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Hormone Therapy

Our doctors are experienced and educated in hormone prescribing for men and for perimenopausal and menopausal women. 

We share decades of experience in prescribing hormones from all sources for hundreds of individuals. 

Biologically identical Hormones - Are They Natural?

"Natural" is so poorly defined in medicine that it is virtually meaningless. Some say Premarin (a pharmaceutical preparation of estrogen made from the urine of pregnant mares) is natural because it comes from a horse.

But is that natural for a human woman? Is it natural for You? 

You should schedule an appointment with your doctor or with Dr. Roush to get crystal clear on your best, and safest, solution. 

Are Hormones Natural because they come from plants? 

Plant hormones either have no hormonal activity in human metabolism, or have it at about 1/400th to 1/1000th the strength of human hormone. To demonstrate how powerful hormones (and plants for that matter) can be, even at that fraction plant hormones are often enough to help symptoms. 

The term "bioidentical" refers not to plant hormone in the raw. Bio-identical hormones are those taken from plants (either soy or one species of wild yam) and acted on with enzymes until they are in-distinguishable from human hormone. The result is a "natural" hormone, but the process does not occur in nature!

Are Pharmaceutical Hormones Safer, or is it just marketing?

At one end of the spectrum conventional practitioners think the pharmaceutical hormones are safer because they are more rigidly manufactured. We have learned to regard most information from drug companies as marketing rather than science. While the goal is always science-based medicine, their science is too often suspect.

At the other end of the spectrum is Suzanne Sommers saying all women should use bioidentical hormones to achieve the levels that are necessary to continue menstruating well into aging. Who wants that?! 

An aging actress as a source of science? Not in our clinic.

We sit in the middle. It makes sense that  bioidenticals  are safer because they follow normal female metabolism. Still we study the conventional and alternative literature to carefully assess the risk of any hormone prescribing.

Then we make the assumption that any hormone from any source has that risk.

Assuming the risk keeps patients safer.

Hormone Replacement Therapy (HRT)

Our doctors are experienced and educated in hormone prescribing for perimenopausal and menopausal women and for men. 

We share decades of experience in prescribing hormones from all sources for hundreds of individuals.   As women and men age, there can be substantial changes in hormones that may lead to a host of symptoms including night sweats, fatigue, mood changes, sleep disturbance, loss of vitality, sexual dysfunction and others.  

HRT for Women

Many women will experience the symptoms of hormone changes through peri-menopause and menopause starting as early as forty but more commonly toward fifty and may last for several to many years. These symptoms can often feel like they “came of out nowhere” and be mild or quite debilitating.  

Some women simply report that they don’t “feel like themselves.  Our goal for these women is to restore energy, sleep, joy, hair and skin quality changes, a healthy weight and improve sexual function.  

Prescribing hormones for women is an art and a science.  We are skilled at both.  We are knowledgeable about the risks and benefits, standard dosing practices, and understand that each woman’s hormone need is unique to her.  

HRT for Men

Men on the other hand may experience more gradual changes in symptoms as their hormones change.  

They often report feeling like they are “getting older”.  These symptoms may include a lack of vitality, less motivation, changes in muscle mass and strength, weight gain, and also changes in sexual function including sex drive and erectile dysfunction 

As with women, we take a thorough approach including a detailed history, physical exam and blood work.  

We then offer treatment options which may include hormone therapy such as the use of testosterone and other balancing hormones.  

Pellet Therapy

At Core Wellness and Core Restore we are also skilled in the use of Pellet Therapy which can provider long lasting, hormone balancing benefit without the hassle of daily dosing.  

Please schedule a consultation to learn about our Bio Te technology.   

Which Hormone Therapy is Right for You? 

Until your doctor knows more about you and your symptoms and most likely does some simple, non invasive, tests there is no way for us (or any doctor) to recommend any specific solution for your symptoms. We do not have a "One Size Fits all" approach to balancing hormones. 

While we do know diet and exercise and overall well being plays a big part helping to balance your hormones, when it comes to considering hormone therapy, the first step is the schedule an appointment with the doctor to discuss your symptoms and most likely do some initial hormone tests.  Armed with that information the doctor will be able to advise you on the best treatment and/or therapy for you. 

Sometimes hormones improve the quality of life so greatly
that we are wise to use them.

Our goal is not to keep people young but to help them feel their best as they age.  

Our approach is a careful evaluation including a thorough history and lab work followed by an in-depth conversation about how to best address their hormone imbalance.  In the right patient this may include the use of hormone replacement therapy (HRT).  

Lastly, patients can be assured they are working with providers who have deep understanding of hormone therapy and give them options appropriate to their medical needs and values. 

Questions about Menopause Symptoms?
Get Dr. Roush's Free Guide to Menopause Solutions 

30 Day Menopause Solutions Guide.

In this guide you'll learn healthy habits you can implement yourself from home to balance your hormones naturally and start your journey to symptom relief. 


630 N. Last Chance Gulch, Suite #2400
Helena, MT 59601

(406) 442-8508

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