Natural Hormone Replacement Therapy or Bio-Identical Hormone Replacement Therapy (BHRT) is used to help treat menopause,
perimenopause and post-menopause symptoms in women.
Estrogen is an essential sex hormone that declines abruptly in women during menopause. Estrogen replacement therapy significantly delays or prevents this accelerated aging process seen in women following menopause. In fact, women who take estrogen replacement have half the degenerative diseases of women who do not take estrogen replacement and live an average of 3.5 years longer.
Menopause symptoms are caused by a deficiency of estrogen and progesterone found in women as they age. The vasomotor symptoms of menopause include hot flashes and night sweats and can disrupt sleep and impact quality of life. The genitourinary symptoms of menopause include vaginal dryness, pain with intercourse and urinary problems including urgency, frequency, incontinence, or painful urination. Other menopause symptoms can include dry skin, sagging breasts, osteoporosis, cardiovascular disease, cognitive impairment and Alzheimer's dementia.
Dr Borgardt treats his patients with natural hormones, creating a unique combination of hormones for the individual patient, based on their hormone deficiencies. These are referred to as "custom compounded" hormone products. The major benefit of this type of treatment is that doses are individualized to the patients specific
needs based on symptoms and blood tests.
Synthetic progesterone analogues called progestins are often confused with the natural hormone progesterone. Progestins have been shown to increase the risk of breast cancer while progesterone has been shown to decrease the risk of breast cancer. Estrogens are also different: the non bio-identical horse estrogen is the most commonly prescribed, but have been shown to cause heart attacks, stokes, and blood clots, where as bio-Identical estrogen does not. Because of these safety concerns, Dr. Borgardt feels strongly that only bio-Identical hormones should be used in hormone replacement. And, because these hormones are natural, they are not patentable.
Studies have indicated that these hormones are safer than, and as effective as, non-identical (patentable) synthetic or animal hormones. The FDA has permitted the marketing of approved natural hormones in standardized formulations.
Large scale studies of bio-identical hormones compared with artificial hormones were presented at the American College of Physicians in 2013. Studies showed that topical estradiol decreases your risk of breast cancer, and does not cause heart attacks and strokes. Bio-Identical progesterone does not increase the risk of breast cancer like artificial progesterone, which is why Dr Borgardt only uses Bio-Identical hormone replacement therapy.

The Women's Health Initiative Randomized Controlled Trial which was published in the July 17, 2002 issue of The Journal of American Medical Association Vol 288 No. 3, showing that PremPro, the combination of Premarin (non-human estrogens derived from pregnant mare-horse urine) and Provera (Medroxyprogesterone acetate) was dangerous. This type of "hormone replacement therapy" is not really true hormone replacement therapy since to be categorized as "hormone" the substance must naturally exist in the human female or male body. The results of the PremPro study do not apply to Bio-Identical hormone replacement.

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No prescription will be provided unless a clinical need exists based on required lab work, physician consultation, current medical history either through patient's personal physician or Dr. Borgardt. Please note, agreeing to lab work does not automatically equate to a clinical necessity and a prescription. Medical information published on this website is not intended as a substitute for informed medical advice & you should not take any action before consulting with a licensed healthcare professional.
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