bio-Identical Hormones

Bio-identical hormones have the exact molecular structure of the hormones a woman produces NATURALLY. Most physicians prescribe synthetic hormones that are not only foreign to the body, but are also not healthy. We specialize in balancing women's estrogen, progesterone, testosterone, DHEA, and thyroid levels for A HEALTHY LIFE AND A FEELING OF WELL-BEING. Bio-identical hormones have not only been shown to eliminate hot flashes, but they can improve:

LIBIDO, SLEEP, ENERGY, MOOD, MEMORY, SKIN TONE, HEADACHES, JOINT PAIN

Dr. Bruice sees patients in Denver and Aspen. The initial visit is simple. It consists of meeting with Dr. Bruice and discussing your symptoms. Blood levels are then obtained to see what your baseline hormone levels are. Then an individual and unique blend of hormones is prescribed and filled at a compounding pharmacy. Women usually see positive results within two weeks. The follow up visit occurs 4-8 weeks later to make sure the hormones are properly balanced. Usually no more visits are necessary until the yearly follow up. Micro-adjustments in the hormone prescriptions can often be done for free without a visit, following the initial two visits. Patients are allowed to call or email Dr. Bruice, anytime, at no additional expense.

Go to our contact page to find out how and where to contact us.

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What choices do you have?

All women eventually reach menopause; there is nothing anyone can do to prevent it or delay it. The average age of menopause is 51 but symptoms of estrogen and progesterone deficiency usually occur much earlier than this. Women also suffer from loss of testosterone, DHEA, and thyroid hormones. When women start to lose their hormones they have only four choices.

Choice number 1 is to take no action and suffer from the symptoms of low hormones. The most common symptoms are hot flashes, night sweats, sleeping problems, mood changes, low libido, vaginal dryness, memory problems, and low energy.

Choice number 2 is to attempt to mask the symptoms with herbs or antidepressants. Herbs often are no better than a placebo and, if they do work, their effects are usually short lived. Antidepressants can prevent hot flashes and help with mood changes but they can have unfortunate side effects such as worsening libido.

Choice number 3 is to take synthetic hormones that are foreign to the body. The body is not accustomed to recognizing these unnatural hormones and thus they often have adverse effects in the body. Most women who take hormones take foreign hormones, the most common being Premarin and Provera. Premarin is derived from pregnant mares urine, hence the name. Povera is a synthetic progesterone and it is not nearly as safe as natural progesterone. Premarin and Provera were the two hormones used in the Women’s health Initiative (WHI). Synthetic hormones are often referred to as hormone replacement therapy (HRT); I believe it should instead be called hormone substitution therapy (HST)

Choice number 4 is to take bioidentical hormones, which truly is hormone replacement therapy. Bioidentical hormones have the exact molecular structure of the hormones a woman produces naturally. In other words these hormones are no different from what a woman makes from age 12-51. Bioidentical hormones are more effective at eliminating symptoms of menopause and are likely safer as well. In this day and age it is shocking that women would rather take horse hormones instead of the hormones her body is familiar with.

How to take your hormones

Most women take hormones in a pill form. When hormones are absorbed by the stomach they are taken directly to the liver by the portal circulation. This results in the “first pass liver” effect and it is an unnatural way to take hormones. When the ovaries make hormones they immediately put them into the blood supply via the ovarian vein. I believe in mimicking the bodies natural physiology by putting bioidentical hormones directly into the bloodstream. This can be done using sublingual troches or transdermal creams. I prefer transdermal creams because the hormones are absorbed more slowly and, therefore, result in fewer peaks and valleys of hormone levels. It is best if you are taking your hormones as prescribed at the time of the blood draw.