Dr. Lander's Hormone Replacement program is specially designed for anyone who wants to enjoy the quality of life benefits associated with a normal hormonal balance. Dr. Lander has over 20 years of experience as a Board Certified Urologist and specialist in hormone replacement and has focused much of his practice on optimizing hormones to make people feel and look better. Patients receiving hormones from Dr. Lander get frequent and thorough personalized visits and laboratory evaluations tailored to that individual.

Bio-identical hormone replacement is natural and very safe if supervised carefully. Normal levels of hormones in both women and men are associated with mental, sexual, and physiologic effects that are vital to good health and quality of life.

What kind of hormones do women and men need?

Most women need a healthy balance of estrogen, progesterone, and even testosterone. Symptoms in both men and women who lack adequate hormones may include weight gain, mood swings, lack of energy, osteoporosis, loss of muscle and skin elasticity, and changes in mental acuity. Women may complain of decreased libido, vaginal dryness, bladder irritability, and hot flashes, Men need adequate levels of testosterone for energy and to function sexually.

Women need testosterone also?

Testosterone is not just a male hormone. It is naturally produced in small amounts by women and is necessary for bone density, healthy skin elasticity, cardiac health, energy and the development of lean muscle mass. Testosterone can help stabilize mood and can improve memory. Testosterone is an important hormone for libido in both women and men. Women's testosterone levels should be approximately one tenth of the levels found in men.

What about other hormones?

It is important to identify other hormonal imbalances such as pituitary, thyroid or adrenal stress related hormones to optimize a person's well-being. Hormones can influence each other and the same hormone can have different effects on different parts of the body. A simple blood test can help sort out the situation and lays the foundation for a replacement plan that makes good medical sense and gets results.

How are hormones replaced?

Hormones can be replaced with biologically identical agents that can be given either as a compounded daily cream or as a slow release system consisting of injected pellets placed under the skin every few months.

Is "pellet" therapy the most convenient method?

Patients will report that pellets inserted under the skin maintain the highest steady state levels with maximum convenience. The pellets are placed under the skin in a brief office procedure associated with minimal discomfort. Dr. Lander is one of the few physicians in this region of California that has extensive experience with pellet therapy.

How long does it take to get results?

Treatment often makes a dramatic difference very early on in a person's sense of wellbeing. The effects of the hormonal replacement program are optimized when combined with good nutrition, exercise, and a healthy lifestyle.

How much does it cost and does insurance cover it?

Unfortunately insurance companies do not recognize the value of this level of customized care. Patients pay a fee for evaluation and monitoring of their progress. Costs for labs and medications may vary but are also quite reasonable and these are often covered by insurance. Our office can discuss financial arrangements when consultations are scheduled.