Human Medicine

Hormone Replacement Therapy

CareFirst Specialty Pharmacy compounds custom hormone preparations using plant-based natural hormones — tailored to the right dosage strength and combination for each patient's specific symptoms, whether for menopause, andropause, or other hormonal decline.

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Hormone Replacement Therapy

Hormone replacement therapy (HRT) is a treatment used to balance progesterone and estrogen in women during menopause. It can help relieve symptoms associated with menopause including hot flashes and sweating, and can also reduce the risk of osteoporosis. Testosterone is used in hormone therapy in men who see a decline in their levels as they age. Testosterone is necessary for:

  • Reproductive function
  • Sexual development
  • Maintaining bone density
  • Maintaining healthy levels of red blood cells
  • Building muscle bulk

HRT treatments are also used in treating individuals undergoing a sex change.

Estrogen Therapy

Estrogen comes in several forms with pills being the most common. The patch is worn directly on the skin and is replaced every few days. There are low dose patches available used only to reduce the risk of osteoporosis. Topical gels, sprays, or creams are absorbed through the skin and into the bloodstream similar to the patch. Vaginal estrogen comes in either tablet, lotions, or vaginal rings. This form of treatment is used to treat itchiness, vaginal dryness, and pain and burning with intercourse. Typically, vaginal rings are replaced every three months, and tablets and creams can be used daily.

Combination Therapy

Combination therapy uses progestin, estrogen, and progesterone to lower their risk for cancer of the lining of the uterus. Progesterone not only is a form of birth control, but it also treats menopausal symptoms. Most physicians treat their menopausal patients with natural progesterone instead of synthetics. There are no negative side effects on lipids making it an ideal choice for women with high cholesterol. Hormone replacement therapy is not recommended for those with the following health conditions:

  • Cancer
  • Heart disease
  • Liver disease
  • Blood clots
  • Heart attack
  • Pregnancy
  • Stroke

HRT Side Effects

Possible side effects of hormone replacement therapy include:

  • Vaginal bleeding
  • Bloating
  • Breast tenderness or swelling
  • Nausea
  • Headaches
  • Mood changes

Why consider HRT?

The only way to know if hormone replacement therapy is right for you is to consult with your physician. Your doctor will review your medical history to determine the best options for you. If you are a good candidate for HRT, our compounding pharmacy can consult with your physician to create a custom preparation that is perfect for treating your exact symptoms.

Symptoms for Females May Include:

  • Change in menstrual cycle
  • Hot flashes and/or night sweats
  • Trouble sleeping
  • Vaginal dryness
  • Loss of libido
  • Mood swings
  • Weight gain

Symptoms for Males May Include:

  • Low energy
  • Decreased muscle mass
  • Low libido
  • Increased body fat of the upper and mid-section
  • Mood changes
  • Trouble sleeping

How we compound

Our pharmacy can compound hormone preparations to help replace the declined hormones and relieve those symptoms. Since no two people are alike, CareFirst Specialty Pharmacy can compound custom preparation for a specific patient’s symptoms. Our preparations are compounded with plant base natural hormones to the right dosage strength and combination.

Our pharmacy understands the importance of working with prescribers and this relationship is the foundation of our service. Our well-trained team will work with you and your prescriber to provide personalized and professional service. We look forward to the opportunity to work with you and your prescriber.

Available Hormone Replacement Therapy Products

Explore strengths and dosage forms tailored to prescriptions.

HumanHormone Replacement Therapy
Estradiol Compounded

Estradiol Compounded

Estradiol is a synthetic form of estrogen, the female sex hormone. In females, estrogens are produced when a follicle develops on the ovary. Rising and falling levels of estrogen affect multiple organs, including the uterus, pituitary, and adrenal glands. Estradiol is used in a variety of medications for both men and women.

From$39.95
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HumanHormone Replacement Therapy
Estriol Compounded

Estriol Compounded

Our expert compounding pharmacists compound Estriol topical creams and capsules. It can be combined with Estradiol, Progesterone, and Testosterone.

From$69.95
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HumanHormone Replacement Therapy
Estriol/Estradiol Compounded

Estriol/Estradiol Compounded

Our expert compounding pharmacists compound Estriol/Estradiol (Bi-Est) 80/20, 70/30, 50/50 into topical creams, troches and capsules. Can be combined with progesterone or testosterone.

From$42.95
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HumanHormone Replacement Therapy
Progesterone Compounded

Progesterone Compounded

We compound progesterone in oral capsules, topical creams, oral troches/lozenges, sublingual suspensions and vaginal suppositories.

From$34.95
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HumanHormone Replacement Therapy
Testosterone Compounded

Testosterone Compounded

We compound testosterone in topical creams, oral troches/lozenges, and other formulations as prescribed by your doctor. You may buy Testosterone from CareFirst Specialty Pharmacy with a valid prescription from your prescriber.

From$42.95
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HRT Articles & Resources

Learn more about hormone replacement therapy from our pharmacy team.

A change in your libido could be due to hormones

2018-12-12

A change in your libido could be due to hormones

From time to time, it is common for your interest in sex to not synchronize with your partner’s. It is also normal for your general interest in sex to occasionally fluctuate. However, for some, a decreased libido over a long period of time may be cause for concern. It turns out that hormones, a decrease or increase in them to be more specific, may contribute to a decrease in libido for both women and men.

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Facts About Estrogen

2019-03-14

Facts About Estrogen

Estrogens are a group of hormones produced primarily by the ovaries in women. They can also be produced by the adrenal gland and fat tissue in smaller quantities. It is considered a female hormone, but the testes in men also produce it in very small quantities and contribute to the development of male reproductive organs. It is referred to as a sex hormone as it mainly targets and is produced by the reproductive organs.

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RX for Low T: 5 Boosts for Testosterone

2018-01-24

RX for Low T: 5 Boosts for Testosterone

If you were wide awake in health class—or, happened on it while flipping through a Men’s Fitness magazine in between articles on ab crunches—testosterone is a naturally occurring hormone produced by the human body that helps signal organ development and bone growth and the creation of new blood cells in males and females.

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Testosterone Replacement in Women - Should I Raise My T?

2019-12-27

Testosterone Replacement in Women - Should I Raise My T?

As women age, testosterone levels decrease, along with other hormones such as estrogen. This is because around the time that menopause begins, the ovaries are producing fewer hormones. Furthermore, a woman may have reduced levels if her ovaries have been removed or if she has adrenal insufficiency.

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Women Suffer From Hormone Loss More Than You Think

2018-12-12

Women Suffer From Hormone Loss More Than You Think

Obviously, not everyone is a doctor or in the medical field. It stands to reason that not everyone understands hormones and their role in the body. Hormones are much like traffic cops in the body. They direct the hormones to the major systems that each runs. Hormones also control other things such as when we are hot or cold, if we're hungry, and when to sweat.

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