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For proper health, vaginal tissues must have a correct balance of various micro-organisms including bacteria and yeast. Most of the organisms are bacteria and a healthy vagina has mostly Lactobacilli of various species. These are “good” bacteria in that they can help keep the tissues...

What is the Big Deal? From time to time I am asked why someone should consider BHRT over conventional therapy.  This basic question usually comes from the idea that “a hormone is a hormone” and there is no difference between the various forms. This view has...

Thyroid disease is one of the most common and most misunderstood medical conditions present in the general population.  At least 12 percent of us will develop a thyroid condition of some type during our lifetimes. About 60 percent of these people are undiagnosed. Thyroid imbalance...

When women consider hormone replacement, one of the factors they need to consider is the potential for weight gain. Weight gain can result from low levels (not doing hormone replacement) as well as high doses of hormones. If replacement is not done with knowledge of...

For men with erectile dysfunction who are not able to use the oral drugs for ED like sildenafil, tadalafil, and other phosphodiesterase Type 5 inhibitors, another option is the penile injection most commonly known as Tri-Mix. Tri-Mix is, as the name implies, a combination of...

Libido or sexual desire is a good indicator of overall health. The presence of libido or lack thereof can indicate someone’s mental and physical functioning. Hypoactive sexual desire disorder (HSDD) has been shown to affect up to 10% US women and thought to be the...

Hormone replacement therapy can effectively control and eliminate symptoms related to hormone depletion such as hot flashes, headaches, dry skin, night sweats, fatigue, vaginal dryness, mood fluctuations and sleep disturbances. Albeit some of these general symptoms can arise from other underlying issues, an evaluation of...

The attention of the medical community had long been fixed on the precipitous drop in hormone levels that accompany menopause in female patients. This sudden and sharp decline in hormone levels is accompanied by an eruption of symptoms, including: hot flashes, night sweats, depression, mood...

I have often told patients picking up prescriptions for hair loss that if they could come up with a foolproof, quick way to regrow hair, they could be a billionaire. I further explain that hair loss is a complicated problem – it has hormonal, behavioral...

Acne vulgaris is a common disorder often thought of only in adolescents during their pubescent years with prevalence upwards of 70-87% (Ebede, 2009). Acne vulgaris, often just termed acne is more common in adolescents but may also be seen in adults. Now there are many...