New Patient Consultation - No Charge!

4955 S. Alma School Road, Ste 10 Chandler, Arizona 85248, United States (Located Inside Apex Medical Group)

(602) 566-2015

Dr.  Don Selvey

Restorative Medicine and Pain Relief
Naturopathic Medicine

Restorative Medicine - Let's Get You Back into Good Health

Bioidentical Hormone Replacement Therapy

Bioidentical Hormones

Hormones are chemical messengers with an incredibly import role in managing body activities.

As we age, and with some disease conditions, our bodies lose the ability to replace hormones as quickly and completely as we need them.  That's where hormone replacement becomes important.

While there are hundreds of hormones, the several that are commonly replaced are:

  • Estrogen
  • Testosterone
  • Progesterone
  • Thyroid
  • Adrenal

Male Sexual Dysfunction

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Men may experience a loss of ability to perform during intimacy because of many factors.  Effective treatment is focused on finding the cause first.


Erectile dysfunction may be associated with Diabetes mellitus, atherosclerosis, or following surgery to address serious prostate issues, such as enlargement or cancer.  Any surgery on the prostate - ANY - can lead to ED.  If you are experiencing issues with urinary voiding, you owe it to yourself to discuss this with a physician. 

If you have ED, there are treatment options and we are glad to help.  Once the cause is determined, we can work together on a treatment that both you and your partner will find acceptable.

Female Sexual Dysfunction

Female Sexual Health

Women may experience loss of desire for intimacy with aging.  Finding the underlying reason is an important process prior to initiating a random treatment.


The cause may be a loss of libido resulting from inadequate testosterone, or pain with intimacy (called dyspareunia) that accompanies thinning and drying tissues.  


Unrelated to hormonal imbalances, a woman may lose interest because of external stressors - financial, emotional, or physical.  This is why working to get to the root of the problem is so important.


We can help with genital lesion removal and can help with fertility and contraception.

Testosterone Replacement Therapy

Man wondering about life

 

Men of all ages can and do experience difficulties with intimacy.  As a male ages, he may be producing less testosterone (called hypogonadism) which results in a loss of libido and stamina.  This is the man who feels he's lost his mojo.

These days, it seems like everyone in jumping on the testosterone bandwagon - but careful medical supervision is really important.

This is why we test hormone levels and create a plan for each man, individually.

Peptide Therapy

The key to medicine.

If you haven't heard about Peptide Therapy yet, you will!  Peptides are small chains of amino acids, sometimes a part of a hormone.  Think of a key on a ring of keys - you can't unlock a lock with the ring of keys, you need to find the right key.  These "keys" can unlock incredible changes in the body, without the adverse effects of the large hormones.


Many of these peptides have been identified for decades; others have been more recently discovered.  Some are approved by FDA, some not (which doesn't mean they don't work or aren't safe).

Estrogen and Progesterone Replacement

Estrogen replacement

Estrogen, sometimes regarded as a female hormone (although men also have and need it), has three variants, based on the chemical structure. These are called Estrone (or, E1), Estradiol (E2), and Estriol (E3). As a generality, E1 is made by the Adrenal Glands, E2 by the Ovaries, and E3 by the uterus during pregnancy. After menopause, the only significant source of estrogen in women is E1.

Not only are the three forms of estrogen are not produced in equal amounts, they do not have the same strength or potency. E2 is normally about 6% of the estrogen but is perhaps 100 times stronger. This form of estrogen is associated with breast cancer in women who have hormone sensitivity. By contrast, there is evidence that E3 is protective against breast cancer.

After menopause, and sometimes perimenopause, some women will begin to experience symptoms of estrogen deficiency, including:

· Hot flashes

· Dry skin and vaginal dryness

· Night sweats

· Insomnia

· Depression 

· Bone Loss

Unfortunately, most women and some doctors do not understand that horse estrogen is not the same as human estrogen. Molecularly, it is much larger than natural estrogen which may be the reason for the increased risk of breast cancer when this is used therapeutically. Instead, estrogen derived from some plants is the same molecule as human estrogen and is termed “Bioidentical” estrogen.

Progesterone is mostly made by the ovaries following ovulation. It helps prepare the uterine lining for implantation of a fertilized ovum. After menopause, women experiencing progesterone deficiency may have symptoms that include:

· Insomnia

· Headaches

· Anxiety

· Cramping, bloating

· Weight gain

· Depression

· Mood swings

· Breast tenderness

Because of the role of progesterone, a woman who has a uterus (that is, has not undergone a hysterectomy) MUST take progesterone with estrogen to avoid the risk of uterine cancer.

For more information about bioidentical estrogen, progesterone and testosterone replacement please call or email us for a consultation appointment.

Anti-Aging

Services

Anti-aging treatments include facial aesthetics (wrinkle reduction), weight loss, and hormone replacement.

Wrinkle Reduction

Are you aware of the options for wrinkle reduction?  Most people have heard of Botox, the product produced by Allergan, Inc.  But did you know there are others that may work as well or better in some people? 


We use and our patients like Xeomin (pronounced Zee-o-men), which seems to workmore quickly, but last just a long.  It is from Merz, a European pharmaceutical company.


The newest entry into this field is Jeaveau from Evolus.  It seems to be very similar to Botox, but may work a little faster.  This is produced in Asia.


Regardless of your choice of product, it is administered just under the skin with a very fine needle.  It leaves a "bee-sting" like bump for a few hours.  The wrinkles (forehead, crow's feet, etc) begin to lessen in a few days to a week or more.  The effect lasts for six to nine months, usually.


Prices vary depending on the product, but will be somewhere around $10.00/unit.  Most people prefer between 35 and 50 units, per visit.

Dermal Fillers

Dermal fillers are used to plump out larger or deeper wrinkles, such as those between the nostrils and lips.  Dermal fillers are also used to plump out the lips, providing a fuller look.


There are several options, but we will only use those that are made of hyaluronic acid.  These last for six to nine months, although the effect is immediate.



Hormone Replacement Therapy

Hormones are chemical messengers in the body, responsible for regulating most activities.  Our "body thermostat" the Thyroid gland, for example, operates from a series of hormones.  Too high and you feel hot, your heart rate increases, and some hair may fall out.  Too low and you feel dull, lethargic, constipated, cold - and gain weight.


Check out our page on Hormone Replacement Therapy.

Have a question? Just ask!