First, the patient schedules a consultation. Dr. Bhatia ensures that consultations are scheduled apart from normal business operations so that the patient is ensured a private and attentive environment. The initial consultation may be scheduled via email at firstname.lastname@example.org or by phone at 210-222-2694. Upon meeting Dr. Bhatia, the patient will initially discuss his or her interest in the procedure and their understanding of its benefits beyond traditional hormone replacement therapy. Following this discussion, Dr. Bhatia will complete a full history and physical examination, including pap smear, mammogram, and bone density measurements. Additionally, blood samples are collected and analyzed for the determination of complete baseline labs including cholesterol levels, thyroid function, and menopause specific hormones including FSH, estrogen, and testosterone levels.
The initial visit serves three fundamental goals:
- To educate the patient about the benefits and limitations of the procedure;
- To collect baseline tests for evaluation of the procedure’s efficacy; and
- To calibrate the appropriate dose of hormone therapy to the individual.
The specific titration to the individual’s hormonal composition is the essence of individualized hormone therapy.