BHRT Part 4: Mastering the Practice

Prerequisites:

• Part I: Discover the Power of BHRT
• Part II: Expand Treatment Options

Recommended Prerequisites: 

• Part III: Solve Troubling Symptoms

There are new articles, research, updates, literature critiques, and sarcasm (of course) presented in our hormone optimization therapy BHRT Workshop Series, Part IV. It is the last in the series and should be the final preparation for certification in the series 

The workshop will involve several components, including reviewing the latest NAMS recommendations. The medical literature will be used to support decision making rather than sole reliance on the WHI trial. Some of the exciting topics to be discussed include:

• Treatments for common gynecological issues (severe PMS, migraines, endometriosis, and abnormal bleeding, such as heavy bleeding, irregular menses, etc.)
• TBIs and Hypopituitarism – diagnosis and treatment
• Advanced prostate cancer treatment protocols (i.e – BAT therapy, proton gun, external beam radiation, etc.)
• Alternative treatments for vaginal atrophy and orgasmic disorders in women (testosterone, oxytocin, etc.)
• Male orgasmic disorders and treatments (topical testosterone applied to the glans of the penis, oxytocin spray, etc.)

The workshop will also provide an in-depth review of the evolution of opinion on testosterone replacement therapy, from the belief that it causes prostate cancer to its role in possibly protecting against cancer and how it may even be used to treat active cancer in some men and women.

Accreditation

• 20 AMA PRA Category 1 Credits
• 20 Nursing Contact Hours 

Access: This training is offered both in-person and virtually. Educational materials and the syllabus will be provided online. A recording of each day’s session will be posted that same evening and remain available up until 2 weeks after the event for you to re-watch or catch up on any missed content. Recordings will not be accessible after that time.

Accreditation: 20 AMA PRA Category 1 Credits | 20 Nursing Contact Hours | 20 Hours Pharmacy Credit (knowledge based)

Upon completion of this workshop the health care professional will be able to:

• Review prognosis and complications for radical prostatectomy, proton gun radiation therapy, brachytherapy, cryotherapy, HIFU, laser ablation, as well as associated costs.
• Review management strategies and importance of testosterone utilization in prostate cancer survivors as well as literature support, in addition to the various mechanisms of estrogen's ability to top prostate cancer growth.
• Evaluate the association of testosterone and estradiol levels and the risk of developing prostate cancer. Should we raise, block, or administer estrogen based on the literature?
• Recognize that optimal thyroid levels are best as recent studies determine that high TSH levels are associated with increased arterial stiffness and plaque thereby increasing CVD risk.
• Review studies that show testosterone administration is protective agains breast cancer and is apoptotic to cancer cells. Demonstrate that assiciation does not prove causation and one should not extrapolate them to be the same.
• Demonstrate through literature review, how estrogen administration in men protects agains heart disease and prostate cancer.
• Evaluate and discuss Dr. Neal Rouzier’s 50 most difficult management cases involving HRT, in addition to evaluating abnormal lab tests and various symptoms in complex and confusing cases.
• Identify current approaches to managing vaginal bleeding, DUB, and endometrial hyperplasia..
• Identify how Traumatic Brain Injury (TBI) affects quality of life by causing pituitary dysfunction. .
• Evaluate recent literature demonstrating the mechanism by which synthetic progestins increase breast cancer development through the production of the RANKL protein.
• Utilize dual intravaginal therapy to maximize the effect on atrophic vaginitis, chronic UTI, incontinence, and sexual dysfunction, as well as how to treat the vagina with pills, patches, ring and things.
• Evaluate when to use estrogen in premenopausal women and when not to use it: 
• Identify different types of estrogen and progesterone and when to prescribe each.
• Review various scenarios that dictate when to switch to alternate forms of HRT based on patient history, BMI risks, and compliance.
• Discuss hair loss in women: Current approache to reverse hair loss.
• Describe various delivery forms in testosterone administration in women.
• Discuss the current approach to preventing CVD in women with Syndrome W (X).
• Discuss HRT review, myths, updates, and alternatives when the usual routine is doesn't work and eview management strategies for estrogen intolerance and progesterone intolerance.
• Identify current recommendations from NAMS for HRT and ERT and how they differ from past recommendations.
• Review the history as to why the world believes testosterone causes prostate cancer.
• Review further data demonstrating that E2 is the best estrogen but not the safest.