|Posted on September 29, 2013 at 6:00 PM|
TO TREAT OR NOT TO TREAT
Thousands of patients have successfully received life changing relief aftertreatment of their menopausal symptoms. The loss of hormones can contribute tothe loss of over 400 bodily functions. Hot flashes, mood swings, vaginal dryness, lack of sex drive can beginas early as age 30 and progress as hormone levels decrease with age. Medicaltreatment can dramatically reduce symptoms and increase the quality of lifewhile simulataneously reducing the risk of a multitude of other medicalconditions. The literature is confusingto the average person on whether or not hormonal replacement therapy is eithernecessary or beneficial. As a result,patients are reluctant to seek medical attention and resort to over the counternatural remedies or sleeping with the air conditioner running on the coldestnights of winter. The most wellpublicized study evaluating the use of hormones in menopause the Woman’s HealthInitiative is a decade old study focusing on synthetic hormone replacement therapy. You may have been told bymany to “Stop The Hormones!” They are blamed for causing cancer, heart attacks,strokes, blood clots, and even memory loss. Modern research disputes these claims. In reality, women who ignore hormonal deficiencies may actually be atfar greater risk for all of these medical conditions and more. 30+ years ofresearch in the most prominent medical journals overwhelmingly confirm thebenefits of natural hormonereplacement, specifically estrogen, progesterone, testosterone, DHEA andthyroid hormone. Our practice has the aim of not only helping with your presentsymptoms but to improve your health.
Bio-identicalhormone replacementtherapy, also known as “Natural Hormone Therapy,” is the specific use ofnatural and molecularly identical hormones that the human body makes as anaugmentation or replacement for its reduced production. The term“Bio-identical” was coined to describe unpatentable, plant-derived molecules hebelieved were identical to human hormones. The term “Natural” denotes thesource of the hormone as from a plant or an animal. Most lay people onlyrecognize plant sources though the medical community accepts animal sourcesalso as “bio-identical.”
Bio-identical hormones are most often used for the menopausal symptoms oftemperature instability leading to hot flashes, night sweats, chills, andflushing sensations. About 75-80% of women will experience these symptoms asthey enter menopause. It is also used for the dryness and discomfort of theaging vulva and vagina by replacing lost collagen and improving the blood flowto the genital area and increasing the natural moistness of vaginal tissues.Unfortunately, 100% of menopausal women will suffer from this dryness andpotential shrinkage of vaginal size if left untreated. Also significant inmenopause are the loss of good quality sleep and the sense of well-being.Tempers are shorter, there is reduced sexual desire, and diminished sexualresponse. The wicked cycle of hot flashes and night sweats lead to sleepdisturbance and frequent awakening and then fatigue resulting in short tempersand irritability. This can then impact interpersonal relationships and damagepersonal intimacy. Adrenal fatigue and thyroid dysfunction can also occur atthis time complicating the picture. A careful workup is needed to define andaddress these issues.
Bio-identical hormones used for modern treatment include estradiol, estriol,estrone, progesterone, testosterone, and dehydroepiansdrosterone (DHEA).Pregnenolone is another agent sometimes used. Most commonly they are made by acompounding pharmacy in the form of creams, pellets, pills, capsules, drops.Each route has its advantages and disadvantages. The ideal route is usually onethat bypasses the mouth and stomach to spare activation of the liver that mayproduce substances that increase the risk of clot formation.
We use specific combinations of estrogen, progesterone, testosterone, and otherhormones to fit each patient’s individualized needs. Our expertise in findingthe right combination of hormones for each patient is the key to successfultreatment. We treat conditions many of which need hormone replacement therapyto correct. The therapy ranges from a single hormone to multiple combinationsof hormones tailored for the individual to help treat different symptoms. Thevarious forms of hormone replacement therapy allow delivery of hormones in themost optimal method for the patient. Every woman is unique and will respond totherapy differently so close monitoring is essential.
First and foremost, we are able to follow a continuum of problems thatbegin in the teen years, to the young adulthood, to perimenopause, to menopauseand beyond. Our workups, diagnosis, and treatments are supported by solidscience, research, and “evidence based medicine.” No hoaky or quack medicineallowed but there is openness to complimentary and alternative medical carethat is science based. Herbal and nutriceutical supplements are used as staysin the forefront of knowledge in this field.
Second, We have an outstanding team of clinicians and support staff thathas customer service as its top priority. Same-day appointments, same-dayreturns of phone calls and emails are provided. You will have direct access to ourphysician and staff.
Third, Lab services are in the office. Lab results are available to youas soon as they arrive. Serum blood testing is generally used, as it is themost accurate for most situations. Saliva testing is also available whenneeded.
Lastly, the costs are quite fair and reasonable as compared to otherbio-identical practices in the community.
Please look at all our practice has to offer. Read our web pages on numeroustopics, read our Frequently Asked Questions, look at our graphics, and do callus or email us for more details. We are always happy to hear from you.