Hormonal Management


Although the wisdom that comes with age is nice, the wrinkles, ailing joints, and general frailty are not. That’s why it is no surprise that ‘anti-aging’ is such a hot topic. Luckily, the key to anti-aging is within your reach. When it comes to relaying messages, inducing reactions, and protecting tissue, it’s all about your hormones.

Your hormones are chemical messengers keeping your body functioning. From regulating metabolism and growth to controlling immune function and reproduction, hormones are major players in all that you do and all that you are, at least physically.

Most people associate human growth hormone and DHEA with aging, but progesterone, testosterone, estrogen, and cortisol play a role in aging as well. If the delicate balance of any one of these hormones is destroyed, it can take a serious toll on your body, mind, and spirit, and be mistaken as classic signs of aging.

Hormone Imbalance in Women

Women often undergo hormone imbalances during their lifetime due to puberty, menstruation, pregnancy, nursing, perimenopause, menopause, and postmenopause. However, women can also develop hormone imbalances because of underlying conditions, such as polycystic ovary syndrome (PCOS), birth control medications, primary ovarian insufficiency (POI), ovarian cancer, etc.

Hormone imbalances in women can cause the following symptoms:

  • Irregular period pains
  • Heavy periods
  • Osteoporosis
  • Hot flashes
  • Night sweats
  • Vaginal dryness
  • Indigestion
  • Breast tenderness
  • Constipation
  • Diarrhea
  • Uterine bleeding without menstruation
  • Severe acne
  • Increased hair growth on the face, chest, and neck
  • Weight fluctuations
  • Skin tags
  • Abnormal tissue growth on the skin
  • Clitoral enlargement
  • Hair loss
  • Infertility

Hormone Therapy for Women

A specialized physician can help you determine if hormone therapy will treat or reverse your hormone imbalance and the symptoms often linked to advanced aging. Lab testing, followed by a thorough consultation, will ensure you get the quality treatment you need to live better and longer.

Dr. Bonni specializes in hormone management and has a keen understanding of female anatomy — he is double board-certified in female pelvic medicine and reconstructive surgery and obstetrics and gynecology. He runs numerous tests to understand the root cause of your hormonal imbalance and recommend treatments that restore optimal balance.

Hormone therapy for women can include:

  • Hormone or birth control medications with estrogen and progesterone can regulate the symptoms of irregular menstrual cycles. This is a suitable option for women who don’t intend on getting pregnant soon.
  • Vaginal estrogen in the form of tablets or topical creams can increase the estrogen levels in your vagina, thereby treating or reversing vaginal dryness.
  • Hormone replacement medications can temporarily reduce hot flashes, night sweats, and other symptoms of menopause.
  • A topical cream called eflornithine (Vaniqa) can reduce unwanted facial hair growth.
  • Anti-androgen medications can reduce severe acne breakouts and hair loss by blocking the male-sex hormone androgen.
  • Clomiphene (Clomid) and letrozole (Femara) medications stimulate ovulation for women trying to get pregnant.


DHEA is a precursor hormone produced from cholesterol by the adrenal glands inside the body. This hormone plays a crucial role in the formation of the sex hormones estrogen and testosterone as well as fuels the transformation that occurs as the body grows and matures.

Around your mid-to-late twenties, DHEA begins a gradual decline, which contributes to the aging process. By the age of 70, you generally have less than 10 percent of the DHEA you had in your twenties. Therapy with DHEA can be helpful in treating auto-immune disorders, obesity, dementia, osteoporosis and chronic fatigue. In some cases, it may be more effective to replace testosterone or estrogen to correct imbalances rather than DHEA , due to its role in converting to the sex hormones.


Progesterone serves multiple functions in the body of both men and women. It is vital for regulating the sleep cycle, as well as boosting immunity and brain function. In women, progesterone is an essential hormone of the reproductive process. Many women will experience fluctuations of progesterone throughout their life cycles. An imbalance of this hormone can lead to symptoms classically associated with aging, such as poor sleep, moody swings and foggy thinking.

Progesterone also serves as a precursor hormone, converting to estrogen, testosterone or cortisol on the steroid hormone pathway. Low levels of progesterone can lead to increased levels of cortisol and low levels of the sex hormones, which will trigger impaired immune function and a host of other issues associated with hormone imbalance.

Growth Hormone

The hormone HGH (human growth hormone) is secreted by the pituitary gland and is crucial for normal development and maintenance of organs and tissues especially in children. HGH enhances tissue growth, increases muscle mass and strengthens bone density throughout the life cycle.

Hormone therapy with HGH is most commonly used in the medical industry to treat children with stunted growth or young people suffering from hormone deficiencies. In a few cases, HGH may be necessary for treatment of hormone imbalance in adults, but this is rare.

When FDA-approved HGH is prescribed, it is in the form of a powder with a diluting solution for use as an injection. This is the only formulation that has been approved by the FDA. Of the HGH sprays and pills that are available without a prescription, few have been proven to be effective.

Why Choose Dr. Bonni?

Dr. Aram Bonni, MD, FACS, FACOG, specializes in female pelvic medicine, obstetrics, and gynecology. He is an incredibly talented and compassionate gynecologist and surgeon who identifies the root cause of your hormonal imbalance to recommend the ideal therapies. You may schedule a consultation with Dr. Bonni to discuss your hormone management options.