Hormone Replacement Therapy

Hormone Replacement Therapy (HRT) & Menopause in Women

With Hormone Replacement Therapy (HRT) becoming a larger and larger discussion in the medical arena, new thinking for women's health care is continuing with compounded hormone replacements. Using the home hormone saliva tests, the doctor can quickly determine which estrogens are needed and which estrogens may be removed (in the case of genetic concerns regarding breast cancers or side effects) and of course, in which forms they may best be applied. As women become aware of the effects of hormones on their health, they are choosing more natural forms of hormone replacement therapy as well. All of our HRT prescriptions are made with bio-identical chemicals. We do not use any horse urine or animal by-products.

The ovaries create two main hormones, Estrogen and Progesterone. Estrogen is not made up of just one hormone, but rather a group. Each group are similar to one another and each vary in degree of activity. The three most relevant hormones in this triad are Estrone (E1), Estradiol (E2), and Estriol (E3). The primary estrogen produced by the ovary is Estradiol. The hormone is converted by the body to create Estrone. However, Estrone is the primary estrogen linked to breast cancer. This can be compounded and removed from your hormone therapy. Estriol is the hormone produced in large amounts during a pregnancy. In fact, high levels of Estriol are found in vegetarians and Asian women who are found to be at much less risk of breast cancers.

Ref:"Effects of Estrogen or Estrogen/Progestin Regimens on Heart Disease Risk Factors in Postmenopasual Women", JAMA, January 18, 1995-Vol.273, no.3/ NATURAL PROGESTERONE: The Multiple Roles of a Remarkable Hormone by John R. Lee MD. The authors have no affiliation with MONTANA COMPOUNDING PHARMACY (MCP).

In order for us to compound a medication for you it is very important that we receive a valid prescription, in writing or by phone, from your physician.

Ask the pharmacist to find out more information on how compounding can help me with HRT?

Problems with Impotence

Montana Compounding Pharmacy has had extensive experience in compounding injectibles for problems associated with impotence. Below are exerts from medical publications which describe how basic medications are compounded for a medical solution to impotence.

Penile Erectile Dysfunction

Artery dilution therapy has been successful in treating erectile enlargement dysfunction, allowing the proper flow to the arteries. The agents used in the process comprise of a tri- mixture of smooth muscle relaxants. Injected intracavernosally, these compounds act synergistically to increase cavernous artery inflow, dilate sinusoidal smooth muscles, and restrict venous outflow promoting erectile activity. Intracavernosal injection therapy allows the bypassing of neural stimulation to effect an erection. This is ideal therapy in patients with neurogenic erectile dysfunction because the previous standards of an implant able penile prosthesis has been shown to have a higher rate of infection and erosion in the spinal cord injured population. Compounds act directly to relax smooth muscle cells and dilute arteries.

Ref: Experience with Intracavernosal Tri-Mixture for the Management of Neurogenic Erectile Dysfunction by Robert Chao, MD and Diane E. Clowers, RN. The above authors have no affiliation with MONTANA COMPOUNDING PHARMACY (MCP).

A pharmacologic erection is often initiated by a localized injection. Erections are then based on increased blood flow arbitrated by the release of endothelium-derived nitric oxide. The actual relay for an erection is based on the observation that high doses of certain agents are required for an erection in impotent patients with endothelial cell dysfunction such as diabetes. These agents possess different mechanisms of action inducing relaxation of the trabecular smooth muscle. The use of multiple vasoactive agents has the best possibility of effecting the large zone of smooth muscle relaxation around the injection area.

Ref: Management of Impotence and Infertility; Chapter 2: Intracavernous Injection therapy for Impotence by Irwin Goldstein, Dimitrios Hatzichristo, and Terry Payton. The above authors have no affiliation with MONTANA COMPOUNDING PHARMACY (MCP).

In order for us to compound a medication for you it is very important that we receive a valid prescription, in writing or by phone, from your physician.