Proper diagnosis of male primary hypogonadism includes testing for testosterone, estrogen and luteinizing hormone (LH) among other lab testing. Proper treatment may require several strategies such as decreasing estrogen, increasing LH or simply supplementing testosterone. If indicated, topical administration of testosterone appears to be the most effective way of dosing testosterone with typical doses ranging from 40mg to 120mg applied daily.
As women enter the menopausal age, hormones start declining, and without therapy, symptoms of menopause become exacerbated. With this hormone loss, the vaginal epithelium becomes atrophic and physiological
lubrication is reduced. This can lead to physical discomforts such as vaginal dryness, irritation, itching burning, dyspareunia, all which can lead to decreased libido, causing sexual distress both to the patient and her partner.
Low-dose naltrexone may be useful in a variety of conditions. It has immunomodulatory properties, and anti-inflammatory properties in addition to several other observed effects.
Patients with immune-mediated and/or inflammatory conditions such as those listed below might benefit from low-dose naltrexone therapy:
- Crohn’s disease
- Multiple sclerosis
- Inflammatory conditions
- Complex regional pain syndrome
- Immune-mediate inflammatory skin conditions & itching
Testosterone Cream 50mg
Disp: #30 day supply
Sig: Apply topically once daily
Estriol 0.05% Vaginal Gel
Sig: Insert 1 gram vaginally once daily for
10-14 days, then 3 times per week as
Naltrexone Titration Pack
Sig: Take 0.5mg once daily at bedtime for 1 to 2
weeks, then increase to 1mg daily for 1 to 2
weeks. Continue to titrate by 0.5mg every 1 to 2
weeks up to a dose of 4.5mg daily.