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Women’s Bioidentical Hormone Replacement Therapy

Women’s Bioidentical Hormone Replacement Therapy

Hormone therapy is used to treat symptoms of menopause. The age, family medical history and personal health are all factors that may affect whether or not you choose this route for treatment.

The benefits of hormone therapy (HT) are well established and the decision whether or not to take HT should ultimately come down to the individual herself and what she feels will suit them best at any given time in their life. It is important that you know all options available before making such an important choice.

Hormone therapy was once routinely used to treat menopausal symptoms and protect long-term health. Although the large clinical trials showed health risks, benefits outweigh the small risks.

When it comes to hormone replacement therapy (HRT), there are little side effects that can occur. However, this doesn’t mean you should ignore these treatments altogether as they still have benefits for certain individuals such as those who suffer from hot flashes or other symptoms related with the change in hormones during perimenopause/menopausal years; also remember every landscape is different and what may work well now might not do so later down road.

Basic types of hormone therapy

Hormone replacement therapy primarily focuses on replacing the estrogen that your body no longer makes after menopause. There are two main types of estrogen therapy:

Systemic hormone therapy

Systemic estrogen hormone which comes in pill, skin patch, ring, gel, cream or spray form and it typically contains a higher dose of estrogen that is absorbed throughout the body. It can be used to treat any of the common symptoms of menopause.

Low-dose vaginal products

Low-dose vaginal preparations of estrogen which come in cream, tablet or ring form

minimize the amount of estrogen absorbed by the body.

Factors to Consider for Women’s Hormone Replacement Therapy

According to subsequent studies these are:

  • Age

Women who begin hormone therapy at a late age or more than 10 years from the onset of menopause are at greater risk for any number of conditions, but if you start before 60 with very low doses and types (such as oral contraceptives), then benefits seem to outweigh those risks too!

  • Hormone prescriptions

Hormone prescription can come in different forms like patches or injections ex: tablet form vs topical application vials administered thru giving by injection The dose will depend upon what kind and whether its estrogen or testosterone combo pack.

Who can benefit from hormone therapy?

The benefits of hormone therapy may outweigh the risks if you’re healthy and the following listed below will benefit.

  • Patients with moderate to severe hot flashes and systemic estrogen therapy remains the most effective treatment for the relief of troublesome menopausal hot flashes and night sweats.
  • Patients have other symptoms of menopause. The estrogen can ease vaginal symptoms of menopause, such as dryness, itching, burning and discomfort with intercourse.
  • Patients that need to prevent bone loss or fractures. Systemic estrogen helps protect against the bone-thinning disease called osteoporosis. However, doctors usually recommend medications called bisphosphonates.
  • Women with early or premature menopause may benefit from estrogen replacement therapy. If you had your ovaries surgically removed before age 45, stopped menstruating by the time of developmentally appropriate adulthood (premature ‘menopausal’ status), lost normal function in these organs due to Primary ovarian insufficiency-a condition where there is no longer enough healthy eggs for pregnancy maintenance after achieving reproductive potentials have been reached on both sides; this includes bone density loss associated w/o osteopenia/osteoporosis diagnosis but also mental decline such as dementia Disease prevention

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If you take hormone therapy, how can you reduce risk?

Talk to your doctor about these strategies:

  • The best way to treat your symptoms is by finding the right product and delivery method. You can take estrogen in pill form, through a patch that you wear on skin near your heart (or any other area), gel capsules taken once per day with meals or suppository rings which release their contents over time whichever one works for you. If it’s just vaginal menopause related discomfort though, try using low dose cream made especially for this purpose rather than an oral medication such as tablets because they will be more effective at providing protection against aging while still allowing users some comfort during these difficult times.
  • The minimum amount of time that you should take any medication is 5 minutes. If the side effects are more harmful than good, then it’s best to minimize how often and when in a day they’re prescribed for since this will also help with preventing them from building up too much over an extended period-of use.
  • Women need to see their doctors regularly in order for the benefits of hormone therapy outweighing risks. This includes regular screenings such as mammograms and pelvic exams that can detect early signs or problems with cancer, heart disease/strokes among other things so they are diagnosed at an earlier stage than would otherwise happen without medical intervention which leads me into my next point.
  • Include physical activity alongside healthy lifestyle choices like eating right alongside, not smoking cigarettes if you’re female because it’ll help prevent many different types of diseases including diabetes mellitus, manage chronic health conditions, such as high cholesterol or high blood pressure.


If you’ve had a hysterectomy and are still using systemic estrogen therapy, your doctor will need to prescribe some form of progesterone. This is so that the hormone can be delivered properly throughout each month without any negative side effects from improper delivery method use or over-the-counter products available at stores.

Alternatives for Hormone Replacement Therapy

While there are many ways to manage hot flashes, such as practicing paced relaxed breathing or other relaxation techniques and using non-hormone prescription medications that may help relieve the discomfort. A hysterectomy with systemic estrogen therapy will also require progestin in order for you not experience menopausal symptoms like dryness and painful intercourse while taking this treatment plan into account

If you haven’t had a hysteresis operation yet then it’s possible some form of hormone replacement could be advised depending on your specific case details -but always consult with an expert regarding what would work best.

Symptoms of Menopause

You may encounter the following signs and symptoms during the months or years preceding menopause (perimenopause):

  • Periods that are irregular
  • Vaginal aridity
  • Flashes of heat
  • Chills
  • Sweating at night
  • Sleep problems
  • Mood swings
  • Increased weight and decreased metabolism
  • Hair loss and dry skin
  • Breast enlargement is lost

Women may experience a variety of signs and symptoms, including changes in menstruation. Almost certainly, you will have some irregularity in your periods prior to their conclusion.

Effects of Menopause

After menopause, your risk of certain medical conditions increases. Examples include:

  • Heart and blood vessel (cardiovascular) disease
  • Osteoporosis
  • Urinary incontinence
  • Sexual dysfunction
  • Weight gain

Estrogen Therapy and Estrogen Treatment Pills

Estrogen treatment can take many different forms, but it’s most commonly done by taking oral medications like conjugated estrogens (Premarin), estradiol supplements or tablets called Estrace. You will need to follow your doctor’s instructions when using this type of therapy because they vary depending on what kind you choose and how often during the day should be taken without food in between doses. Unlike other types that have been studied more than ten years ago-especially those given through injections  and these newer ways may not yet produce all outcomes desired for patients who want relief from troublesome symptoms associated with menopause such as hot flashes/night sweats, improved bone health has less risk.

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Estrogen/Progesterone/Progestin Hormone Therapy

When the body needs additional support, it turns to estrogen and progesterone. This type of hormone therapy is often used as a treatment option for women who are past their childbearing years or have certain conditions that require more attention than before such as polycystic ovary syndrome (PCOS). Progesterone can also help give you back some energy when it’s low due its role in maintaining healthy circulation levels; this will be helpful during depression episodes since there would no longer need an SSRI drug intervention.

The endometrium is a lining in the reproductive system that sheds annually during menstruation. When it doesn’t shed, there’s an increased risk for cancerous growths to form due its high amount of estrogen and progesterone build-up when not attended with natural processes like pruning or shedding. This can be prevented by taking supplements containing both hormones, specifically progesterone which reduces cells on area into abnormal cell types while also making menstrual periods lighter than they would otherwise appear.

Indications for Women’s Hormone Replacement Therapy

HT is the most effective treatment for menopausal symptoms. Perimenopause and early post-menopausal women without any contraindications should consider taking HT if they’re experiencing bothersome vasomotor issues, according to current guidelines from experts in this field.

Age of menopause is an important factor when considering HRT. Generally, for women with menopausal symptom who are

  • <50 years – HRT should be offered since the benefits far outweigh the risks
  • between 50 and 60 years – the benefits of HRT outweigh the risks
  • >60 years – benefits of HRT equal the risks and treatment should be individualized
  • >70 years – risks tend to outweigh the benefits

Pre-Treatment Evaluation

All patients who are hormone therapy candidates should undergo a thorough evaluation that includes a detailed medical history and a comprehensive physical examination. The aims are to establish an accurate diagnosis and to rule out any contraindications. Personal and health histories are screened on an overall basis.

How To Know If Hormone Replacement Therapy Is Right for Me?

The decision to use hormone therapy or not should be made with consultation from your doctor. It’s important that you communicate any changes in symptoms throughout the menopause years so they can keep up-to date advice available for both parties involved.



Estrogen’ Replacement Therapy
Progesterone Therapy
DHEA Treatment


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