Female Hormones - Stefan Hartman, PA

Quick recap
The meeting focused on hormone replacement therapy, with experts discussing its benefits, controversies, and practical applications for both men and women. Various aspects of hormone testing, optimal ranges, and treatment methods were explored, including the use of bioidentical hormones and different administration techniques. The discussion emphasized the importance of hormone balance for overall health and addressed concerns about potential risks, while also touching on related topics such as environmental factors affecting hormone levels and the use of supplements to support hormone function.

Next steps

Stefan: Create and finalize the course on hormone replacement therapy for practitioners.
Stefan: Educate patients on the benefits of Estradiol replacement, including prevention of cardiac disease, osteoporosis, and cognitive decline.
Stefan: Explore the use of salivary cortisol testing as a more accurate method than serum cortisol testing.
Stefan: Incorporate iodine supplementation into hormone replacement protocols.
Dr. Lewis: Follow up with Stefan regarding the potential use of DMSO for Estradiol absorption through the skin.
Stefan: Monitor estradiol to progesterone ratio in patients and ensure proper balance.
Stefan: Educate patients on the importance of avoiding xenoestrogens and endocrine disruptors in their environment.
Stefan: Consider implementing Dr. Paulo Conforti's approach of ensuring patients have proper lifestyle habits before prescribing hormones.
Stefan: Continue researching and implementing protocols for reversing vaginal atrophy using DHEA, estradiol, and testosterone suppositories.
Stefan: Consider recommending hormone testing for young patients to establish baseline hormone levels for future reference.
Stefan: Further explore the pros and cons of continuous progesterone therapy versus cycling progesterone in postmenopausal women.
Stefan: Continue prescribing bioidentical hormones from compounding pharmacies for more effective hormone replacement therapy.
Stefan: Consider using salivary hormone testing for more sensitive measurements of hormones, especially progesterone.
Stefan: Consider using DHEA and pregnenolone supplementation in hormone replacement protocols.
Stefan: Monitor and adjust hormone dosages based on patient symptoms and lab results, rather than solely relying on standard reference ranges.
Stefan: Consider uterine ablation for postmenopausal women who cycle progesterone, in consultation with an OBGYN.
Stefan: Continue using topical estradiol for skin regeneration in patients with autoimmune skin conditions.
Michael: Follow up with Stefan on the case study of topical estradiol treatment for autoimmune skin condition.
Stefan: Share more details on the salivary hormone analysis method and its benefits compared to blood tests.
Lauren: Provide guidelines on using inositol and DIM for treating acne in female patients.
Stefan: Share more information on using anastrozole for treating severe cystic acne in male patients.
Dr. Lewis: Refer specific acne cases to Stefan and Lauren for hormone evaluation and treatment.
Lauren: Develop a protocol for evaluating and treating hormone imbalances in women aged 18 to perimenopause.
Stefan and Lauren: Create educational materials on the importance of hormone evaluation for female patients.
Lauren: Provide more information on treating heavy bleeding in female patients.
Stefan and Lauren: Conduct full hormone evaluations for patients with severe acne, including salivary hormone tests for males.
Lauren: Implement inositol and DIM treatment for female patients with hormone imbalances, particularly those with PCOS or post-birth control issues.
Stefan: Consider anastrozole treatment for male patients with severe cystic acne and high estrone levels.
Lauren: Use cyclic progesterone treatment for perimenopausal patients with heavy bleeding.
Stefan and Lauren: Educate patients that hormone replacement therapy can be beneficial at any age, including for those over 70.
Stefan: Consider anabolic steroids for patients with osteoporosis and osteopenia.
Stefan and Lauren: Explore growth hormone injections for patients with sleep maintenance issues.
Lauren Gillespie: Continue focusing on treating female hormones at the practice.
Stefan and Lauren: Continue offering hormone replacement therapy as part of routine primary care at their practice.