How Does BHRT Differ for Men and Women?

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Dr. James D. Fontaine

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5/23/2025

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It's common for people to experience an imbalance of hormones as they age, leading to a wide range of symptoms. Bioidentical hormone replacement therapy (BHRT) may help restore balance so you can feel better. But what is BHRT, and how does it differ for men and women? 

For women, BHRT focuses on addressing declining estrogen and progesterone levels, especially during perimenopause and menopause. For men, BHRT focuses on optimizing testosterone levels, which naturally decline during andropause. 

Are you dealing with hot flashes at night, poor quality sleep, or a decrease in sex drive? If so, it's time to work with a trusted professional like Dr. James D. Fontaine to develop a BHRT plan in San Diego, CA. Call Fontaine MD Aesthetics and Anti-Aging Medicine to book an appointment. 

What is BHRT? 

First, what is BHRT? Bioidentical hormone replacement therapy involves hormones that are identical in structure to the ones made by your body. They are derived from plant sources and are often referred to as natural or plant-based hormones. Medical professionals prescribe BHRT when a patient experiences a drop in certain hormones due to age or other factors. 

BHRT can be administered in a few different ways, including:  

  • Creams 
  • Patches 
  • Pellets 
  • Pills 
  • Injections 

How BHRT differs for men and women 

While both men and women can benefit from BHRT, the specific hormones used and dosages may differ based on gender:  

  • In women, BHRT focuses on estrogen and progesterone. These hormones regulate the menstrual cycle and alleviate perimenopause or menopause symptoms, such as hot flashes at night and a decrease in sex drive. BHRT may also help with bone health and prevent osteoporosis. 
  • In men, BHRT focuses on testosterone, which is responsible for maintaining sexual function and muscle mass. BHRT may alleviate symptoms of low testosterone, such as low libido, and can also improve overall physical performance. 

The benefits of BHRT 

BHRT offers many benefits for both men and women in San Diego, CA, including:  

  • Natural treatment: BHRT uses hormones that are identical to the ones made in your body, making it a natural approach. 
  • Personalized treatment: BHRT is tailored to your specific needs and hormone levels, ensuring that you receive the right dosage for your body. 
  • Reduced risk of chronic diseases: Hormone imbalances increase your risk of heart disease and osteoporosis. BHRT can help balance hormones and reduce this risk. 
  • Relief from symptoms: BHRT can alleviate uncomfortable symptoms like poor quality sleep that interfere with your overall quality of life. 

Is hormone replacement therapy safe? 

We want to invest in treatments that are safe and effective. But is hormone replacement therapy safe? When performed under the supervision of a qualified healthcare provider, BHRT is generally considered safe. However, like any medical treatment, there are risks and side effects that should be discussed with Dr. Fontaine. Side effects are usually temporary and should subside within a short period. 

Achieve optimal health with BHRT 

So, is hormone replacement therapy safe, and how does it work? If you have questions or concerns about BHRT, contact Fontaine MD Aesthetics and Anti-Aging Medicine to speak with a specialist. Dr. James D. Fontaine has helped countless patients achieve optimal health through personalized solutions in San Diego, CA. 

Hot flashes at night, poor quality sleep, or a decrease in sex drive should not interfere with your life. Our patients can get back to living their best life with the help of hormone replacement therapy.

When I came to Dr. Fontaine several years ago, I was going into early menopause and experiencing so many symptoms. Hot flashes, fatigue, pain, brain fog, and depression that were being dismissed by my regular doctors. Dr. Fontaine was truly a godsend. He listened, took my concerns seriously, and helped me create a plan that worked for my body. Over time, we adjusted my medication, and I now feel 100% better. I’m so grateful for his care and support!

A.H. Google

Louise initially treated me with Botox at an MD clinic I had been using for years. I was so pleased with my results, when she moved to Fontaine MD I followed her even though it was much farther away. Recently, I decided to also get fillers and expressed to her my desire for a very natural and youthful look, and she nailed it! She is a licensed RN with an Art degree therefore she really understands the anatomy and symmetry of the face. She is welcoming, professional, never rushes and very skilled at injecting both Botox and fillers, I highly recommend Louise!I also highly recommend Fontaine MD, great Doctor, and staff in a lovely, serene setting. They were instrumental in aiding me in a 20+ lb weight loss (so easy) and I could not be more grateful. I feel and look so much better and have maintained my new weight. That is not easy for many 60-year-old females.

L.L. Google

Louise is absolutely wonderful to work with! I have seen her for both an IPL facial and Botox (my very first time!). She took the time to answer my questions, address my concerns, and put my mind at ease. I could sense that I was in the hands of someone who was going to take care of me. Louise cares about her clients and their desired outcomes. I have done IPL facials in the past with other providers and the procedures felt very harsh on my skin. With Louise, my skin was not red, bumpy, or painful after and my sunspots were treated effectively! I also trusted Louise with my first Botox experience. Louise made me feel both comfortable and excited about the natural but effective results I was hoping to have! I am thankful I found Louise and will be a returning client!

N.B. Yelp

Louise listened to my skin concerns, made recommendations and completed Botox and filler procedures that that made an amazing difference!

C.T. Google

Before seeing Dr. Fontaine, I had no idea I could feel better. I just assumed that as I got older, low energy, hormonal struggles, and general decline were just part of life—something I had to accept. Looking back, I realize how much I had normalized feeling exhausted, unmotivated, and off-balance. My energy had dipped, my sleep was inconsistent, and no matter what I did, things like weight gain and mood swings seemed unavoidable. I wasn’t in crisis—I just wasn’t thriving. Dr. Fontaine completely changed that. From the first appointment, he took the time to listen, evaluate my symptoms, and explain what was really happening in my body. Seeing my lab results was an eye-opener—I finally had real data that explained why I felt the way I did. Within a couple of months of starting treatment, I started feeling like myself again. My energy improved, my focus sharpened, and I finally started sleeping through the night. Over time, the changes were undeniable—I was stronger, my mood was steady, and I didn’t feel like I was constantly fighting against my own body. Dr. Fontaine has been with me every step of the way, adjusting my treatment as needed and making sure I feel my best. He’s thorough, knowledgeable, and truly invested in his patients' well-being. I never feel rushed in my appointments, and he always takes the time to answer my questions. I didn’t realize how much I was missing out on until I started feeling this good again. Now, I feel like I’ve regained the energy, confidence, and vitality I thought were long gone. I’m beyond grateful to Dr. Fontaine for helping me.

C.M. Google

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