What are the Signs You Need Bioidentical Hormone Replacement Therapy?

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Dr. James D. Fontaine

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11/17/2022

Men and women alike experience a natural decline in their respective hormones as part of the aging process. For women, menopause is characterized by diminishing estrogen levels and cessation of menstrual periods, while a decline in testosterone supplies leads to andropause in men. In both cases, patients can develop a number of disruptive and discouraging symptoms, leaving them feeling like someone they hardly recognize.

At Fontaine MD Aesthetics and Anti-Aging Medicine in San Diego, CA, board-certified physician and anti-aging expert Dr. James D. Fontaine helps men and women feel like younger, healthier versions of themselves once again with bioidentical hormone replacement therapy (BHRT). Keep scrolling to find out what signs and symptoms may mean you could benefit from bioidentical hormone treatment.

Do I need hormone replacement therapy?

When hormone levels go beyond their normal physiologic ranges – whether due to age or another factor – many of our body’s natural processes are disrupted, leading to a host of unwanted symptoms and side effects. Perhaps the most common examples of hormone deficiency are menopause and andropause, which affect women and men – respectively – as they age. If you are experiencing the signs and symptoms of menopause or andropause listed below, you may be a candidate for bioidentical hormone replacement therapy.

Signs of menopause:

  • Hot flashes
  • Night sweats
  • Mood swings
  • Depression and anxiety
  • Irritability
  • Brain fog
  • Weight gain
  • Facial hair growth
  • Bone loss (osteoporosis)
  • Low libido
  • Vaginal dryness
  • Pain with intercourse

Signs of andropause (or “low T”):

  • Depression
  • Fatigue
  • Low energy
  • Difficulty sleeping
  • Loss of muscle mass
  • Weight gain
  • Thinning hair or baldness
  • Low libido
  • Erectile dysfunction/sexual dysfunction

How does BHRT work?

Bioidentical hormones are formulated from soy, yams, and other plant-based sources. These hormones mimic the body’s natural hormones identically and are specially compounded to be absorbed efficiently by the body, helping patients to achieve rapid, consistent, and reliable relief from their symptoms. Following a full blood panel and hormone analysis, Dr. Fontaine will recommend the most appropriate BHRT dosage for you. To meet the unique needs and preferences of our patients, BHRT is available in multiple forms, including pills, patches, injections, and others.

Is BHRT the same as synthetic estrogen?

No. Many women are hesitant to pursue hormone replacement therapy due to the risks and side effects associated with synthetic estrogen and progesterone. It is important to understand that plant-based, bioidentical hormones are not the same as synthetic estrogen and progesterone. Bioidentical hormone replacement therapy is considered a safe and natural solution for menopause symptoms and does not carry the risks associated with synthetic estrogen replacement.

How soon does BHRT start working?

Some patients report symptom relief as soon as a few days after starting BHRT, though most people begin to notice significant and lasting improvement after about 3 – 6 weeks. With consistent treatment over time, the results of BHRT can keep patients feeling more youthful and energized for years to come.

Regain control of your life with BHRT in San Diego, CA

If menopause or andropause has taken a toll on the person you once were, we can help. Take the first step toward feeling like yourself once again by calling Fontaine MD Aesthetics and Anti-Aging Medicine to schedule your private consultation for bioidentical hormone replacement therapy with leading San Diego, CA, anti-aging expert and board-certified physician Dr. James D. Fontaine today.

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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