Tikva Butler, RNC, N.D. – Las Vegas Bioidentical Doctor

Tikva Butler, N.D.
Tikva Butler, N.D.

Las Vegas Bioidentical Doctor, Tikva Butler, N.D. does not believe her patients have to passively accept the side effects of aging as something they just have to deal with. Instead, we see our role as empowering our patients to look and feel their best in mid-life and beyond. Bioidentical Hormone Replacement Therapy is just one of the man age-management and hormone optimization services we provide.

As one of the Las Vegas area’s leading Bioidentical Hormones expert, Tikva Butler RNC, APN, MSN, N.D. recognizes that a personal connection with her patients is the best way to really understand the underlying causes of their conditions and develop the most effective BHRT for each unique patient’s needs.


Believe it or not some women go right into menopause without any disturbing symptoms. Most women, however, do experience symptoms that bring them into the health food store (where they often get too many expensive products) or to the doctor’s office.

Most synthetic hormones given to menopausal women contain Estradiol and Progesterone. Possible side effects may include: water retention, breast tenderness, risk of developing breast cancer, and the remote possibility of developing uterine cancer. There are now many different synthetic estrogen products, some supposedly more natural than others. You can discuss the different ones at your appointment.

Bioidentical hormones are produced from plant sources without changes in the chemical structure that renders most synthetic drugs toxic in some way. There are many products over the counter that women try on their own. The problem is that women frequently find that they either get too much or not enough. I have seen many women that took too much Estrogen containing products and ended up with heavy, irregular bleeding. So be cautious and try one product at a time, preferably with the help of a professional.

In my practice, when a woman desires bioidentical hormones, I combine all three estrogens with progesterone and testosterone to achieve an optimal balance.

Since every woman is unique and her experience of menopause is different there is a particular combination that is right for her. Most women will experience no weight gain in using bioidentical hormones and no breast tenderness if the right dosage is prescribed.

Our office believes in providing the best medical care but we also recommend only the highest quality nutritional supplements and prefer Partell Specialty Pharmacy for customized prescriptions.

Please call Las Vegas Bioidentical Doctor, Tikva Butler, RNC, APN, MSN, N.D.  directly at 800-775-4902 Ext. 267 to schedule your initial appointment, discuss your symptoms and decide on a course of treatment for your specific needs.