Hormone Replacement Therapy And Skin Aging: Getting The Right Support
Perimenopause, menopause, and the decline of female hormones are normal parts of aging, but they can significantly impact the condition of your skin. Bioidentical hormone replacement therapy remains one of the most exciting advances in anti-aging medicine because it addresses the cause of your symptoms. As such, it may be prescribed to treat skin aging as well as a host of other age-related changes.
Today, hormone replacement therapy is used to counteract estrogen deficiency and may improve skins dryness, fine wrinkles, and diminished wound healing. Beyond the benefits for our skin, hormone therapy can offer relief from vasomotor and sexual symptoms.
Rather than giving in to the wrinkles that have started to greet you in the mirror, learn more about anti-aging advances that may improve the way you look and feel. Support your skin from the inside and outside with supportive lifestyle choices. Then, get the input of a specialist in treating age-related hormone changes and take advantage of the relationship between hormone replacement therapy and skin aging.
Disclaimer: These statements have not been evaluated by the Food and Drug Administration. All content on this website is for informational purposes only. The content is not intended to diagnose, treat, cure or prevent diseases.
How To Start Hormone Replacement Therapy
Recognizing you may have a problem is the first step to starting HRT. If you are experiencing unusual symptoms, have a family history of endocrine disorders, or are just curious, you can work with your doctor to get the necessary testing done.
Blood, urine, and saliva tests can be used to measure hormone levels in the body and determine if hormone replacement therapy is indicated.
If it is revealed that your hormone levels are low, HRT could help and you can get on the path to creating a treatment plan that is just for you.
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How Long Can You Take Bioidentical Hormones
If you are an adult who is approaching middle-age, you probably have noticed some changes in your mind and body. These changes are due to declining hormones and are normal. However, many of our patients at Body Bar MD are interested in learning how to reverse these changes. Bioidentical hormone replacement therapy with BioTE® is a treatment that Dr. Christy Watson offers her adult patients over 40 who need to have their hormone levels balanced.
Men and women have different symptoms for declining hormone levels. Men often experience weight gain, fatigue, low libido or erectile dysfunction, and hair loss. Women likely experience fatigue, weight gain, a low libido, mood swings, and vaginal dryness. Dr. Christy helps her patients figure out if they need hormone replacement, including bioidentical hormone pellets. Dietary changes, supplements, and BHRT all help bring your hormone imbalance back into balance. At Body Bar MD, we use BHRT at our Terre Haute and Carmel, IN offices, as it is a natural, physiological way to rebalance hormones.
Hormone Healing Tip : Boost Hair Growth Hormones
In addition to reducing our DHT levels, you also want to boost your hair growth hormones. So for females, we want more estrogen and progesterone in order to grow hair. We also want to have healthy levels of T3, our active thyroid hormone. So getting your hormones in balance is incredibly important to growing healthy hair. One of the little known benefits of bio-identical hormone replacement therapy is the confidence that women gain as their hair and skin becomes much healthier and youthful, which is a result of their hormones being in balance. By increasing the growth hormones that are related to growing hair, and by getting more of those hormones to the hair follicle, this allows for a longer growth cycle and less dormant follicles, which means a healthier, fuller head of hair.
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Transgender Hormone Therapy In Las Vegas Nv
Transitioning to your preferred gender is certainly a thrilling, life-changing decision. For more on the effects of transgender hormone therapy, contact HEALOR Primary Care in Las Vegas, NV and schedule your visit today. Double board-certified physician Dr. Raj Singh and our team have advanced expertise in guiding trans men and trans women through the transition process and are excited to help you achieve your treatment goals.
Surgery For Trans Men
Common chest procedures for trans men include:
- removal of both breasts and associated chest reconstruction
- nipple repositioning
Breast implants for trans women are not routinely available on the NHS.
Gender surgery for trans men includes:
- construction of a penis
- construction of a scrotum and testicular implants
- a penile implant
Removal of the womb and the ovaries and fallopian tubes may also be considered.
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Is Medication The Right Solution For Me
Medications are a common treatment for hair loss in men and women, but they arent always the best solution.
They include minoxidil, the active ingredient in Rogaine. Research has confirmed that when applied directly to the scalp minoxidil can stimulate hair growth. People who took minoxidil, which was initially introduced as a medical treatment to help with high blood pressure, noticed that new hair growth was stimulated in areas that it had previously been lost.
While the new growth of fine hair in some people can be produced with minoxidil, it cant restore the full density of the lost hair. Its not a quick fix, either, for hair loss in women. Its important to understand that this is not a quick-fix for hair loss in women. The drug must be used for at least two consecutive months to notice a difference, and the effect is usually noticed around the four-month mark, but it could possibly take longer. A six to 12-month trial is recommended. To maintain those results, you will need to consistently use it, or your hair may begin to lose hair again.
Women suffering from hair loss can also take what are known as anti-androgens. Women suffering from hair loss can also take what are known as anti-androgens, and because women living with polycystic ovary syndrome tend to produce excess androgens, this is especially true.
Hormone Replacement Therapy And Skin Aging
Many parts of your body change as you grow older, some due to wear and tear, and others due to lifestyle choices. One of the first places you notice the effects of age may be on the face that greets us in the mirror. The condition of your skin is influenced by both internal and external factors. On the outside, your skin is affected by sun exposure, toxins, and environmental pollutants. Internally, your genes, diet, and age play a role.
Twenty-first-century science offers opportunities to forestall many of the effects of aging. This may motivate you to take corrective and preventive action to protect this valuable assetyour skin. One option that shows a great deal of promise is the benefit hormone replacement therapy can have on skin aging. Understanding the relationship between hormone replacement therapy and skin can open up significant opportunities to forestall wrinkles and other signs of skin aging in favor of a more youthful outlook.
What Is Intermittent Adt
Researchers have investigated whether a technique called intermittent androgen deprivation can delay the development of hormone resistance. With intermittent androgen deprivation, hormone therapy is given in cycles with breaks between drug administrations, rather than continuously. An additional potential benefit of this approach is that the temporary break from the side effects of hormone therapy may improve a mans quality of life.
Randomized clinical trials have shown similar overall survival with continuous ADT or intermittent ADT among men with metastatic or recurrent prostate cancer, with a reduction in some side effects for intermittent ADT .
What Are The Side Effects Of Puberty Blockers
While puberty blockers are generally considered safe, they have some side effects. Not everyone experiences the following, but some people do.
Possible long-term side effects of puberty blockers
- Lower bone density. To protect against this, we work to make sure every patient gets enough exercise, calcium and vitamin D, which can help keep bones healthy and strong. We also closely monitor patients bone density.
- Delayed growth plate closure, leading to slightly taller adult height.
- Less development of genital tissue, which may limit options for later in life.
- Other possible long-term side effects that are not yet known.
Possible short-term side effects of puberty blockers
- Headache, fatigue, insomnia and muscle aches.
- Changes in weight, mood or breast tissue.
- Spotting or irregular periods .
For children who want to delay or prevent unwanted physical changes, the mental health benefits of puberty blockers may outweigh these risks.
What Are The Side Effects Of Hormone Therapy For Prostate Cancer
Because androgens affect many other organs besides the prostate, ADT can have a wide range of side effects , including:
- loss of interest in sex
Studer UE, Whelan P, Albrecht W, et al. Immediate or deferred androgen deprivation for patients with prostate cancer not suitable for local treatment with curative intent: European Organisation for Research and Treatment of Cancer Trial 30891. Journal of Clinical Oncology 2006 24:18681876.
Zelefsky MJ, Eastham JA, Sartor AO. Castration-Resistant Prostate Cancer. In: Vincent T. DeVita J, Lawrence TS, Rosenberg SA, eds. DeVita, Hellman, and Rosenberg’s Cancer: Principles & Practice of Oncology, 9e. Philadelphia, PA: Lippincott Williams & Wilkins 2011.
Smith MR, Saad F, Chowdhury S, et al. Apalutamide and overall survival in prostate cancer. European Urology 2021 79:150158.
Freezing Your Sperm Before Hrt
If you identify as transfeminine, or if youre in the process of transitioning, you can freeze your sperm so you can use it in the future. You can freeze your sperm any time after youve gone through puberty .
The key here is that you need to freeze your sperm before you start taking hormones. Some patients will have no sperm in their ejaculated semen sample or in their testicular tissue sample just one month after they start taking hormones.
To freeze your sperm, you can either:
- make a sperm deposit at our andrology lab, or
- your doctor can collect sperm from the tissue in your testicle .
The Utah Center for Reproductive Medicine has an andrology lab that serves transfeminine individuals and has frozen thousands of sperm and testicular tissue samples. Once its frozen, the sperm or tissue can last forever on liquid nitrogen.
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Treatment For Children And Young People
If your child is under 18 and may have gender dysphoria, they’ll usually be referred to the Gender Identity Development Service at the Tavistock and Portman NHS Foundation Trust.
GIDS has 2 main clinics in London and Leeds.
Your child or teenager will be seen by a multidisciplinary team at GIDS including a:
- clinical psychologist
- group work for young people and their parents
- regular reviews to monitor gender identity development
- referral to a local Children and Young People’s Mental Health Service for more serious emotional issues
- a referral to a specialist hormone clinic for hormone blockers for children who meet strict criteria
Most treatments offered at this stage are psychological rather than medical. This is because in many cases gender variant behaviour or feelings disappear as children reach puberty.
Dealing With Side Effects
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When Can People Take It
The age at which people can access gender affirming hormone therapy varies globally.
For example, in Europe, many countries allow people aged 1418 to access it. However, in some countries, such as the Netherlands, people can access it from the age of 12 years with parental consent.
In some other European countries, access depends on the maturity of the person who would like to receive the therapy.
In the U.S., most people can access estrogen hormone therapy at the age of 18 years, when they are capable of consent. At 17 years old, a person may have access, but they will require a parent or guardian to accompany them to appointments. At the age of 16 years or younger, additional paperwork is necessary to access such therapy.
People using estrogen and anti-androgens as part of their hormone treatment may notice:
- drier and thinner skin with smaller pores
- changes in the odors of sweat and urine
- a reduction in sweat production
- the development of breast buds beneath the nipples that will develop into breasts as treatment progresses
- a more feminine facial appearance
- an increase in fat around the hips and thighs
- a loss of muscle mass in the arms and legs
- a reduction in strength
Research also indicates that cross-sex hormone treatment changes the structure of the brain to bring trans people closer to their identified gender.
These changes could potentially affect a persons verbal and spatial abilities and the way they interact with others.
At What Age Can You Start Taking Puberty Blockers
Because every child is different, there isnt a single best age to begin puberty blockers.
In general, starting puberty blockers in early puberty leads to better outcomes and prevents the lifelong difficulties that can result from living with undesired sex characteristics. While they can stop puberty from progressing, however, blockers cant reverse changes that have already happened.
Do Puberty Blockers Have Any Serious Side Effects
Puberty blockers are safe as far as can be determined from the experience of non-transgender children who take them or women undergoing fertility treatments who take them, says Mount Sinai Center for Transgender Medicine and Surgery executive director Dr Joshua Safer.
Like all medications, the blockers are still known to have some side effects, including weight gain, hot flashes, headaches and swelling at the site of injection. There also may be more long-term effects on bone density, which is part of the reason the drugs arent supposed to be prescribed for too long.
Safer explains: The primary concern is that bones might be at greater risk of osteoporosis because bones depend on sex hormones for maintenance. That need is part of the reason that women typically are at risk for osteoporosis earlier than men, as women go through menopause and suffer a loss of sex hormones while men dont typically have a similar significant hormone change. But the risk is hard to see when only taking puberty blockers for a year or two.
Its also worth noting that there is a relationship between puberty blockers and fertility. Sperm production typically begins between 13 to 14, and egg maturation between 12 to 13, and the vast majority of trans children will begin puberty blocker treatment after these processes have already occurred.
Puberty blockers allow trans teenagers to finally get back to living their lives.
Neoadjuvant And Adjuvant Hormone Therapy For Early
Hormone therapy is sometimes given in conjunction with a definitive prostate cancer treatment, such as radiation therapy, in order to improve health outcomes. When hormone therapy is given in advance of a primary treatment, its known as neoadjuvant therapy when its given during or after a primary treatment, its known as adjuvant therapy.
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Health Care And Discrimination
Until relatively recently, access to gender-affirming hormone therapy was largely managed through gatekeeping models that required gender-diverse people to undergo psychological assessment before they could access hormone treatment.
However, there has been a growing movement toward the use of an informed consent model to better reflect access to other types of medical care. This change has been reflected in the standards of care for transgender health produced by the World Professional Association of Transgender Health.
Gender-affirming hormone therapy is considered to be a medically necessary treatment for gender dysphoria. It should be covered by most insurers in the United States after legal changes that occurred as part of the passage of the Affordable Care Act.
However, state laws vary substantially in terms of transgender protections, and some states do allow policies to exclude various aspects of transgender health care, including gender-affirming hormone therapy.
Access to hormone therapy can be prohibitively expensive for many people if they need to pay out of pocket, which may lead some people to try to get these medications from friends or other unlicensed sources.
In addition, individuals who are involved with carceral systems such as immigrant detention may be denied access to hormones. This can have significant negative physical and psychological effects.