Bio-Identical Hormone Replacement Therapy

A combination approach to anti-aging, sexual health, and menopause symptoms

Most Insurance Accepted

Dr. Smitherman prescribes hormones that are identical to the hormones that are naturally in your body, as opposed to altered chemicals that are not naturally found in the human body. Some hormones Dr. Smitherman prescribes include testosterone, estradiol, progesterone, thyroid hormones, cortisol, DHEA, and pregnenolone. Finding the right combination of hormones to replace decreasing levels as you age can help many women to restore their vitality, reduce menopausal symptoms, and feel youthful again. Some common symptoms that Dr. Smitherman’s patients reports have improve with hormone replacement include: sleep quality, hot flashes, skin quality, energy, sexual arousal and satisfaction, vaginal dryness, and mood.

Many women suffer from hypoactive sexual desire disorder (HSDD). In addition to hormone management, some women may also require additional measures to improve sexual desire, enjoyment, and orgasm. Dr. Smitherman also offers compounded topical medications that improve the blood flow to the genital tissue. These custom formulations are affectionately referred to as “Scream Cream”, and “Yell-Gel”. The ingredients in these topicals include: Aminophylline, sildenafil, papaverine, and arginine. Additionally, Dr. Smitherman prescribed a subcutaneous injection called PT-141 which is known as the “female Viagra”.

This injection can help to improve vaginal atrophy, vaginal dryness, stress incontinence, pain with sex, clitoral sensitivity, arousal, and ability to orgasm. Dr. Smitherman will first clean, and numb the tissue of the vulva and vagina with a strong topical numbing medication. Then we take a small amount of blood, and process it to concentrate the cellular compounds called platelets and white blood cells. These cells contain natural growth factors that can regenerate blood vessels, regenerate nerve endings, and regenerate soft tissue.

Estradiol vaginal cream is very effective for most women to improve vaginal lubrication, and plumpness. However, some women choose to avoid estrogen for their vaginal atrophy and dryness. In this instance, Dr. Smitherman prescribes non-estrogen vaginal formulas. Typically this formula is a combination of DHEA, hyaluronic acid, vitamin E, and water based lubricant.

General Womens Health statement

At this time, Dr. Smitherman is practicing specialty care in the areas outlines above. Dr. Smitherman does not practice primary care, or gynecology in a comprehensive fashion. Dr. Smitherman requires his patients to maintain their regular health check ups with their primary care, and/or gynecology physicians to maintain health and wellbeing.