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BioIdentical Hormone Replacement

Home » Videos » Procedures » BioIdentical Hormone Replacement

Dr. Robert Troell - Las Vegas, NV
Las Vegas, NV & Irvine, CA
Cosmetic and Facial Plastic Surgeon

Menopause or Pre-Menopause? Are you experiencing some of the signs?

Natural Biodentical Replacement in Women: (*)

Millions of women in the United States are suffering from either hormonal imbalance or hormonal deficiencies. It may present itself by early menopause, peri-menopause symptoms, peri-menopausal weight gain, adrenal fatigue, menopause, or premenstrual symptoms (PMS).

As many as 25% of woman enter into menopause as a result of medical treatment instead of by the natural aging process. The first step is to identify if you are experiencing any of these symptoms and entering into a comprehensive evaluation and management program that brings you a new sense of vitality.

The signs of menopause and hormonal deficiencies include:

Brain & Mind Changes:

  • Lower Sexual Libido
  • Irritability
  • Depression
  • Mood Swings
  • Memory Loss
  • Fatigue
  • Insomnia

Body Changes:

  • Muscle Loss
  • Weight Gain
  • Gynecomastia
  • Hot flashes
  • Night Sweats
  • Vaginal Dryness

High and Low Levels in Women

High testosterone in women can give them masculine characteristics, such as deepening of their voice and hair growth on the face, chest and limbs. There can be an increase in muscle mass and the women may develop male pattern baldness. Excess testosterone may cause irregular menstrual cycles, rough skin and aggressively personality changes, lead to polycystic ovarian syndrome (PCOS), ovarian tumors, Conn’s syndrome, or Cushing’s syndrome. Lower than normal levels can lead to lack of sexual desire and weaker experienced orgasms. Low levels of this hormone can affect bone density and muscle mass, leading to reduced strength and increased risk of fractures.

The ovaries function to help produce testosterone even after menopause. Therefore, women who have their ovaries removed are at significant risk for decreased testosterone levels and the subsequent symptoms associated with it.

Normal Levels in Women:

  • Age Testosterone Levels (ng/dL)
  • Prepubescent girls < 30
  • Onset of puberty by age 15 40-50
  • By age 20 about 70
  • Menopausal woman about 35

Functions of Testosterone in Women:

  • Lowers the risk of osteoporosis.
  • By improving the metabolic functions, it contributes to faster healing or quicker recovery after any illness.
  • Important for bone strength and development of lean muscle mass and strength.
  • Contributes to overall sense of well-being and energy level.
  • Libido (sex drive) is determined by this hormone.
  • Responsible for the sensitivity of a woman’s nipples and clitoris associated with sexual pleasure.
  • Promotes easier sexual arousal, enhanced sexual mood and more frequent orgasms.

Aging naturally lowers the levels of testosterone. Those diagnosed with low levels of this hormone for their age or levels below the optimal level during their 20’s, may suffer from the signs and symptoms of low testosterone levels.

Abnormally high or low levels of testosterone may lead to severe health complications. A healthy diet and regular exercise usually maintains normal levels of testosterone as well as all other hormones, in both men and women. A healthy lifestyle is essential to maintain hormonal balance in the body. It helps prevent diseases and disorders.

Menopause & Testosterone in Women:

There is a decline in production of testosterone (by at least 50%) and other hormones at the onset of perimenopause or menopause. If a hysterectomy is medically indicated after age 35 years of age, often the ovaries are removed, which will cause a more significant decline in testosterone levels. Stress can divert the precursors of testosterone hormone production over to cortisol production, furthering reducing testosterone levels. High stress levels can also contribute to an earlier onset of perimenopause, even in one’s late thirties. This may cause less energy, brittle hair, less bone and muscle strength, and a diminished sexual drive.

Please call our offices in Las Vegas NV at (702) 242-6488 to learn more.

Suffering from Andropause, It is the Male Menopause!

Bioidentical Hormone Replacement Therapy in Men:

Men have a peak hormone production by about 20 years of age, men experience a more gradual loss of hormones thereafter, especially testosterone. This nadir or low point of this hormone production often becomes clinical observed during our 40’s or about 50 years of age.

The result is andropause, also known as the “male menopause.” Andropause can make daily life less rewarding with more negative personality changes, feeling less vitality for life and corresponding diliterious body changes. Since men are living longer, more active lives, many are seeking relief from the serious symptoms of hormone imbalance with bioidentical hormone replacement therapy for men.

Screening for the symptoms of low testosterone, growth hormone, among others is the first step in the treatment process, laboratory confirmation, a comprehensive medical history, anti-aging and stress questionnaires, and a detailed physical examination complete the evaluation. Treatment to optimize your medical condition and replace hormonal deficiencies can transform your life!

The signs of andropause and related hormonal decline issues include:

Brain & Mind Changes:

  • Lower Sex Drive
  • Irritability
  • Depression
  • Memory Loss
  • Fatigue
  • Sleep fragmentation

Body Changes:

  • Muscle Loss
  • Weight Gain
  • Gynecomastia
  • Hot flashes in Men
  • Night Sweats
  • Hair Loss
  • Erectile Dysfunction
  • Urinary Problems
  • Sleep Apnea

Testosterone: a key hormone in both men as well as women

Women exhibit high levels of estrogen and progesterone (produced from the ovaries and adrenal gland), while men have high levels of androgens, with the main androgen being testosterone (produced by the testes). Although testosterone is recognized as a male hormone, it is also present and an essential hormone in women. Release of testosterone is regulated by the pituitary gland through release of Luteinizing Hormone (LH). Testosterone is derived from cholesterol (like all the sex hormones) and its immediate precursor is dihydroepiandostrosterone or DHEA.

Levels of Testosterone:

Average testosterone levels by age may vary from person to person, depending upon one’s health condition. When replacing hormones, the physician uses both symptomatic improvement as well as correcting to about the 75th percentile of normal. This level more likely approximates the level when our bodies are hormonally optimized.

Normal Levels in Men:

  • Age Testosterone Levels (ng/dL)
  • 7 months – 9 years < 30
  • 10-19 years 1 to 970
  • 20 to 59 years 270 to 890
  • 60 years and above 352 to 720

High and Low Levels in Men

Elevated levels of testosterone in boys lead to early puberty and is responsible for hyperactive sebaceous glands and acne skin problems. In adult men, elevated levels increases the chance of prostate cancer or cancer of adrenal glands. Inadequate testosterone in men is often a symptom of testicular cancer or a tumor of the pituitary gland. This condition can lead to infertility and loss of libido.

Functions of Testosterone in Men:

Probably the most important, testosterone influences the gender of the developing embryo. Transform male gender characteristics:

  1. deeper voice
  2. enhanced muscle mass
  3. enlarged prominence of the thyroid cartilage (Adam’s apple)
  4. facial hair growth
  5. external genital development (at puberty)
  6. Sperm health or sperm maturity

In addition:

  • Libido (sex drive) is determined by this hormone.
  • Helps maintain physical health by promoting strong muscles and leads to a quality life.
  • Assists in bone mass and bone density improvement.
  • By improving the metabolic functions, it contributes to faster healing or quicker recovery after any illness.
  • In men, it plays an important role in reducing total body fat.

A Natural Balanced Approach

As women and men approach mid-life, many often wonder whether hormone therapy may be beneficial for them. Scientific clinical studies have shown that traditional (synthetic) hormone therapy are less effective than bioidentical hormones and can increase the likelihood of various types of cancer and heart disease. However, many are now taking a natural approach to hormone balance with bioidentical hormone replacement therapy (BIHR).

Hormonal balance using natural bioidentical hormones in both women and men can bring a sense of vitality to one’s life.

Bioidentical Hormone Replacement

What are Bioidentical Hormones? Bioidentical hormones are derived from naturally occurring sources, such as yams and soy, and are designed to replicate the same chemical structure as the hormones that are produced naturally by our bodies. Based on your hormone levels and your response to hormonal treatment, a specialized compounding pharmacy can individually tailor a bioidentical hormone regimen specifically designed for you.

On the flip side, synthetic hormones are intentionally different. Pharmaceutical companies can’t patent bioidentical hormones because each regimen is specifically formulated to treat each patient on an individual basis. Instead, they manufacture synthetic hormones that are patentable.

Are Bioidentical Hormones More Effective than Synthetic Hormones?

Bioidentical hormones are specifically designed to match your individual hormonal needs, unlike synthetic hormones, which are not customized. There is an overwhelmingly large body of evidence that supports the claim that bioidentical hormone therapy is safer and more effective than synthetic hormone replacement. However, no medication or supplement can be completely free of potential negative effects. These facts make it essential for one to consult a specialist before beginning any hormone therapy regimen.

What Hormones are Important to Monitor?

The following are the most essential hormones that are involved in all of your bodies metabolic processes and effect the aging process:

  • Progesterone (women)
  • Estrogen (women)
  • Testosterone
  • DHEA (Dehydroepiandrosterone)
  • Thyroid
  • Human Growth hormone
  • Melatonin

Please feel free to call our offices in Las Vegas, Nevada (702) 242-6488 and Irvine, California (949) 220-0532.

 

For your free private consultation or appointment click here.

(*) © 2022 Dr. Troell - Beauty by Design | All Rights Reserved

Photographs of people used on the following pages are before and after photos of patients who have undergone surgical and non-surgical cosmetic procedures described herein and that provide a reasonable indication of typical results of the advertised procedure. Results may vary and this may not be typical of every user. In the event that this Website uses the image of a non-patient model, we will make reasonably attempts to state that the photo used is of a non-patient model.

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Dr Robert Troell, FACS Plastic Surgery
Dr Robert Troell, FACS Plastic Surgery
4.7
Based on 38 reviews
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Feven Genovese
Feven Genovese
23:59 17 Jun 20
Dr.Troell gave me hope and made me feel very comfortable. I was extremely happy with the results. His price is really... fair👍🏼 I live far away and he always makes time with my schedule. I would definitely recommend him to everyone.read more
leyextremo2008
leyextremo2008
19:13 18 Mar 20
I had a great experience with my face fillers and I am so happy with the results. Definitely 5 stars!
Andrew Mendoza
Andrew Mendoza
17:17 18 Mar 20
For years my double chin was unsightly and weighed on me, After a 45 minute vaser lipo procedure with Dr Troell I feel... and look like a new person Friends and Family can't believe the difference. There was very minimal pain,bruising and swelling Dr Rob Troell and his staff are the bestread more
sessia KOA TV
sessia KOA TV
07:02 18 Mar 20
I have known Dr. Troell since 2017.I had 2 major surgeries (tummy tuck and breast augmentation from ruptured implants... from the previous another doctor in Beverly Hills about 15 years ago).I was very nervous everytime I went in surgery room. As I get older, I had fear what if... what if I won't be able to wake up from anesthesia, what if.. what if the surgery goes wrong and comes out bad results and so forth. I had a lot of "what if"s.Dr. Troell was very knowledgeable and wise enough to answer all my detailed questions. He always comfort me either before or after the surgery. Most of all, both my surgery days were Christmas time. No body wanted to come out during holiday seasons. However Dr. Troell was always prompted to answer my call and come out to check even though late hours like 11 PM.I am so thrilled about both my surgery results and really happy!Thank you Dr. Troell for always considering me like one of your family members, not just a patient.read more
M DH
M DH
23:59 17 Mar 20
Dr. Troell and his entire staff (particularly Jessie), have gone above and beyond before, during, and after my surgical... procedures. I recently had revision rhinoplasty and cheek/lip implants. I felt thoroughly prepped with information and am healing quite nicely. Dr. Troell has followed up every step of the way, and continues to monitor my healing during this process. I feel blessed to have had such an amazing experience with Dr. Troell and his staff. I’m looking forward to my final results, and know I’m in good hands throughout this aesthetic journey!read more
Susana Williams
Susana Williams
21:22 17 Mar 20
I've been getting Botox for my wrinkles and lines with great results for 2 years. Happy wiht Dr Troell and his staff.
Ramin Sarshad
Ramin Sarshad
21:12 17 Mar 20
Attended many CME courses with Dr Troell for many years. He's always on top of the latests lipo and body countering... techniques. Great cosmetic and plastic surgeon to work with.read more
Linda Watkins
Linda Watkins
03:34 15 Jan 20
Dr Troell should No Longer have a Medical license or business license. He does not produce good results and will tell... you what you want to hear just to get money out of your pocket. He truly does not care about results, only taking your money. He only has 1 or 2 employees at a time, they are there a couple months and then gone. Good for them, they have a conscience and can not stand behind Dr Trolls work. I don't normally write reviews but people need to know the truth.read more
Linda W
Linda W
05:21 05 Dec 19
10+ years ago Dr. Troell was the doctor to go to. However in the last 10 years that is not the case. Don’t believe the... fake reviews. His website shows employees that have not been there in over a year. His videos are 13 years old. I know Firsthand as a patient and an ex office manager.read more
Crissie  Adams
Crissie Adams
17:37 28 Oct 19
Dr Troell is by far the best Dr I have gone to! He did the most amazing job on my lips and I couldn’t be anymore... thrilled with how they turned out, it’s EXACTLY what I was after. Dr Troell has been the most attentive to my needs and calls everyday to check in on me... I have never had a Dr do that, EVER. The whole procedure he made me feel comfortable and at ease and explained everything to me perfectly. He is the kind of Dr that I felt extremely comfortable asking questions to and not ever feeling like I was bugging him. I had an amazing connection with him! He get quadruple stars from me! Thank you so much Dr Troell for making me feel beautiful!!!!!read more
mamasita262 .
mamasita262 .
20:40 10 Oct 19
Dr. Troell and his staff are very caring, patient, informative and understanding. I was having my procedures done in... Las Vegas over a period of three months. I was recovering in my home alone. Dr. Troell went above and beyond all expectations I had. He personally contacted me daily to check up on me. He was very much involved in my recovery process, showing genuine empathy. Dr. Toell's bedside manner is a thing of the past, and warms my heart. It is greatly appreciated. He was there for me throughout.read more
jackie bussey
jackie bussey
19:05 27 Sep 19
I had a face lift and blepharoplasty expertly sculpted by Dr. Troell; the facelift in July, and the blepharoplasty in... September. I am so thrilled with both procedures and wish I had done this sooner. The recovery time was extremely fast as I was out and about in a few days. There was very minimal bruising and swelling And the results are beautiful!! my face and eyes are symmetrical and I feel and look younger and refreshed... like the girl I used to be. Dr. Troell is an amazing surgeon and has a wonderful bedside manner. He thoroughly and patiently explains everything that he can do for you and takes his time— Considering you and the results you want to achieve. After my procedure, He checked on me daily— sometimes twice a day to make sure my recovery and overall health was going smoothly. I believe that was the most incredible aspect of my experience. It is hard to find a doctor that really cares about you as a patient and your well-being. I would highly recommend Dr. Troell for any procedure you might consider, you will not be disappointed. A true professional, and artist. Thank you Dr. Troell!!read more
N H
N H
19:48 26 Sep 19
Great doctor. Meticulous in detail and explanations. Great bedside manner and follow up.
Elizabeth Smith
Elizabeth Smith
02:42 18 Sep 19
I have had a Great experience with Dr troell, he is a very hands on Dr. That explains very detail of which ever ... procedure that you are looking for, he also follows up with progress and is always available for any questions that you may have!! I would recommend him to use for any service in which you might be looking!! Very freindly environment.read more
Tracy Kruzan
Tracy Kruzan
18:11 13 Sep 19
I recently had lip and cheek implants. Although there's more to do to fix my injuries, the results to date have been... fabulous! The staff is kind and caring. Whatever your reason for going in, the staff listens. Dr. Troell is very knowledgeable, skillful and kind. I'm very glad I chose him.read more
Violeta D’Nero
Violeta D’Nero
19:53 21 May 19
Absolutely Freaking LOVE the work of Dr.Troell with his amazingly caring and companionate staff (Mrs.Coco and... Michelle). I had always wanted to fix a few things here and there but was always afraid of dying or coming out worse lol or just afraid in general but my heart and mind set and after about a year more or less I finally found a team I felt comfortable with and safe with. Words cannot express my gratitude to Dr.Troell. His expertise and talent are out of this world, not to mention his genuine care and concern for his patients is phenomenal. Not only is he extremely professional he calls to make sure all is good is always available and makes you feel safe and at home. His staff is the absolute best I felt such a connection and most importantly safe and very well took care of. Dr. Troell, Mrs.Coco, and Mrs.Michelle are most deff my go to from now on for EVERYTHING that comes to my beauty. From Vaser- Facials I have found my beauty home. 🙌Thank you so much for helping me accomplish my dreams!read more
Mirjana Radjenovic
Mirjana Radjenovic
04:16 03 Mar 19
My experience with Dr. Troell has been unsurpassed. From the initial consult where he was most detailed reviewing the... options, benefits, and limitations, the comprehensive preoperative workup and exam, the postoperative concerns calling me frequently, his superior training, being a trainer for fellow surgeons, and most importantly- my cosmetic results are natural yet awesome. I have no reservations with my care. I am fortunate to have been referred to him. I love my results. I was reluctant to undergo cosmetic surgery, because of my concerns of who to trust. I was referred to Dr. Troell from my sister who had a fabulous result from facial procedures. I had both a face and body cosmetic procedure performed at different times. People think my face makes me look over ten years younger. Thank you for your endearing care and wonderful results.read more
PatriciaM
PatriciaM
18:36 10 Oct 17
Dr. Troell is an excellent and caring plastic surgeon. Rose is the best esthetician in Las Vegas. She knows what she is... doing, considers all of your options and does what is best for your skin. She goes above and beyond to make you look and feel terrific. I have never met anyone so passionate about what they do.read more
Cathy Prather
Cathy Prather
22:12 28 Jul 17
I am SO pleased with my results! I have multiple surgical procedures performed by Dr. Troell. He has always been so... thorough explaining what to expect. He was caring and called to check up on me often. I put complete trust in him. I love my results and would highly recommend him!read more
Catherine Harlow
Catherine Harlow
00:47 25 Jul 17
Dr. Troell has done a few procedures on myself and both my sisters. They span over about a 12 year.. I've always been... happy with what he has done for me, I guess that is why I continue to go back to him as a doctor. I have sent three of my friends to him even though I do not live in his area but we do Fly to see him in one of his locations. I like that there is such a personal touch to his practice I believe he is probably the only doctor that still does house calls if you live in his area. Thank you Dr. TroellI appreciate all you have done for meread more
Snezana Bradic
Snezana Bradic
19:56 24 Jul 17
My experience with Dr Troell have been amazing.He come to my home to explain about my breast cancer . I had many... questions about cancer treatment and beast reconstruction after my cancer is treated successfully. He take time and tells me everything that I should be aware of and pitfalls to avoid. A positive mental outlook, he said, can assist your body to fight the cancer. Definitely i will go to see him after I finish my chemotherapy and other necessary breast treatments, like surgery and radiation to proceed with breast appearance enhancements.We is an empathetic and caring surgeon.Thank you Dr Troell.read more
Tina Kameron
Tina Kameron
22:11 10 Feb 17
I have know Dr Troell for over 10 years both personally and professionally. I have recommended both friends and family... to him for a wide range of procedures. As cosmetic surgery is an art form , technique ,training and experience play an important roll in outcome. A patients expectations and their compliance in post operative care also play a vital role in the outcome . I would not feel comfortable sending a friend or family member to a surgeon who I did not have confidence in his or her ability. I also would not feel comfortable sending a patient who I felt was non compliant or unrealistic to a competent surgeon who I have known and worked with in the past. It is important to have good communicating between patient and physician. I have recommended Dr Troell with confidence in the past and will continue to do so in the future.read more
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Dr. Robert J. Troell, M.D., F.A.C.S. (Las Vegas, Nevada)

Dr. Robert J. Troell, M.D., F.A.C.S. (Las Vegas, Nevada)

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BEAUTY BY DESIGN IRVINE: A REGENERATIVE MEDICAL SPA IN IRVINE, CA.

Beauty By Design in Las Vegas is not the only location where you can meet Dr. Troell. Robert J. Troell, .M.D., F.A.C.S. is also serving clients in Irvine, California. Learn more about Beauty By Design Irvine, or call (949) 220-0532.

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Robert J. Troell, M.D., F.A.C.S. (Las Vegas, Nevada)

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Address: 5375 S Fort Apache Rd
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Las Vegas, NV 89148.
Phone: (702) 242-6488

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Robert J. Troell, M.D., F.A.C.S. (Irvine, California)

Robert J. Troell, M.D., F.A.C.S.
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Address: 113 Waterworks Way
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Irvine, CA 92618.
Phone: (949) 220-0532

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Las Vegas

Robert J. Troell, M.D., F.A.C.S. (Las Vegas, Nevada)

Robert J. Troell, M.D., F.A.C.S.
(Las Vegas, Nevada)

Address: 5375 S Fort Apache Rd
Suite 101
Las Vegas, NV 89148.
Phone: (702) 242-6488

Driving Directions Contact Us

Irvine

Robert J. Troell, M.D., F.A.C.S. (Irvine, California)

Robert J. Troell, M.D., F.A.C.S.
(Irvine, California)

Address: 113 Waterworks Way
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Irvine, CA 92618.
Phone: (949) 220-0532

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Disclaimer: Beauty by Design does not promise results, as they may vary for both non-surgical and surgical procedures. This includes experimental procedures, like Anti-aging Therapy. All information on this site is intended for general purposes and is in no way a substitute for professional medical advice. Before and after photos on this website are Beauty by Design's actual patients, and all patients have given consent for use of these photos.

Dr. Robert Troell is a multi-board Certified Cosmetic Surgeon with a DEA number, and is permitted to dispense narcotics and pharmaceutical drugs. BOTOX® and Juvéderm® are registered trademarks of Allergan. Dysport®, Restylane®, and Perlane® are registered trademarks of Galderma.

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