Bioidentical Hormone Replacement Therapy (BHRT)

Personalized Hormone Care with Decades of Clinical Experience

Dr. Adrian J. Hohenwarter, MD provides individualized Bioidentical Hormone Replacement Therapy (BHRT) for appropriate adult patients experiencing hormonal changes associated with aging, perimenopause, menopause, or other clinically evaluated hormone concerns.

With decades of experience in hormone evaluation and hormone replacement therapy, Dr. Hohenwarter takes an individualized approach to care. Treatment decisions are based on each patient's medical history, symptoms, physical assessment, laboratory findings when appropriate, individual risk factors, and ongoing clinical response.

Hormone therapy is not appropriate for everyone. Each patient is medically evaluated to determine whether hormone replacement therapy may be an appropriate treatment option.

What Are Bioidentical Hormones?

The term bioidentical hormone generally refers to a hormone that is chemically and structurally identical to a hormone produced by the human body.

Hormones commonly considered in hormone replacement therapy may include:

• Estrogen
• Estradiol
• Estriol
• Progesterone
• Testosterone

The specific hormones, formulation, dosage, and method of administration considered for an individual patient depend upon the patient's medical needs and clinical evaluation.

Hormone Evaluation for Women

Hormone levels naturally change throughout adulthood and can change significantly during perimenopause and menopause.

Women may seek a medical hormone evaluation for concerns such as:

• Hot flashes
• Night sweats
• Sleep disturbances
• Vaginal dryness or discomfort
• Changes in sexual function
• Mood changes
• Changes in energy or general well-being

These symptoms can have many possible causes and are not, by themselves, proof of a hormone deficiency or imbalance. A medical evaluation is important before determining whether hormone therapy is appropriate.

Hormone Evaluation for Men

Hormonal changes may also occur in men as they age or as a result of certain medical conditions.

Men experiencing symptoms potentially associated with low testosterone or other hormonal concerns may undergo a medical evaluation that can include medical history, physical assessment, laboratory testing, and evaluation for other possible causes of their symptoms.

Testosterone therapy is prescribed only when medically appropriate following physician evaluation.

Our Individualized Approach to Hormone Replacement Therapy

Hormone replacement therapy should not be a one-size-fits-all treatment.

When hormone therapy is appropriate, Dr. Hohenwarter develops an individualized treatment plan based upon the patient's clinical circumstances. Depending upon the patient, this process may include:

Comprehensive Medical Evaluation
A review of symptoms, health history, current medications, previous hormone therapy, family history, and relevant risk factors.

Laboratory Evaluation When Appropriate
Laboratory testing may be ordered when clinically indicated to assist with diagnosis, treatment decisions, or monitoring.

Individualized Treatment Recommendations
The type of hormone, dosage, formulation, and route of administration are determined according to the individual patient's medical needs.

Ongoing Monitoring
Patients receiving hormone therapy require appropriate medical follow-up. Treatment may be adjusted based upon clinical response, laboratory findings when applicable, side effects, changes in health status, and the physician's medical judgment.

Understanding the Benefits and Risks of Hormone Therapy

Hormone replacement therapy can provide benefits for appropriately selected patients, but all hormone therapy has potential risks and side effects.

The potential benefits and risks vary according to factors such as the hormone prescribed, dosage, route of administration, duration of treatment, age, medical history, and individual health risks.

Hormone therapy may not be appropriate for patients with certain medical conditions or risk factors. Dr. Hohenwarter reviews relevant risks, potential benefits, alternatives, and monitoring requirements as part of the treatment process.

Patients should never begin, discontinue, or change the dosage of a prescription hormone without consulting their prescribing healthcare professional.

Experienced Bioidentical Hormone Care

Dr. Adrian J. Hohenwarter has worked with patients seeking hormone evaluation and hormone replacement therapy for decades.

His approach emphasizes:

• Individualized medical assessment
• Appropriate laboratory evaluation
• Personalized treatment decisions
• Conservative prescribing based on medical need
• Ongoing patient monitoring
• Adjustment of therapy when clinically indicated
• Patient education regarding potential benefits, limitations, and risks

The goal is to provide responsible, physician-directed hormone care based upon the individual patient's medical needs rather than using a standardized hormone protocol for every patient.

Schedule a Bioidentical Hormone Consultation

If you are experiencing symptoms that may be associated with hormonal changes, a medical consultation can help determine whether additional evaluation is appropriate.

During your consultation, Dr. Hohenwarter can review your medical history, current symptoms, medications, relevant laboratory information, and individual risk factors and discuss available treatment options.

Contact our medical office to schedule a Bioidentical Hormone Replacement Therapy consultation with Dr. Adrian J. Hohenwarter, MD.

Our practice welcomes patients from throughout the Hershey–Harrisburg–Lebanon region and surrounding Central Pennsylvania communities.

Important Medical Information

The information on this page is provided for general educational purposes and is not a substitute for individualized medical advice, diagnosis, or treatment.

Hormone replacement therapy requires evaluation by a qualified healthcare professional and is not appropriate for every patient. Potential benefits, risks, side effects, contraindications, and treatment alternatives should be discussed with your healthcare provider.

Individual results and responses to hormone therapy vary. No specific treatment outcome is guaranteed.

Prescription medications, including hormone medications, are not sold directly through this website. Prescription treatment requires an appropriate physician-patient relationship, medical evaluation, and a valid prescription when clinically indicated.