01.12.2020

How Long Does Hormone Optimization Therapy Take to Work?

The hormones in your body can become imbalanced as you get older. Your changing hormone levels can cause you to develop decreased muscle strength, weight gain, and sleep issues. You might also develop emotional problems like anxiety, depression, and mood swings. At ProMD Health in Baltimore, Maryland, we can use hormone optimization therapy to address these negative symptoms.

How Long Does Hormone Optimization Therapy Take to Work?

During hormone optimization therapy, we will use injectable treatments, topical creams, pellets, or other methods to adjust the hormone levels in your body. This therapy will be personalized to address the unique hormonal issues that are causing you to experience emotional and physical issues. As a result, how quickly your body reacts to this treatment will depend on the type of hormone therapy that you are receiving.

In general, it’s common to notice positive changes in your physical and emotional issues after you have been receiving hormone optimization therapy for several weeks. These problems may continue to improve during the next couple of months.

What Are the Symptoms of a Hormonal Imbalance?

Negative changes in your moods, weight, and other aspects of your life may indicate that you are suffering from a hormonal imbalance.

Mood Issues

Your hormones help you regulate your moods. When your hormones are out of balance, you might have difficulty controlling your emotions and staying calm and focused. For example, you might become very frustrated when you have to deal with a small setback at work or at home. Further, you might develop excessive anxiety, fear, and worry when you have challenges in your personal life or career.

In addition to struggling to control your emotions, you might lose confidence in your ability to handle stressful situations. You could also suffer from depression.

Weight Changes

As your hormones decrease, you are likely to lose strength in your muscles. As your muscle mass declines, you might gain unwanted fat. Gaining weight when you haven’t changed your diet or exercise routine can be a very demoralizing experience. If you are already suffering from emotional issues, weight gain can make you even more depressed and unhappy.

Sexual Issues

Hormonal problems can negatively impact your sex life. You might lose interest in enjoying sexual activities with your partner. In addition, you might experience physical changes that make sex uncomfortable or unpleasant.

Other Problems

In addition to the issues described above, unbalanced hormones can cause you to experience hot flashes and joint pains. Further, you might become tired more easily. For example, you might become very fatigued after you run a couple of errands.

What Are Bio-Identical Hormones?

As you get older, your body will begin to make lower amounts of testosterone, estrogen, and other important hormones. We can use bio-identical hormones to correct this issue.

These substances are called bio-identical hormones because they have the same chemical structure as the hormones that your body creates. Instead of obtaining these hormones from animal sources, we will use plant-based hormones to treat your negative symptoms.

What Types of Hormones Can I Receive During My Therapy?

We can use estrogen, testosterone, progesterone, and other hormones to improve your health.

Estrogen

Estrogen is a group of hormones that includes estrone, estradiol, and estriol. These hormones help your body control your menstrual cycle and strengthen your bones. Certain illnesses and lifestyle choices can change the amount of estrogen in your body.

For example, your estrogen levels may decrease if you have an illness like polycystic ovarian syndrome, also known as PCOS. In addition, if you are an athlete who has very low body fat, your body might begin to produce insufficient amounts of estrogen. This change can cause you to develop irregular periods and bone issues. Further, as you age and go through menopause, your estrogen levels will decline.

Testosterone

You probably already know that declining testosterone levels negatively impact men’s health and sexual function. Testosterone is a hormone that causes men to have deep voices, larger amounts of muscle, and strong bones. This hormone also affects a man’s sex drive and ability to perform during sex. However, men aren’t the only ones who need this hormone to feel strong and vibrant. Women’s bodies also create testosterone.

As you get older, your levels of this important hormone will decrease. As your testosterone declines, you can lose interest in sex and become depressed. Your muscles might weaken and you can become very tired.

Progesterone

Progesterone is produced in your ovaries. This important hormone helps to regulate your periods and get the lining of your uterus ready for pregnancy. If your progesterone levels are too low, you might have difficulty getting pregnant and carrying a pregnancy to term. Further, you could have an irregular menstrual cycle, suffer from headaches, and have mood issues.

Melatonin

Melatonin is a hormone that helps you maintain a regular sleeping cycle. When your body is functioning properly, your pineal gland will cause your melatonin levels to increase at night and decrease during the daytime. As you get older, your body will naturally create less melatonin. In addition, your melatonin levels will probably fall when you go through menopause.

Taking melatonin supplements can be a good way to correct your sleep cycle and improve the quality of your rest. Further, some scientists believe that taking melatonin as you are going through menopause will decrease your chances of experiencing bone loss in the future.

Thyroid Hormones

Your thyroid is a gland that helps to control your metabolism and keep your weight stable. If your thyroid does not produce enough hormones, you can experience fatigue and gain weight. You may also be very sensitive to cold temperatures, develop dry skin, and have issues with constipation. Your heart rate may slow down, and you can develop pain in your joints.

This condition is called hypothyroidism. Receiving regular doses of thyroid hormones can decrease these negative symptoms and improve your metabolism.

How Will I Be Monitored During My Treatment?

You’ll begin the process of balancing your hormones by having an initial consultation with us. We will talk about the physical, emotional, or other symptoms that you are experiencing. We will discuss the hormonal treatments that can be used to improve these issues. We will also tell you about the benefits of pellets, creams, and other hormonal delivery methods.

Monitoring Your Reaction

Once you begin receiving this therapy, we will use blood tests to monitor your body’s reaction to your bioidentical hormones. Since we will try to use a low dose to improve your negative symptoms, we may adjust your hormones during this time.

Once we have corrected your hormonal imbalance, we will reduce the frequency of your blood tests. For example, we may instruct you to get one blood test every year.

What Type of Hormonal Optimization Methods Can I Use?

You can use injectable treatments, pellets, and many other methods to balance your hormones. We will consider the type of hormones that you need, your personal preferences, and other factors when we discuss these delivery methods with you.

Pellets

Hormone pellets are small compounds that contain hormones that are made from plant-based sources. During your hormone therapy, we will put these pellets under the surface of your skin. Once these pellets are inside your body, they will send regular doses of hormones into your tissues.

If you don’t like the idea of remembering to apply a topical cream onto your body, you might benefit from using these pellets to treat your hormonal imbalance. Pellets are a very easy way to correct the hormonal issues that occur during menopause. Receiving a steady dose of hormones during this time can decrease hot flashes, emotional issues, and other menopausal problems.

Injectables

If you choose to use injectables to address your hormonal imbalance, we will gently inject carefully calibrated doses of hormones into your body. Getting your hormone injections is a quick process, and you’ll be able to continue your usual routine after you leave our office.

Capsules

If you are looking for a completely non-invasive way to receive your hormones, you can choose to take oral medications. We can design a customized plan that will allow you to receive sufficient amounts of bio-identical hormones by taking pills. It’s common to take these pills once every day.

Topical Methods

Administering creams and lotions onto your body is an easy, non-invasive way to balance your hormones. Using creams can be a good way to correct hormonal deficiencies that develop during menopause.

How Can I Use Hormones to Improve My Wellbeing During Menopause?

It’s very normal to experience hot flashes, mood issues, and other challenges when you go through menopause. Getting hormonal optimization therapy is a good way to reduce these negative symptoms and feel happier and healthier.

Changing Hormones

Menopause occurs when you haven’t experienced a menstrual period for at least a year. It’s normal to experience this development when you are in your late forties or early fifties. However, certain illnesses and medical procedures can cause you to go through menopause at an earlier point in your life. For example, if you have your ovaries removed when you are in your thirties, you will experience this change after your medical procedure.

As your body prepares for menopause, your ovaries will begin to make less estrogen. This change can begin when you are in your thirties or forties. Even though you are still experiencing periods at this time, you may develop negative symptoms as your hormone levels change.

A Difficult Process

As your body goes into menopause, you might have night sweats, hot flashes, and sleep changes. You may also need to go to the bathroom more frequently and become easily irritable or upset. You might also develop vaginal dryness that causes you to feel uncomfortable during sexual activities.

Addressing Your Symptoms

Fortunately, you don’t have to accept hot flashes, sexual challenges, and other problems as an inevitable part of menopause. Taking bioidentical hormones can ease these symptoms and make this life transition a pleasant, enjoyable experience for you. For example, if bathroom challenges and hot flashes are keeping you up at night, hormones can help you get a good night’s sleep. As your sleep improves, you will feel more rested and alert during the day.

In addition to improving your sleep, hormones can reduce your tendency to become irritated or upset. Further, you can regain your interest in sex and have an easier time experiencing orgasms.

Improve Your Hormonal Levels

It’s common to lose muscle strength, develop sleep issues, and experience many other negative symptoms when your hormone levels decline over time. Fortunately, you can use pellets, creams, and other treatments to change your hormone levels. To learn more about the physical and emotional benefits of hormone optimization therapy, contact us at ProMD Health in Baltimore, Maryland to set up an initial meeting.

01.12.2020
Share with:

Choose Your Location

To book an appointment online, select one of the following locations.

Annapolis, MD (21401)

Annapolis
annapolis_mob

Arlington, VA (22201)

Arlington
Arlington_mob

Timonium, MD (21093)

Timonium
timonium_mob

Bel Air,
MD (21015)

Columbia, MD (21045)

Columbia
Columbia_mob

Wellington, FL (33414)

Wellington
wellington_mob

Washington, DC (20001)

Washington
washington_mob

Tox Bar (21224)

Westminster, MD (21157)

Annapolis, MD (21401)

annapolis_tab

Arlington, VA (22201)

arlington_tab.

Timonium, MD (21093)

timonium_tab

Bel Air,
MD (21015)

Columbia, MD (21045)

columbia_tab

Wellington, FL (33414)

wellington_tab

Washington, DC (20001)

washigton_tab

Tox Bar (21224)

Westminster, MD (21157)

Taylor Warren ProMD Health Bel Air

Taylor Warren

RN, BSN

Locations

About

Taylor graduated from Towson University in 2021 with a bachelor's degree in nursing. Taylor worked as a nursing assistant throughout school before accepting a position as a registered nurse at Johns Hopkins Bayview in the emergency department. Using her critical care experience, she then worked as a perioperative nurse in an outpatient surgery center before joining the Pro MD team in Belair. Taylor has always had a love for cosmetic nursing and specializes in making patients not only look their best but also feel their best.

Stakesha St Clair Washington DC ProMD Health Aesthetician

Stakesha St. Clair

Aesthetician

Locations

About

Beauty muse meets patient care. Stakesha St. Clair, a native of Washington D.C. has honed her skills in providing personalized skincare treatments and recommendations to help her clients achieve a healthy and glowing complexion. With a background in dermatology and aesthetics, Stakesha is highly knowledgeable in the latest skincare techniques and products. She believes in the importance of a skincare regimen and that confidence starts with the health of your skin.

Search ProMD Health

Search

Kelly Cochran

Medical Aesthetician

Locations

About

Kelly Cochran a licensed aesthetician with over 20 years of hands-on experience. Kelly has dedicated her career to quality outcomes and providing a luxury service to every patient she sees. As a ZO Skin Health Expert, Kelly works with her patients using in office services and at home treatments to award them the best results available. Come see Kelly for her personally designed custom Hydrafacials! In her spare time, Kelly enjoys ballroom and professional dancing and spending time with her friends and family.

Jessica Hogg

Medical Aesthetician

Locations

About

Jess, a licensed cosmetologist, boasts over 15 years of experience in aesthetic medicine. She embarked on her journey in Plastic Surgery, eventually rising to become the aesthetic director of a multi-location dermatology practice and the lead medical aesthetician. Jess has truly excelled in skin health restoration, earning accolades as an expert in the field. With comprehensive training under Dr. Zein Obagi and a track record of nationwide educational lectures for SkinMedica, she has delved into every aspect of aesthetic care. Coined by colleagues as the "Skincare Queen," Jess believes what you do at home is paramount to achieving your aesthetic goals.

Jillian Krebs

CRNP

Locations

About

Jillian has spent the last 6 years of her career working in neurosurgery with WellSpan Health, York PA. Jillian’s extensive surgical background and understanding of the head and neck make her an advanced practitioner in the field of medicine. Graduation from York College, as a Registered Nurse, Jillian immediately worked to become a certified Nurse Practitioner. She has spent 15 years of her career dedicated to the health and wellness of the patients surrounding her home town. Jillian has spent months training along side the brightest and most talented injectors in the world of aesthetics and is thrilled to offer the patients of Westminster, MD her expertise. Jillian is passionate about health, wellness and ensuring her patients feel and look their very best. An avid athlete, Jillian spends her time with her fiancé and family enjoying the outdoors.

Bailey Babowicz

Laser Technician

Locations

About

Over the past four years, I've been a Certified Medical Electrologist (CME). I've collaborated with dermatologists and worked at medspas, performing a variety of laser treatments such as BBL, Moxi, laser hair removal, and acne treatments. Since I was young, I've always had a passion for helping people feel their best, and I'm fortunate to be able to do this through my career.

brynn_blackstock

Brynn Blackstock

Aesthetic Consultant

Locations

About

Brynn is one of our Aesthetic Consultants. She graduated from Penn State University in 2021 and holds a Bachelor of Science in Biobehavioral Health. She brings over 5 years of experience in customer service within the beauty industry to the team. Brynn has a passion for helping others look and feel their best and strives to make each patient feel welcome at our practices.

Kaitlin Lemenze

Medical Aesthetician

Locations

About

Kaitlin Lemenze is our medical front desk and licensed medical aesthetician. Kaitlin is patient focused and detailed-oriented. She is very personable and courteous in all interaction with patients and team members and skilled at anticipating physician and practice needs. Kaitln specializes in HydraFacial, medium depth chemical peels, dermaplaning, acne treatments, microneedling, skincare assessments, and in-depth treatment plans. All of Kaitlin's treatments incorporate goal oriented results while offering relaxation and pampering. Kaitlin is passionate about aesthetics and helping others to love the skin they're in. 

ashley_santamaria

Ashley Santamaria

PA-C

Locations

About

Ashley Santamaria is a Board-Certified Physician Assistant with a master’s degree in Medical Science from Lincoln Memorial University – DeBusk College of Osteopathic Medicine. She has an extensive healthcare background of 12 years as a Patient Care Representative, Emergency Medical Technician, Certified Nursing Assistant, Medical Assistant, and now as a Physician Assistant. She’s an active member of the FL Academy of Physician Assistants and the American Academy of Physician Assistants. Ashley fell in love with Aesthetic Medicine because “it is where science meets art; where research marries creativity” and therefore has completed multiple neurotoxin and injectable certifications, along with a certification in hormonal optimization therapy.

Steele Bolton

RN

Locations

About

Steele is a native Texan who has called DC home for almost 3 years! He first graduated from Texas State University with a Bachelor’s degree in Microbiology and Biochemistry, and then a degree in Nursing from Brookline College in Phoenix, Arizona. He has experience in various avenues of nursing ranging from the Neuro-Intensive Care Unit, to Orthopedics, Case Management, Home Health, as well as School nursing. He discovered his passion for anti-aging medicine as a client of a MedSpa in 2021 and could not be more excited to step into the industry. “My goal for each client is to feel more confident in themselves and their image with each step in the process of achieving their aesthetic goals. The greatest feeling is knowing that you’ve helped boost someone’s confidence.”

Farah Hizoune

Aesthetic Consultant

Locations

About

Farah is a Baltimore native and our Aesthetic Consultant for Tox Bar. Farah has always had a passion for making people feel beautiful and confident. As a current cosmetology student, she is always learning to grow her knowledge in all things beauty. She has worked in medical aesthetics for over 3 years and is a certified makeup artist. She looks forward to using her broad beauty acumen to help our patients achieve their aesthetic goals!

Cailie Murphy

CRNP

Locations

About

Cailie is a Baltimore native who joined ProMD in August 2022 as a Certified Registered Nurse Practitioner. She received Bachelors degrees from University of Denver and Thomas Jefferson University. She also completed her Masters in Nursing from Thomas Jeff

Mariel Castronova

Medical Aesthetician

Locations

About

Mariel is our Medical Aesthetician in the Columbia office. In addition to her aesthetics certification from Fortis Institute, she received her Bachelor of Science Degree from Towson University in Human Services as she thoroughly enjoys working with and helping people. Her knowledge and passion surrounding skin care allows her to educate patients while building treatment plans based on skincare goals. Her previous experience in a spa setting allows her to cater to patients’ needs and expectations during treatment, while providing a relaxing environment.

Kathy Hoang

Aesthetic Consultant

Locations

About

Kathy is an aesthetic consultant and studied Health Administration and Public Policy at the University of Maryland Baltimore County. She has a strong passion for healthcare and the aesthetics industry. She enjoys working with patients to create plans to achieve their aesthetic goals. On the weekends, you can find her golfing or spending time with her family and friends.

james_hogan

James Hogan

Aesthetic Consultant

Locations

About

James is one of our Aesthetic Consultants. He graduated from the Smith School of Business at the University of Maryland in 2021 and holds a Bachelor of Science in Operations Management and Business Analytics. Combining his love for aesthetics and his experience in consulting and customer service, James has made it his passion to keep up with the ever-changing industry to serve as a knowledgeable resource to patients while providing exceptional care.

Natalie Aponte

Aesthetic Consultant

Locations

About

Natalie is one of our aesthetic consultants at our Columbia location. She has been a part of the Columbia team for the past 3 years, where she worked as a front desk receptionist, and upon graduating from the University of Maryland at College Park, she has transitioned into the aesthetic consultant position. Natalie has a passion for aesthetics and aspires to attend medical school in the coming years with the intent of pursuing cosmetic dermatology. She is passionate about making patients feel confident and comfortable, and uses her customer service experience to ensure patients leave satisfied and feeling their best. She works hard to bring a positive attitude to the office, and offers a helping hand to all of our team members to ensure the office runs smoothly.

Jen Aponte at ProMD Health Columbia

Jennifer Aponte

PA-C

Locations

About

Jennifer is a Maryland native and lived in Columbia for 9 years before moving to Catonsville. She received her Bachelor of Science in Dietetics from The University of Maryland College Park and completed her Master’s as a Physician Assistant from St. Francis University. Jen worked as a physician assistant at Prince George’s Hospital in obstetrics and gynecology before working for Concentra as an urgent care and occupational medicine physician assistant. She has always had an interest in cosmetic dermatology. She completed a rotation in dermatology and completed training under Dr. Gavrilla. She is a member of the American Academy of Physician Assistants and the Maryland Academy of Physician Assistants.

meg_landymore

Meg Landymore

PA-C

Locations

About

Meg is a Physician Assistant, board-certified by the National Commission on Certification of Physician Assistants. She is a Baltimore-area transplant, originally from Connecticut, who moved after completing her Master’s as a Physician Assistant from Seton Hall University. Meg has over 9 years of experience in the fields of Neurosurgery, Emergency Medicine, Occupational Medicine and Army medicine as a member of the Army National Guard. Meg brings her wealth of experience to clinical aesthetics where she focuses on helping people look and feel their best. Meg underwent training under Dr. Gavrila and is certified in Botox, dermal fillers and hormone optimization therapy.

Paige Scott

Master Aesthetician

Locations

About

Paige has been in the beauty industry for 5 years. She has a passion for making people feel confident in their own skin. Paige’s combination of a personal and professional approach welcomes and comforts everyone who comes in for treatment. Paige passionately believes self care is the best care and the most beautiful thing you can wear is your own confidence.

Amanda Pittillo

PA-C

Locations

About

Amanda is a Baltimore native and ingrained in the local community and surrounding areas. She received her Bachelor in Nursing from Salisbury University and completed her Master’s as a Physician Assistant from Towson University. Amanda worked for five years as a registered nurse in cardiac care and an emergency room nurse. She is a member of the American Academy of Physician Assistants and the Maryland Academy of Physician Assistants. Her strong patient care background and attention to detail drives high expectations for quality in her work. “Patient satisfaction is a direct reflection of the quality of care I provide. I want every patient to leave my office feeling like a person and not a number.”

natalie_gavrila

Natalie Gavrila

Lead Aesthetician

Locations

About

Bio coming soon!

diana_gavrila

Diana Gavrila

Senior Aesthetician

Locations

About

Bio coming soon!

jodie_snodgrass

Jodie Snodgrass

Aesthetician

Locations

About

Bio coming soon!

jaclyn_fischer

Jaclyn Fischer

Aesthetic Consultant

Locations

About

Jaclyn is one of our medical office assistants at our Timonium location. She graduated from Medix School in Towson as a certified Medical Office Assistant. Jaclyn has worked in the medical field and customer service for over 15 years. Jaclyn is passionate about aesthetics and is here to help all of our patients have the best experience possible.

Yasmin Miremadi

Aesthetic Consultant

Locations

About

Yasmin Miremadi has been a Licensed Aesthetician for 5 years. Graduating from Von Lee International School of Aesthetics, she began her career specializing in facials and chemical peels. Yasmin enjoys putting together a skin care regimen based on patients specific needs. Most importantly she has a passion for helping others feel and look their best.

carmella_ellis

Carmella Ellis

Aesthetician

Locations

About

Carmella is a Baltimore native who has always had a passion for skincare. It is this passion that led Carmella to receive her aesthetician license under Diana Gavrila at Diana’s European Skin Care in 2014. For the last 8 years, Carmella has been able to bring her passion for skincare to all of her clients, where Carmella’s artistic eye and attention to detail are evident with every treatment. She has extensive experience working with people of all skin types, particularly individuals with aging skin, and skin prone to acne. She is always looking to learn more new and improved ways to better serve her clients, as technology and medical research are constantly evolving.

mandy_gauthier

Amanda Gauthier

PA-C

Locations

About

Amanda is a board-certified physician assistant with over 4 years of experience in plastic and reconstructive surgery. She holds her Bachelor of Science degree from James Madison University and completed her Master of Science degree in Physician Assistant Studies at Thomas Jefferson University in Philadelphia. She is a member of the American Academy of Physician Assistants, mentors physician assistant students, and volunteers with the PA Foundation performing scholarship reviews. Amanda enjoys developing strong relationships with patients and being part of their transformative process. "I truly believe in natural-looking results, and I am passionate about helping patients look and feel their best from the inside out."

Hannah Keenan

Director of HRT

Locations

About

Hannah is the Director of Hormone Optimization Therapy. She holds a Bachelor’s degree in Science from Towson University with a focus in Nursing and Psychology. Hannah is dedicated to improving each patients health and quality of life through Hormone Optimization Therapy. She recognizes that each patient is a unique individual and takes pride in providing quality patient care and promoting a healthy lifestyle for everyone. Hannah is responsible for managing patient medications, answering any questions about the procedure process, as well as assisting the physicians during the patients procedure.

amber_elliot

Amber Elliot

RN

Locations

About

Amber Elliott, a Registered Nurse, graduated from Baltimore County Community College in 2013. Immediately after completing her degree, she began working within the field of aesthetics. Amber’s skills and passion for all aspects within the industry have brought her to ProMD Health where she is the Laser Specialist. She helps clients with a wide range of issues such as hyper-pigmentation, acne and acne scarring, as well as uneven skin tone or texture. Additionally, Amber is skilled in the tattoo removal process, whether it is tattoo fading for cover ups or complete removal. Amber’s down to earth personality, along with her honest and genuine approach to skincare and medicine, allows patients to feel comfortable, safe and confident.

Christina Anyikwa, M.D.

Physician

Locations

About

Christina Anyikwa is a physician from Fort Lauderdale, Florida, with a passion for helping patients look and feel their best. After graduating from Spelman College with a Bachelor of Science in Biology, Dr Anyikwa graduated from Ross University School of Medicine and later completed her residency training at the Medical College of Georgia. During her residency, Dr Anyikwa served as Chief Resident, where she led a team of residents and helped to coordinate patient care. After completing her residency training, Dr Anyikwa worked as a hospitalist physician in Washington DC for several years, where she gained valuable experience in managing complex medical cases and providing compassionate care to her patients. Her passion for aesthetics and helping patients feel confident in their own skin led her to transition to medical aesthetics with ProMD Health. As a medical aesthetics provider, Dr Anyikwa combines her medical expertise and artistic eye to create personalized treatment plans that help her patients achieve their aesthetic goals. Outside of work, Dr Anyikwa enjoys traveling, trying new restaurants, and spending time with her family and friends.

Madeline Eggerl

Aesthetic Consultant