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Board Certified Gynecologist.

Natural Hormone Replacement Therapy with Bio-Identical Hormones

Bio-identical hormones have the exact molecular structure of thehormones a woman produces NATURALLY. Most physicians prescribesynthetic hormones that are not only foreign to the body, but are alsonot healthy. We specialize in balancing women's estrogen, progesterone,testosterone, DHEA, and thyroid levels for A HEALTHY LIFE AND A FEELINGOF WELL-BEING. Bio-identical hormones have not only been shown toeliminate 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 anddiscussing your symptoms. Blood levels are then obtained to see whatyour baseline hormone levels are. Then an individual and unique blendof hormones is prescribed and filled at a compounding pharmacy. Womenusually see positive results within two weeks. The follow up visitoccurs 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 forfree without a visit, following the initial two visits. Patients may call or email Dr. Bruice anytime at no additional expense.

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

Next Lectures

What choices do you have?

All women eventually reach menopause; there is nothing anyone can do toprevent it or delay it. The average age of menopause is 51 but symptomsof estrogen and progesterone deficiency usually occur much earlier thanthis. Women also suffer from loss of testosterone, DHEA, and thyroidhormones. When women start to lose their hormones they have only fourchoices.

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

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

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

Choice number 4 is to take bioidentical hormones, which truly ishormone replacement therapy. Bioidentical hormones have the exactmolecular structure of the hormones a woman produces naturally. Inother words these hormones are no different from what a woman makesfrom age 12-51. Bioidentical hormones are more effective at eliminatingsymptoms of menopause and are likely safer as well. In this day and ageit is shocking that women would rather take horse hormones instead ofthe hormones her body is familiar with.

How to take your hormones

Most women take hormones in a pill form. When hormones are absorbedby the stomach they are taken directly to the liver by the portalcirculation. This results in the “first pass liver” effect and it is anunnatural way to take hormones. When the ovaries make hormones theyimmediately put them into the blood supply via the ovarian vein. Ibelieve in mimicking the bodies natural physiology by puttingbioidentical hormones directly into the bloodstream. This can be doneusing sublingual troches or transdermal creams. I prefer transdermalcreams because the hormones are absorbed more slowly and, therefore,result in fewer peaks and valleys of hormone levels. It is best if youare taking your hormones as prescribed at the time of the blood draw.