Hormone Optimization

Hormone Optimization

Hormone Optimization services offered in Pompano Beach, FL

Hormone optimization reduces symptoms associated with perimenopause, menopause, and low testosterone. It’s a safe, effective treatment for hormonal imbalances. At her eponymous practice in Pompano Beach, Florida, internal medicine physician Simone Van-Horne, MD, offers hormone optimization to men and women. She uses bioidentical hormone therapy (BHRT) to help patients feel their best. Call the office to schedule a hormone optimization consultation, or book your appointment online today. 

Hormone Optimization Q&A

What makes bioidentical hormone optimization unique?

Bioidentical hormone optimization uses implantable hormone pellets to balance your hormones and optimize your health. 

Bioidentical hormones are unique in that they’re made from plants. They mimic the hormones your body naturally produces, reducing side effects associated with synthetic (man-made) hormone replacement therapy. 

Who should consider hormone optimization?

Consider hormone optimization at the practice of Simone Van-Horne, MD, if you’re a middle-aged man or woman suffering from perimenopause, menopause, or low testosterone. That’s especially true if you have any of the following symptoms:

  • Hot flashes
  • Night sweats
  • Mood swings
  • Loss of muscle mass
  • Unexplained weight gain
  • Low libido
  • Painful intercourse
  • Erectile dysfunction (ED)
  • Fatigue
  • Brain fog
  • Insomnia (difficulty sleeping)

These symptoms indicate an underlying health problem. Identifying the underlying cause is the first step toward establishing an effective treatment plan. 

What is Adrenal Fatigue? 

Your body is pre-programmed to react to stress in a way that protects you from danger. This “fight-or-flight response” is an ancestral system based on the idea that stress is temporary. You encounter danger, your adrenal stress response kicks in to help you escape it, and then you get to relax and recover.

In modern life, however, stress doesn’t just show up in isolated incidents. Instead, it’s everywhere, all the time, and we’re so busy that we rarely have enough time to recover before the next stressors show up.

As a result, stress hormone production in the adrenal glands is constantly churning, leading to real damage to the body’s delicate hormonal balance.


Cortisol, the major stress hormone, is often the villain. Excess or high levels of cortisol can throw your whole endocrine system off-balance. This causes the weight gain and this occurs regardless of how little you eat as cortisol increases the blood sugar from body stores.

Adrenal fatigue occurs when our adrenal glands are unable to produce adequate quantities of hormones. The reduced number of hormones can affect every part of the body. Adrenal fatigue, like all conditions, acts on everyone differently. Moreover, adrenal fatigue also impacts many parts of the body differently. The diverse range of symptoms of adrenal fatigue make it difficult to diagnose, especially since all systems affected by adrenal fatigue are so interconnected.

What are the symptoms of Adrenal Fatigue?

Adrenal fatigue symptoms can present differently from person to person. However, some of the most common symptoms include extreme difficulty waking up in the morning, high levels of exhaustion throughout the day, very low tolerance for any stress, uncontrollable cravings for salty foods, and a weakened immune system. Bioidentical hormone replacement therapy may help relieve female adrenal fatigue symptoms. Other common adrenal fatigue symptoms include anxiousness, low sex drive, weight gain, poor circulation, low mood, dark circles under the eyes, respiratory complaints, and low blood pressure.

What are the Hormone imbalance symptoms after a Hysterectomy?

After a hysterectomy, a woman will immediately feel the full effects of menopause, meaning that she may be faced with a severe hormonal imbalance. This is rarely a comfortable transition for women, and it can have extreme physical and emotional side-effects. The effects of sudden menopause and recovering from the surgery can be very challenging for women to get through on their own, and many will consider hormone replacement therapy to make the transition more tolerable.

Can anyone undergo hormone optimization?

Bioidentical hormone optimization is safe and usually well-tolerated, but it isn’t for everyone. Let Dr. Van-Horne know your medical history so this decision can be made.

Before recommending treatment, Dr. Van-Horne completes a physical exam and orders blood tests and urinalysis, to analyze your hormone levels.

How is hormone optimization administered?

Dr. Van-Horne administers hormone optimization with implantable hormone pellets. Pellet insertion is a quick outpatient procedure that takes about 30 minutes. If Dr. Van-Horne determines you’re a good candidate for treatment, she has you lie facedown on an exam table.

Dr. Van-Horne cleans and sterilizes the skin in the small of your back (near your “love handles”). Then, she administers a local anesthetic to numb the area. When the anesthetic sets in, she makes a small incision in your lower back and inserts one (or several) hormone pellets. She stitches the incision closed and explains how to care for the incision.

After placement, the pellets dissolve in your bloodstream over several months. This balances your hormone levels and reduces uncomfortable side effects.

How long does it take for hormone optimization to work?

The time it takes for hormone optimization to work depends on the severity of your imbalance and your commitment to Dr. Van-Horne’s treatment plan. Most people experience an improvement in their symptoms within two weeks, but for others, it takes longer.*

Call the practice of Simone Van-Horne, MD, to schedule a hormone optimization appointment, or book one online today. 

*Results may vary.