Hormone Replacement Treatment Options for Women

A wide range of hormone replacement treatments exist for women looking to reverse or slow down the natural aging process of their bodies. At Youth Diagnostics™, the hormone replacement treatment plan is tailored to meet the precise needs of each individual patient. This means you will receive your own unique regimen with customized dosages and selected hormones.

Dr. Grant Macaulay and our team of specialists will work with each patient to determine which treatments are likely to produce the best effects, based on your medical history as well as the results of our comprehensive Youth Diagnostics™ evaluation. Only the medicines you absolutely need will be included in your treatment plan. Our goal is to create a minimal regimen and medication combination that will let you achieve optimal hormonal balance and to reduce the effects of aging. Below, you will find a comprehensive list of hormone replacement treatments.

Call today to set up an initial consultation with our doctors. For your first appointment, you will need to visit our office in Manhattan. If you prefer to avoid further travel, we offer alternatives such as conducting follow-up appointments via telephone or shipping prescriptions to your home on a monthly basis. All of our medications come from our specialty compounding pharmacy.

The Basic BHRT Program

The following hormone replacement treatment program is aimed at balancing a variety of delicate hormones in women to treat symptoms and long-term consequences of menopause.

Estradiol (bioidentical, micronized, USP) transdermal
- Custom-compounded (mixed) in the form of a moisturizing cream that you will apply daily to the upper arms.
- Loaded into 3mL application syringes (no needle) for accuracy and easy dispensing
- Slow release of the hormone through your skin into the bloodstream over twelve hours transdermally, simulating your body's natural production of estradiol (we believe this is a better option than taking oral estrogens).
Progesterone (bioidentical, micronized, USP) has 2 delivery methods:
- Transdermally, mixed in with estradiol cream
- Orally, in the form of a capsule
Testosterone (bioidentical, micronized, USP) may be added to the topical cream if needed
DHEA capsules, pharmaceutical-grade and customized based on its existence in your blood
Pregnenolone, which may be combined with DHEA and delivered in one capsule
Melatonin capsules, pharmaceutical-grade and compounded to order
Antioxidant packs, pharmaceutical-grade and manufactured for Youth Diagnostics™
Youth Diagnostics™ Testing system establishes your baseline physiological age and identifies any weakness in the different body systems:
- CardioAge: Arterial Stiffness testing
- CorpoAge: Body Composition testing
- PulmoAge: Pulmonary Function testing
- CutoAge: Skin Elasticity testing
- OsteoAge: Bone Mineral Density Scan
A $100 monthly “Program Maintenance Fee”, which covers:
- Follow-up appointments, communication by email and phone, physical exams, reviewing & analyzing laboratory test results. During the first year, you are expected to consult with your physician three to four times at $250 per consultation.
- Management of your lab follow-up requirements and treatment program
- Youth Diagnostic™ Testing system as explained above
- Complimentary blood drawing in our office laboratory
- Overhead costs of operating a first-rate age management office

The Youth Diagnostics™ Program

Our Youth Diagnostics™ program is considered the gold-standard of age management programs. Personal, accurate evaluation will help our specialists design a treatment plan that will reverse or substantially slow the effects of aging by balancing your body’s intricate web of hormones and restoring cell maintenance and function.

hGH (human growth hormone), which comes in 3 delivery methods:
- Conveniently compounded to order using Norditropin hGH (always needs to be refrigerated, should be used within two weeks)
- Norditropin Nordiflex pen
  - Stored in a pen injector device
  - Needs refrigeration before the first injection. Afterwards, can be stored at room temperature and should be used within three weeks (OR within four weeks with refrigeration)
- Single-dose Genotropin MiniQuick cartridges
  - Does not need to be refrigerated
  - Twist the plunger to mix the powder & the water. Inject and discard.
  - Great option for frequent travelers
Estradiol (bioidentical, micronized, USP) transdermal
- Custom-compounded (mixed) in the form of a moisturizing cream that you will apply daily to the upper arms.
- Loaded into 3mL application syringes (no needle) for accuracy and easy dispensing
- Slow release of the hormone through your skin into the bloodstream over twelve hours transdermally, simulating your body's natural production of estradiol (we believe this is a better option than taking oral estrogens).
Progesterone (bioidentical, micronized, USP) has 2 delivery methods:
- Transdermally, mixed in with estradiol cream
- Orally, in the form of a capsule
Testosterone (bioidentical, micronized, USP) may be added to the topical cream if needed
DHEA capsules, pharmaceutical-grade and customized based on its existence in your blood
Pregnenolone, which may be combined with DHEA and delivered in one capsule
Melatonin capsules, pharmaceutical-grade and compounded to order
Antioxidant packs, pharmaceutical-grade and manufactured for Youth Diagnostics™
Youth Diagnostics™ Testing system establishes your baseline physiological age and identifies any weakness in the different body systems:
- CardioAge: Arterial Stiffness testing
- CorpoAge: Body Composition testing
- PulmoAge: Pulmonary Function testing
- CutoAge: Skin Elasticity testing
- OsteoAge: Bone Mineral Density Scan
A $140 monthly “Program Maintenance Fee”, which covers:
- One complimentary nutritionist consultation
- Cool pack in which to transport your refrigerated medications
- Follow-up appointments, communication by email and phone, physical exams, reviewing & analyzing laboratory test results. During the first year, you are expected to consult with your physician three to four times at $250 per consultation.
- Management of your lab follow-up requirements and treatment program
- Youth Diagnostic™ Testing system as explained above
- Complimentary blood drawing in our office laboratory
- Overhead costs of operating a first-rate age management office