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Dr. Magdalena Swierczewski

Bioidentical Hormone Therapy Program

As we age, hormone levels (estrogen, progesterone, testosterone, DHEA, pregnenolone, melatonin) fall and lead to symptoms of perimenopause/menopause in women, and symptoms of Andropause in men. Utilizing bioidentical hormones improves low hormone levels and puts our bodies back into balance optimizing our health.  Unlike their synthetic counterparts, bioidentical hormones are compounded hormones derived from naturally-occurring sources, such as soy or yams. Bioidentical hormones are designed to be structurally indistinguishable from the natural hormone made by the human body. This exact-match replication reduces side effects and risks, as well as enhances effectiveness of the treatment.

Bioidentical hormones are compounded at a compounding pharmacy. Compounding pharmacies operate under guidelines established by the FDA. Compounded hormones are specifically made by a compounding pharmacist in the exact strength and dosage as prescribed by the attending practitioner. Bioidentical hormones, in most cases, cannot be patented and made into mass prescription forms by large pharmaceutical companies. Instead, doses are carefully determined after an experienced and highly-trained hormone therapy practitioner meets with the patient to review and discuss their medical history, symptoms, lifestyle and lab results. This information ensures that patients get a treatment plan and prescriptions that meet the specific needs of their body.

Hormonal balance is not achieved by meeting some ubiquitous standard of normal—balance is reached when optimal function is restored for the individual person. Bio-identical hormones are available in the form of a pill, cream, patch, gel, and injectable.

The following are typical symptoms of hormone imbalance in women (perimenopause/menopause):

  • Hot flashes and night sweats
  • Fatigue
  • Anxiety, depression, and irritability, mood swings
  • Low libido
  • Memory lapses and trouble concentrating
  • Weight gain
  • Headaches
  • Insomnia
  • Lack of muscle tone
  • Vaginal dryness/tears
  • Vaginal pain during sexual intercourse
  • Loss of elasticity and collagen (skin, mucous membranes)
  • Loss of bone density

The following are typical symptoms of hormone imbalance in men (andropause):

  • Erectile dysfunction
  • Low libido
  • Muscle mass loss
  • Fatigue
  • Anxiety, depression, and irritability, low vigor, low vitality
  • Memory lapses and trouble concentrating
  • Weight gain
  • Headaches
  • Insomnia
  • Loss of elasticity and collagen (skin, mucous membranes)
  • Loss of bone density

Program includes:

  • Comprehensive personal history, as well as a family history
  • Physical exam
  • Blood work analysis of sex hormones, thyroid function, adrenal function, kidney/liver function, cell counts, electrolytes, and vitamins (micronutrient evaluation)
  • Review of pelvic ultrasound (required prior to starting therapy)
  • Review of mammogram and/or breast ultrasound (required prior to starting therapy)
  • Working closely with a specialized, compounding and conventional pharmacist to create the unique dose for each patient
  • Working closely with the patient to achieve optimal dose of specified bioidentical hormone
  • Initial visit will be 90-120min with the doctor

*Patients who would like to sign up for the program may call or email:

telephone: 631-283-0015

email: medicine@drmagdalenas.com