Louis Esquivel, MD, PA +++ Office address: 3740 Colony Dr., Suite LL102 +++ San Antonio, TX 78230 +++ Office phone number: (210) 745-0918

Practical advice, tips and inspiration to help you on your journey to health and wellness.


Natural Bio Identical Hormone Replacement Therapy – 7 Little Known Tips to Consider Before You Start


Natural bio identical hormone replacement therapy (BHRT) can dramatically improve the state of health and wellness of many women and men who suffer from the ill effects of natural or premature aging.

Fatigue, low libido, brain fog, irritability, decreased bone density and reduced muscle strength are common symptoms to both sexes. Women may also suffer from hot flashes, night sweats, insomnia, body aches and vaginal dryness.

While the decision whether or not to proceed with BHRT should be determined between you and your physician, there are several tips worth sharing that are sometimes overlooked. Consider the following:

Tip 1: Make sure this is what you really need. Symptoms of low estrogen and testosterone are common to many other medical conditions. A thorough medical evaluation is necessary to make sure you are not overlooking something else that is making you feel this way.

Tip 2: Commit to a plan of overall wellness. Good nutrition habits, drinking plenty of clean water, exercise and avoidance of health draining things like smoking and excessive alcohol are necessary for optimum benefits.

Tip 3: Natural does not always mean “harmless”. Every medical intervention carries a finite risk. Thankfully, natural bio identical hormones minimize the risks noted in synthetic hormones. Routine monitoring of breast and uterine health in women and prostate health in men is imperative none the less.

Tip 4: Make sure your doctor has specific training and experience in prescribing bio identical hormones. Many doctors have not been trained in bio identical hormone replacement therapy. They may even equate it with synthetic (pharmaceutical) hormone replacement therapy.

Tip 5: Learn about the various methods available for hormone replacement. Oral tablets, topical creams and subcutaneous (under the skin) pellet implants are the most common varieties available.

Tip 6: Women who still have their uterus need progesterone too. Time for a little bad news. If you still have your uterus, then estrogen therapy will cause the lining of it to thicken, just like it did when you were menstruating. Natural progesterone is necessary to induce a period so that this growth does not get out of hand and cause a condition called endometrial hyperplasia and/or produce heavy, unplanned bleeding!

Tip 7: Testosterone replacement in men may cause sterility. This may not be an issue if you have already sewn you seeds and are not planning for more children. This is still important to consider, particularly if there is a chance that you may still want to father any more children.

Bottom Line – Natural bio identical hormone replacement therapy can dramatically improve one’s state of health and well being. Like any medical procedure though the decision to proceed needs to be assessed by an experienced and qualified medical professional who can help you determine the best fit for your needs.

To see my VIDEO discussing bio identical hormone replacement options,



  1. Are Bio-Identical Hormones Safe?

    The 2002 WHI study showed that synthetic, chemically altered hormones such as Provera cause cancer and heart disase. However, Bio-Identical hormones are safe and effective, and do not cause breast cancer, as shown in the French Cohort study published in Climacteric, Dec 2002. For more on the Safety Of Bio-Identical Hormones click here:


  2. Dr. Esquivel says:

    Thanks for the citation, JD. More people need to understand the difference between synthetic hormones and bio identical.
    Best regards. Dr. E

  3. Tara R says:

    wow – this is so important – I can only imagine the damage that synthetic hormones could do to a body!

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