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Hormone balancing

at Dr Deborah McManners’ clinic

As we grow older, both men and women experience physical and emotional changes as production of certain hormones slows down. The female menopause and male andropause can both cause unpleasant symptoms including hot sweats or flushes, lack of energy, mood swings, sleep problems and bone-density issues. Dr McManners is an expert in this field providing bio-identical hormone replacement therapy (BHRT) to offer relief in a more natural way than traditional hormone replacement therapy (HRT).

The hormones used in HRT are synthetic. Their structure is similar to the hormones produced by the body but not exactly the same – and these differences may result in unwanted side effects and health risks. On the other hand, bio-identical hormones have an identical chemical structure as those produced by our bodies. They may be more suitable and tolerated by the body.

Although they are often derived from plant sources, the reason they are often referred to as ‘natural’ is their likeness to the natural molecular structure of human hormones. Unlike HRT which is only available in predetermined dosages, bio-identical hormones are prescribed by Dr McManners at a dosage that’s right for the individual and their concerns. There are several types of bio-identical hormones (see types of BHRT below) that can help to treat symptoms of menopause and andropause as well as pre-menstrual syndrome (PMS), post-natal depression, and menstrual problems.

BHRT is a complex and personal subject that requires careful and in-depth assessment, consultation. Dr McManners can help both men and women consider a more natural approach to dealing with hormonal issues in a medical, professional and compassionate way.

  • Bio-identical hormone replacement therapy (BHRT) may be a more natural alternative to HRT
  • Helps to treat the symptoms of the female menopause and male andropause*
  • May also be used to help with PMS, post-natal depression, and menstrual problems*

Types of bio-identical hormones

  • Bio-identical hormones are derived from plant sources including wild yams and soya bean plants. They are then manufactured into tablets, creams and skin patches. Unlike HRT, bio-identical hormones may be prescribed to restore imbalances found in specific hormone levels which may be assessed by blood tests. They may be used in combination to meet your bespoke prescription.
  • Oestrogen is the primary female sex hormone that’s measured through the specific levels of the oestrogen hormones known as estrone, estradiol or estriol. Not all of the oestrogens have the same effect, and the exact replacement prescription should contain an appropriate amount to treat your situation and symptoms. May helps to treat symptoms including hot flushes, vaginal dryness, urinary concerns, as well as improving skin and hair health. It may be used preventatively against osteoporosis, certain age-related eye concerns, as well as strokes and heart disease.*
  • Progesterone can help with mood swings and depression as well as difficulty sleeping.*
  • Testosterone is the main male sex hormone. Balancing testosterone can help to improve energy, increase libido, help mood swings and depression and protect against heart disease. It is also important for women, improving libido and energy levels, as well as muscle and bone strength.*
  • DHEA (dehydroepiandrosterone) is a precursor to the sex hormones that’s produced in adrenal glands, the testicles or ovaries and the brain. It can be used to stimulate the immune system, decrease cholesterol and body fat, reduce the risk of heart disease and improve mood and well-being due to its antidepressant effects.*
  • Pregnenolone helps to repair cells in the brain and nerve tissues, particularly for memory enhancement.
  • Melatonin regulates other hormones while maintaining the body’s sleep pattern. Balancing levels helps to treat sleeping problems by regulating normal sleep patterns and improving the depth and quality of sleep.*
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Individual results may vary.

Complementary procedures

Your questions answered

  1. Who should consider bio-identical hormone replacement therapy (BHRT)?

    If you’re experiencing menopausal symptoms or other hormone-related conditions such as pre-menstrual syndrome (PMS), post-natal depression, endometriosis and menstrual problems, then BHRT may help to relieve symptoms. It’s a more natural alternative to HRT and could be considered if you’re concerned about HRT’s side effects and risks.

    For men over 40, BHRT can help to reduce symptoms of the male andropause.*

  2. What is the male andropause?

    This is also known as the male menopause and refers to decreasing levels of testosterone in many men as they get older. Unlike the female menopause, hormone levels drop slowly over time. This can lead to symptoms including increased body fat, less muscle mass, low energy levels and difficulty sleeping.

  3. What happens during the consultation period for BHRT?

    Dr McManners’ assessment and consultation process for BHRT is extremely thorough and in depth. She’ll begin by checking your medical history to identify any reasons why you shouldn’t undertake treatment. Photographs (for alleviation of any visible symptoms) and questionnaires (for mood or symptom ratings) may also be taken.

    The initial consultation may lead to some laboratory tests.

    You’ll then have a second consultation to go through all the indicators that have been examined and measured by tests. These may include hormone levels such as oestrogen, progesterone, testosterone and health-risk profiles.

    Dr McManners is then able to prescribe the right bio-identical hormones at precise levels to meet your individual needs. It’s a completely bespoke approach.

  4. How long does the treatment take?

    As BHRT is tailored to each individual, the length of your treatment programme will be decided between yourself and Dr McManners. It’s important to attend follow-up consultations to re-test for hormone indicators to determine the next stage of prescriptions and supplements. When hormone levels are steadied, most patients only need to visit every 3 months for a review or as requested.

  5. Is there anything I should do during treatment?

    It’s important to take/use all therapy as prescribed and stick to a regular routine. It’s worthwhile taking a few notes at the same time on a daily basis on how you are feeling. This can help to build a picture of treatment progress that includes both positive and negative elements. The effects of hormones can be complex and vary greatly from one person to the next. If you have any concerns, contact us and we’ll arrange a consultation if necessary.


Individual results may vary.

“I was having hot flushes and night sweats. It made it difficult to focus at work and I was losing a lot of sleep. Speaking to Dr McManners was a real turning point for me. I feel that BHRT is really tailored to me and has helped me regain control.”

Angela, Tunbridge Wells

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    *Individual treatment outcomes may vary. Specific outcome is not guaranteed.