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Q: I am a 40-year-old schoolteacher and experiencing hot flashes, night sweats, and vaginal dryness, what is my recourse?

You are experiencing the most common symptoms of menopause and peri-menopause. They can be caused by a deficiency of hormones. They can also be caused by a fluctuation of hormones and not necessarily by a deficiency of estrogen or testosterone. Often women with symptoms of hot flashes may be caused by other hormone imbalances including thyroid deficiency or excess, elevated cortisol (stress), or high Insulin. You need to be completely evaluated after all investigations.

Suggested Recommendations for patient’s symptoms:
• Testosterone pellet implant
• Diet
• Reduce Stress
• Low Dose Transdermal Progesterone Cream
• Sublingual Progesterone Drops
• Estrogen Gel, Vaginal Cream or Patch
• Avoid spicy foods, limit alcohol


Q: My husband is only 42 years old but has been experiencing problems with erections, mood disturbances, including depression (he was recently diagnosed and prescribed anti-depressants for the same), irritability, feeling tired, loss of muscle size and strength.

You are describing symptoms of premature andropause. Men with low hormones can experience following symptoms:

• Erectile dysfunction (problems with erections)
• Decreased libido (low sex drive)
• Mood disturbances, including depression, irritability and feeling tired
• Loss of muscle size and strength
• Osteoporosis (bone thinning
• Increased body fat
• Difficulty with concentrations and memory loss
• Sleep difficulties

He needs to be seen and evaluated by an experienced Physician who specializes in Hormone replacement therapy.


Q: My husband, 58-years old, is very depressed. His primary care physician and a psychiatrist prescribed antidepressants to him. Could he have a low testosterone condition?

Dr. Kay: It is difficult to know what he is suffering from, but with this limited history, he may have some symptoms of andropause that include:

• Diminished sexual desire and erectile quality
• Mood changes
• Decrease in body hair
• Increase in fat surrounding the internal organs
• Decrease in bone density

Androgen replacement therapies aim not only to reach normal levels of serum testosterone but also to normalize levels of the secondary hormones that are affected by testosterone levels. These secondary hormones include DHT and estradiol.
Testosterone replacement therapies are available in • Oral tablets or capsules

• Injections
• Planted long-acting slow release pellets
• Skin patches

With the knowledge that we will live longer than those of us comes the quest to live better than those before us. Will we be in a wheelchair with the recollection of our past? Or will we be walking, talking, energetic and happy?

Logic dictates that human identical, bio-identical products are the only acceptable products when we are restoring hormones or nutrients. Why use a product that acts like the real thing when you can get the real thing? “Oprah’s show” brings to the forefront of discussion the real need to help women (and I should add men) who show symptoms and the real need for people to continue their quest for better health and options. Also, bioidentical hormones could help prevent stroke, certain cancers, and Alzheimer’s disease.


Integrated Family Medical Center
773 773 Co Rd 466
Lady Lake, FL 32159
Phone: 352-221-9697

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