Q. Why don’t more physicians prescribe bioidentical hormone therapy?
- Even FDA approved hormones have received bad press, and many people avoid prescribing things that are controversial.
- Bioidentical hormones are not included in our core medical training, so we must seek education on our own.
- Traditional doctors do not usually have the time or the resources to seek expertise in bioidentical hormones. I underwent extensive training in bioidentical hormone therapy and have specialized knowledge of anti-aging, functional, and regenerative medicine. I also earn continuing medical education in the area of Age Management and Functional medicine.
Q. What is your preferred method of administering bioidentical hormone therapy?
This is where the art of hormone optimization comes in. It’s the job of the clinician and the pharmacist to find a method of hormone administration to get that patient to optimal hormone levels utilizing whatever means works for that particular patient with patches, compounded creams, injections, etc. I utilize various approaches of administration of bioidentical hormones to obtain reproductive blood serum levels for optimum hormone restoration.
Q. How often are follow up appointments?
A. Follow-up appointments are generally within 3-6 months, and at a minimum of every 6-12 months, depending on the complexity of each individual patient’s medical situation, in order for Dr. Comeaux to continue authorizing prescription refills, and provide the best medical care. Testosterone is a controlled substance in the state of Texas, and patients MUST be seen by a provider in the office every 6 months in order to continue receiving prescriptions. Initial appointments are usually 1-hr long, and follow-up appointments are 30-45 minutes with very rare exceptions, to be determined individually per Dr. Comeaux. Follow-up phone appointments (for those who require a long commute to the office) are charged at the same rate as in-person appointments.
Tamyra Comeaux, MD 
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