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Anchor Compounding Pharmacy

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Hormone Therapy for Women

Restoring Hormonal Balance

Customized hormone therapy is the restoration of deficient hormones with hormones that are chemically identical to those that the body naturally produces, but which have declined due to ageing or illness.

Customized hormone therapy has improved the quality of life for millions of women who suffer from hormonal imbalance. The ideal process for achieving hormonal balance includes an assessment of hormone levels and complete evaluation of signs and symptoms, followed by restoration of the deficient hormones in the most appropriate dose via the most effective route for each woman, and monitoring to fine tune the therapy.

Estrogen is prescribed to relieve menopausal symptoms and treat postmenopausal problems such as vaginal dryness and tissue breakdown, painful intercourse, and various urinary disorders. Estrogens have been shown to decrease the risks of osteoporosis.

Progesterone is commonly prescribed for perimenopausal women to counteract “estrogen dominance”, and may enhance the beneficial effect of estrogen on lipid and cholesterol profiles.

Synthetic medroxyprogesterone acetate does not confer all of the benefits of natural progesterone. That is why we recommend the use of natural estrogen and progesterone.

Androgens are a class of hormones that include DHEA and testosterone, which are normally produced in a young healthy woman, and are important for libido as well as integrity of skin, bone, and muscle. When women enter menopause, testosterone and DHEA levels may decline. Experts now recognize the importance of supplementing androgens for women who are deficient.

While women have benefited from therapy with estrogens, progesterone, and androgens that are “chemically identical” to the hormones produced naturally by the human body, researchers and health care professionals realize that this is just the “tip of the iceberg” when it comes to achieving hormonal balance. Thyroid and adrenal function, as well as nutritional status, should also be evaluated and treated when indicated.

Women Prefer Natural Hormones

Mayo Clinic researchers surveyed 176 women taking natural micronized progesterone who had previously taken a synthetic progestin (medroxyprogesterone acetate, or MPA) to see if progesterone improved the women’s overall quality of life, menopausal symptoms, and satisfaction with HRT. After one to six months, the women reported an overall 34% increase in satisfaction on micronized progesterone compared to their previous HRT, reporting these improvements: 50% in hot flashes, 42% in depression, and 47% in anxiety. Micronized progesterone was also more effective in controlling breakthrough bleeding. In other studies, women using micronized progesterone had specific improvements in the areas of cognition, sleep, and menstrual problems.

Natural hormones include estrone(E1), estradiol (E2), estriol (E3), progesterone, testosterone, dehydroepiandrosterone (DHEA) and pregnenolone. Our compounding pharmacist work with patient and practitioner to provide the needed HRT in appropriate strength and dosage forms to meet each patient’s specific needs.



Unlike women, when men experience hormone decline it is much more subtle and tends to happen at a much slower rate that is difficult to identify. Medical professionals sometimes incorrectly attribute hormone decline symptoms to other problems or diseases. Low testosterone levels lead to many different symptoms including:

  • Irritability
  • Reduced Libido
  • Osteoporosis
  • Low Sperm Counts
  • Reduced Cognitive Function
  • Weakness
  • Slow Wound Healing
  • Depression/Anxiety
  • Fatigue
  • Heart Disease
  • Reduced Muscle Mass
  • Disturbed Sleep Insomnia
  • Erectile Dysfunction
  • Prostate Problems
  • Memory Impairment
  • Atherosclerosis
  • Impaired Blood Cell Formation

Symptoms of testosterone deficiency affect approximately 1 in 200 men and may include:

  • Weakness
  • Fatigue
  • Reduced libido
  • Osteoporosis
  • Depressed mood
  • Loss of energy
  • Erectile dysfunction
  • Aches and pains

This condition is commonly referred to as “Andropause” and less often as “Androgen Deficiency in the Aging Male” (ADAM).

A man may be considered hypogonadal at any age if total testosterone is less than 200 ng/dl, or bioavailable testosterone is less than 60 ng/dl. Basaria and Dobs of Johns Hopkins University recommend that elderly men with symptoms of hypogonadism and a total testosterone level < 300 ng/dl should be started on hormone replacement.