Hormone Replacement Therapy Overview

at our Knightsbridge clinic in London

At Omniya Clinic, we treat a range of symptoms for both men and women using Hormone Replacement Therapy (HRT).

Female Hormone Replacement Therapy (HRT)

For women, the dramatic changes in your bodies and different stages of your life can leave you feeling lost. We believe that the best way to help you, is to give you the guidance, knowledge and education to take control of your own lives. We want you to feel like yourself again, with the confidence required to enjoy your lives. This is why, at Omniya Clinic we offer HRT for both male and female patients.

Conditions We Treat with HRT:

  • Perimenopause
  • Menopause
  • Pre-Menstrual Syndome (PMS)
  • Premenstrual Dysphoric Disorder (PMDD)
  • Depression
  • Postnatal Depression
  • Endometriosis
  • Osteoporosis
  • Polycystic Ovaries Syndrome
  • Thyroid Dysfunction

Male Hormone Therapy – The Andropause

For men, your hormone balance is just as important as they are for female patients. Both men and women produce the same hormones, but in different amounts, and as we age, our hormone balances change.

Whilst it is less commonly known that the menopause, there is an equivalent for men – and that is the andropause (also known as the male menopause). Andropause is a condition that is associated with a decline in the male hormone – testosterone. Unlike the menopause, the development of the symptoms is more gradual for andropause, but it is noticeable in more and more men.

At Omniya Clinic, we want you to feel the best version of yourself, which is why we offer HRT at our clinic in London.

Impact Of Decreasing Hormone Levels

Decreasing hormone levels can affect anything from your mood and sex drive, to sleep patterns and immune system function. Hormonal Replacement Therapy can rebalance your Endocrine System, essentially helping to rebalance yourself. There are a diverse array of symptoms associated with hormonal depletion, but our specialists may be able to offer some relief in the form of hormonal replacement therapy.

Hormonal (HRT) Therapies Include:

Thyroid Therapy

Thyroid hormones regulate our metabolism, and imbalances and abnormal functions can be common. These can be closely linked to hormonal conditions and affect your metabolic rate and can be treated both nutritionally or hormonally. Symptoms may include but are not limited to lethargy or fatigue, depression, and difficulty losing weight. Thyroid therapy may be recommended by your doctor at Omniya as a form on hormonal replacement therapy should they deem it appropriate to your condition and test results.

Adrenal Therapy

The adrenal gland is responsible for the body’s hormonal response to stress, producing adrenalin associated with the ‘fight or flight’ response. It is responsible for the production of hormones that can affect the performance of the immune system. Symptoms can include but are not limited to severe fatigue, low blood pressure, and weight gain. Adrenal therapy can be treated holistically with lifestyle changes that your doctor at Omniya can guide you through.

Testosterone Replacement Therapy

Also know as Andropause Therapy, is used to treat declining hormone levels in men as they age. With your hormone-producing glands being forced to work hard due to high stress levels and poor fitness, they can become imbalanced over time. Symptoms may include but aren’t limited to erectile dysfunction, loss of sex drive, and depression. Your doctor at Omniya will talk you through your hormonal replacement therapy (HRT) options so you can feel safe and informed.

Menopause Therapy

As a woman ages and approaches the menopause her ovaries stop producing hormones, causing her reproductive to gradually shut down. Symptoms may include but aren’t limited to weight gain, fatigue, loss of libido, and depression. Your doctor at Omniya may be able to help you with female hormonal replacement therapy. As well as treating the symptoms of menopause, our specialists can also assist with other forms of female hormone therapy.

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Frequently Asked Questions for Hormone Replacement Therapy

  • Which hormones are used?

    Oestrogen: Used to treat hot flushes, help hair and skin, reduce urinary frequency, cystitis, incontinence and vaginal dryness. Oestrogen also protects against strokes, heart disease, colon cancer, osteoporosis, Alzheimer’s Disease, macular degeneration and cataracts.

    Progesterone: Treats low mood and depression, can improve sleep, helps keep hair and skin healthy, reduces fluid retention and regulates menstrual cycles, premenstrual tension and can help fibroids. Natural progesterone protects against uterine and breast carcinomas, cardiovascular disease, ovarian cysts and fibrocystic disease.

    Testosterone: Important to be regulated in men as it protects against cardiovascular disease, memory, and improves libido, energy and mood. In women, good levels of testosterone improve libido, energy, motivation, muscle and bone strength.

    DHEA: An adrenal hormone that reduces cardiovascular risks by decreasing visceral fat. It stimulates the immune system, restores sexual vitality, improves moods and decreases cholesterol and body fat. It improves memory, increases energy and applies its anti-cancer properties by enhancing the immune system. It has antidepressant effects.

    Melatonin: Improves sleep pattern as well as depth and quality of sleep. It’s an energiser and mood enhancer. It also increases natural killer cells and modulates immune function. It has powerful anti-oxidative effects.

    Pregnenolone: Is a precursor to other hormones. It functions as a memory enhancer and repairs cells, particularly in the brain and nerve tissues.

    Thyroid hormones: They balance thyroid function to make sure it is optimal using a range of different medications and supplements.

  • Should I use hormone therapy or just go through my menopause ‘naturally’?

    There is no right or wrong answer for this. Some women have very mild symptoms and can manage them by making changes to their diet, lifestyle and taking certain supplements. Your practitioner can also advise you on this if this is the route you are interested in, as she is trained in this ‘integrative approach’ to dealing with menopause; not only hormonal therapy.

    Taking hormone therapy to deal with symptoms of the menopause should not be seen as a ‘failure’. Women today are working well into their 60s, and life is far busier than that of women generations ago, plus life expectancy is going up. If there is a solution that helps women feel great, function better and improves their rate of ageing, why not consider it?

    What sort of hormones should I take?

    In the body, women produce oestrogen, progesterone and testosterone – a combination of all of these works best in women. All the hormones prescribed by the practitioner will have the same chemical structure as that which your own body would make, and therefore work in synergy with the body, causing fewer side effects and risks.

    Sometimes these hormones are specially combined for you, and sometimes they are best taken separately. Your doctor will advise what is best for you after a thorough assessment of your symptoms, lifestyle, and an evaluation of your blood tests.

    Do some people experience negative effects?

    A small proportion of women may experience some negative effects. This is usually due to the dosage not being quite right, and a simple adjustment can be enough to stop the unwanted effects. Common side effects include bloating, breast tenderness and occasionally light vaginal bleeding. Your doctor will advise you on how to deal with this should it occur. The normal procedure would be to stop the treatment completely until the symptoms settle, then restart at a lower dose.

  • What sort of monitoring do I need during the time I am taking hormones?

    Our practitioners recommend a blood test to check your hormone levels at least every 12 months, but every 6 months would be optimum. This is to make sure the levels in your system are adequate not only to improve your symptoms, but also to cause a physiological improvement in your cardiovascular, neurological and bone health. Your practitioner may also recommend a mammogram, bone density scan and pelvic ultrasound scan to check the lining of the uterus and ovaries every 1-2 years. This can be arranged by Omniya if this is more convenient.

    How long can I take hormones for?

    If you are having your regular blood tests, pelvic ultrasound scan, mammogram and bone density scan, and the results are favourable, there is no reason why you cannot continue with this therapy long term. There are no age restrictions.

    I am worried that HRT causes cancer?

    The evidence has shown a small increased risk in breast, ovarian and uterine cancers with synthetic hormones that do not have the same chemical structure as the hormones made by your body. There has not been a link shown between the hormones that do share the same chemical structure as your own hormones. In fact, some studies have shown a protective effect. It is important to discuss these concerns with your doctor, especially if there is a strong link to female cancers in your family. Your doctor can then advice you on the best route of treatment and the best form of hormones for you to take. It is however important to know that although taking the hormones may not cause cancer, any hormones can cause cancer cells that are already in the body to grow, which is why regular screening is important.