Ladies: When Should You Begin Hormone Therapy
Women have a lot to think about when it comes to their hormones.
In a normal month, your hormone levels may fluctuate.
Other times, you might be feeling tired or irritable and chalk it up to any number of things going on in your life.
At what point do you begin to look at not feeling like myself as a sign of possible hormone imbalance?
After all, its not as though you get a text or email from your body that says today is the day you need to start hormone therapy. Though that would be nice 🙂
Hrt After Premature Early And Surgical Menopause
While most women experience natural menopausearound the age of 50, some women reach menopause much earlier or after surgery.In these cases, HRT should typically be started immediately.
Menopause that happens before the age of 40 is known as premature menopause, while between 40 and 45 it is known as early menopause. Women who experience premature or early menopause can have the same symptoms as women who experience typical menopause, but may also be at greater risk for psychological distress and a number of serious physiological health conditions. Meanwhile, women who undergo oophorectomysurgical removal of one or both ovariesprior to natural menopause can experience even more severe symptoms due to the extreme and sudden drop in hormones as well as significant long-term health risks. For all women who experience premature, early, or surgical menopause these risks include cardiovascular disease, osteoporosis, neurological disease, mood disorders, and premature death.
Due to these risks, it is typically recommended that women who experience premature, early, and surgical menopause start hormone replacement therapy as soon as possible. As the American Society For Reproductive Medicine, mincing no words, said of bilateral oophorectomy patients:
In these cases, there is little doubt that HRTis the right choice and should be initiated immediately.
Take Control Of Your Hormone Imbalance Today With Bhrt
If you think you may be experiencing menopause or are feeling the symptoms of a hormone imbalance, our specialists can help you determine if you are a candidate for bioidentical hormone replacement therapy. They will be able to properly assess your condition and recommend the appropriate course of action needed to guide you on a path to your optimal health
The specialists at the Happy Hormone Cottage are ready to answer any and all questions you may have regarding hormone replacement therapy. Call or book an appointment online to take the first step towards better health.
Complete The Form Below And Well Get Back To You Immediately.
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Is Hormone Replacement Therapy Right For You
About 90% of women suffer from menopausal symptoms such as hot flashes and night sweats. OB/GYN Elyse Erlich, M.D. describes hormone replacement therapy and how it can help curb the unpleasant symptoms that plague women in their 40s, 50s and beyond.
What causes hot flashes and night sweats?
When we go through menopause, our hormone levels both estrogen and progesterone decline. As your ovaries run out of eggs you dont produce estrogen like you used to, so you start to have hot flashes, night sweats, sleeping problems and often vaginal dryness.
What are bioidentical hormones?
Plant-based and made in a laboratory, bioidentical hormones are chemically identical to the hormones your body used to produce. There are two kinds of bioidentical hormone products: those made by pharmaceutical companies, and those made personally for you by a compounding pharmacist based on your hormone testing.
Are they covered by insurance?
Most FDA-approved hormones are covered by insurance. The amount of coverage for each product depends on your individual plan. Compounded bioidentical hormones are not covered by most insurances.
What are some other types of hormones?
All women who have not had a hysterectomy should also take progesterone with hormone replacement therapy.
Testosterone replacement is not FDA-approved so must be made by a compounding pharmacist if replacement is desired.
How do you know what hormones are lacking in a patient?
Does a patient feel better right away?
At What Age Can You Start Hormone Replacement Therapy
Hormone replacement therapy, also known as HRT, is the administration of sex hormones to relieve specific symptoms of menopause and aging. There are many different types of treatment options available, from skin creams to pills to injections.
All of these different HRT treatments have their own benefits and drawbacks, but one thing remains the same: you should speak with your doctor before starting any type of hormone replacement therapy regime. One of the biggest questions on the mind of people when it comes to HRT is how to begin hormone replacement therapy? We will take a look at how to start hormone replacement therapy in this article.
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What Is The Follow
Following hormone therapy, a person needs to get checked for negative symptoms that can occur from hormone therapy. After starting hormone therapy, a person needs to follow up with their doctor to make sure they are safe from negative symptoms and any other side effects of the hormone therapy. In addition to monthly visits, a person may also need to have tests done to make sure their levels of hormones are balanced and to check for any other health problems.
What Are The Risks
A woman who begins hormone therapy from 10-20 years after the onset of menopause is at a much greater risk of the conditions such as stroke, heart disease, blood clots or even cancer.
Conversely, women who begin hormone therapy prior to turning 60, or within ten years of menopause, are more likely to have more benefit and less risk.
The risks associated with hormone therapy are also highly dependent on whether estrogen is given alone, or is combined with progestin, as well as on the individual womans health and family medical history.
Despite the potential risks, estrogen remains the most effective treatment for menopausal symptoms and may outweigh the risks, particularly if you are healthy.
It might be time to consider hormone therapy if:
- You stopped having periods prior to the age of 40
- You lost the normal function of your ovaries prior to the age of 40
- You have lost bone mass and are showing no benefit from other osteoporosis treatments
- You are experiencing moderate to severe hot flashes
- You are experiencing other moderate to severe symptoms of menopause
In particular, women who have experienced premature menopause may experience more protective benefits of hormone replacement therapy than risk.
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Risks Of Hormone Replacement Therapy
Hormone therapy is a viable option for relatively young and healthy women up to age 59 or within ten years of menopause. Although, there are risks involved. It’s critical to talk to your doctor about these risks before starting therapy.
The following risks are associated with HRT:
- Blood clots in the legs and lungs that could result in a stroke.
- Endometrial cancer if you are taking estrogen-only replacement therapy and you still have your uterus.
- Breast cancer if you are taking estrogen and progesterone combination therapy for five or more years. This risk decreases after hormone therapy is stopped and is not associated with estrogen-only therapy.
You are less likely to experience any issues if you follow these suggestions:
- Start treatment with the lowest dose that works for you for the shortest possible time.
- Have your doctor closely monitor your treatment and address any concerns you are having.
- Take progesterone and estrogen if you still have your uterus.
- Stay up-to-date with your doctor visits, mammograms, and pelvic exams.
- Stick to localized estrogen therapy if the only troublesome symptom youre experiencing is vaginal dryness or painful sex.
Does Hrt Cause Cancer
Some older research linked HRT to endometrial, breast, and ovarian cancer. However, this research did not look at all aspects of HRT.
The American Cancer Society point out that the risk may depend on the type of treatment and the type of cancer.
They report that while one type of HRT may increase the risk of breast cancer slightly, another type may reduce the risk.
Anyone who is thinking of using HRT should talk to their doctor about the specific risks and benefits.
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What Is Known About Hormone Therapy And The Risk Of Heart Disease
Scientists continue to learn about the effects of HT on the heart and blood vessels. Many large clinical trials have attempted to answer questions about HT and heart disease. Some have shown positive effects in women who started HT within 10 years of menopause some have shown negative effects when started greater than 10 years of menopause. Some studies have raised more questions about the potential benefits of HT.
Based on the data, the American Heart Association issued a statement for use of HT. They say:
- Hormone therapy for the sole purpose of preventing heart disease is not recommended.
Talking To Your Doctor About Hormone Replacement Therapy
Talking to your doctor and discussing the risks and benefits of hormone replacement therapy can help you understand your options and whats best for you and your health.
It’s important to tell your Moreland OB-GYN provider everything you know about your medical history. Let them know if you have a history of blood clots, high blood pressure, cancer, and if you are a current or former smoker. Keeping a close track of all your menopause symptoms can also help your doctor decide the best treatment course.
Once you start hormone replacement therapy, it’s essential you follow up with your doctor to discuss any symptoms or side effects you experience. If you decide hormone therapy is not the best option for you, your doctor can discuss natural ways to help alleviate uncomfortable symptoms, including:
- Stress management through relaxation and meditation
- Maintaining a healthy body weight
- Avoiding alcohol
- Developing a relaxing bedtime routine and sleep schedule
Moreland OB-GYN is proud to have Menopause Practitioners certified by the North American Menopause Society on staff. All of our providers are dedicated to helping women through this stage of their life by providing in-depth knowledge of the treatments available.
Our team of caring providers will take the time to listen and answer any questions you have about hormone replacement therapy. Contact us today to schedule an appointment and start your journey towards a happier, healthier life during and after menopause.
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Schedule Your Bioidentical Hormones Therapy Consultation Today
Getting older is a part of life, but it shouldnt take a toll on your quality of life or happiness. If you are experiencing unwelcomed shifts to your moods, energy levels or sex life, there is a solution. Call my office to schedule a consultation and together, we can develop a personalized treatment plan that works for you and your lifestyle. As a leading expert in the field of womens sexual health, I can help you optimize your health and hormone levels so that you can reclaim your sexual health and wellness. To learn more about hormone replacement therapy, ask a question, or schedule your first appointment, contact my office at 772-0072 or email me directly at .
*Female Urologist Dr. Jennifer Berman has written information about Bio-Identical Hormone Therapy that has been carefully reviewed. If you have any questions, feel free to contact us using our form.
What Causes Hormonal Imbalance
Hormonal imbalance is often just a part of life and occurs naturally when age increases. However, some other common culprits of hormonal imbalance can be:
- Abuse of certain medications
- Environmental factors
Because symptoms can impact everyone differently and often mimic other health conditions, it is best to consult a medical provider to ensure an accurate diagnosis and treatment plan.
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Request A Consultation At The Young Naturopathic Center For Wellness Today
We believe hormones are a powerful tool to help our patients give themselves a biological advantage during a time of life that can be challenging. With BHRT, you can feel like YOU again. Our doctors are looking forward to meeting you and hearing your concerns to get you on the right path.
If you are experiencing hormonal imbalance symptoms and would like to discuss treatment options, please call 408-761-6781 or get in touch here to schedule an appointment.
How Do You Know If You Need Hormone Replacement Therapy
Many women start hormone replacement therapy when they start experiencing menopause symptoms such as hot flashes, mood changes, bone loss, headaches, vaginal dryness, etc.
If you experience symptoms that interfere with everyday life and your ability to enjoy life, these are signs you require hormone replacement therapy. There is usually no need to undergo blood tests before starting these treatments. Your doctor will explain the various types of hormone replacement therapy available and recommend the best one that will provide relief from your symptoms.
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Use Of Ht In Postmenopausal > 60years
HT use in women aged > 60years or > 10years since menopause onset requires distinguishing between those who are continuing or initiating HT. Healthy women who began treatment before age 60 can continue to use HT indefinitely provided that they undergo regular objective assessment of the benefits and risks.23 If symptoms appear many years after menopause onset, it must be determined whether they relate to reduced oestrogen production or other causes . Evidence is insufficient to recommend initiating HT in women aged > 60years to prevent CHD or fractures.23 Moreover, in view of the increased risk of VTE events soon after initiation of oral HT, use of oral HT in women with a higher basal risk for VTE merits careful consideration.23 Vaginal treatment may be more appropriate in this population, with adjustments made to dose and/or application frequency to maintain symptom relief.
Diagnosis & Tests For Hormone Replacement Therapy
If you are age 45 and above, your doctor may not test you for signs and symptoms of menopause. Once symptoms occur, your doctor may examine you, take a personal and medical history, and work out lifestyle factors that improve your symptoms.
If you are under age 45, your doctor may perform blood tests to determine your hormone levels. They may also perform ultrasounds and physical exams to find the cause of your hormone deficiency.
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Do You Require A Letter From A Therapist In Order To Start Hormone Therapy
For adults , a letter from a therapist is not required of every patient. If a patient has a therapist, a letter from that person is very helpful and much appreciated since it helps us assess the patients readiness for hormone therapy.
Prospective patients who do not have a therapist will have a gender assessment by our providers. If we are concerned about a persons readiness for hormone therapy, we will recommend establishing a relationship with a therapist before hormones can be prescribed.
We encourage all of our patients to consider participating in therapy during the gender transition process. Transitioning is a stressful experience as a person negotiates relationships with family members, significant others, and coworkers and learns to live in the world as their affirmed gender. Support during this process is important for everyone and a therapist who specializes in gender is highly recommended. We can suggest qualified therapists.
When Is The Best Time Of Day To Take Prempro
Your doctor will usually tell you to take this medication by mouth if you dont have food. Its possible to take it with food to prevent stomach upset. Your medical condition and response to treatment are what determines the dosage. The most benefit from this medication can be obtained by taking it regularly.
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What Are The Benefits Of Hormone Replacement Therapy
HRT is a safe and effective treatment for most healthy women with symptoms, who are going through the menopause at the average age in the UK . The risks and benefits of HRT will vary according to your age and any other health problems you may have. Your doctor will be able to discuss any potential risks of HRT to you in detail.
Starting And Stopping Ht
International guidelines recommend that HT be started as soon as menopausal signs or symptoms appear which, in most women, is between 45 and 55years of age.812 Women with primary ovarian insufficiency require earlier and continued use of HT to protect against associated postmenopausal chronic diseases.35
Current users of HT can remain on treatment indefinitely , or at least until such time as the patient asks to stop. However, regular monitoring of HT is advised, with adjustments made to type, dosage and/or route of administration according to a patients changing circumstances and treatment goals, which range from symptom relief to prevention of intermediate/late signs and degenerative consequences of menopause.19
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How To Start Hormone Replacement Therapy: Steps To Get Started
Do you feel your health and vitality dwindling as you get older? Have you been interested in hormone replacement therapy but dont know where to start? The right hormones can help improve overall energy levels, boost fertility, and improve the quality of life. Hormone replacement therapy isnt something you want to decide in haste here are some essential tips on getting started.
Does It Cause Weight Gain
Some people worry that hormone treatment might lead to weight gain, but there is no evidence to support this.
Eating a healthful diet and getting plenty of exercise can help manage the weight gain that commonly affects both females and males in midlife.
There are various ways of delivering hormone therapy, and the different types provide different combinations and amounts of hormones.Common types include:
Estrogen-only HRT: A doctor may recommend this if a person has had their uterus and ovaries removed, in which case progesterone is not necessary.
Cyclical, or sequential, HRT: This may be a good option if symptoms occur before menopause the dosage can align with the menstrual cycle.
Continuous HRT: After menopause, a doctor may prescribe a continuous combination of estrogen and progesterone.
Local estrogen: Vaginal tablets, creams, or rings can help with urogenital symptoms, including vaginal dryness and irritation.
The doctor will prescribe the lowest possible dosage that addresses the persons symptoms, and arriving at this dosage may take some trial and error.
Ways of delivering HRT include:
When a person no longer needs the treatment, the doctor will describe how to stop it gradually.
Various lifestyle adjustments can help manage the symptoms of menopause.
They include:
Also, it is a good idea to ask the doctor about nonhormonal treatment options.
Always speak to a doctor before using any supplements.
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