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Wilmington North Carolina HRT Specialists 

Bioidentical hormone therapy, when used for the first time, has potential side effects as the body is not used to the new level of hormones. Most of these side effects are also linked to dosage, and it is advisable as your hormones improve, you adjust and in the case of further changes you should contact your physician. One should not confuse side effects with risks common to those who take hormones especially hormone therapy (HT). In older women, the consistent use of hormone therapy can lead to heart diseases and breast cancer while in other people mainly in a youthful state; risks are blood clots, stroke, and gallbladder disease. Below are common side effects of using bioidentical hormone replacement therapy.

Hormone Replacement Therapy Drugs

• There is increased aggressiveness in both men and women during the first time of using bioidentical hormone replacement therapy, but problems are resolved as levels become balanced

• There are side effects in women related to breast tenderness, cramping, bloating, and spotting in the body. This side effect is tied to the treatment of hormone estrogen, but it is resolved as hormones are balanced

• Patients commonly complain of itching and redness at the injections, but symptoms disappear as the body adjusts to treatment.

Benefits of Hormone Replacement Therapy

Estrogen Therapy

Hot flashes or flushes are described as a sudden feeling of warmth or heat within the body and often with associated sweating. A hot flash can be an intense feeling of heat usually in the upper half of the body but can be experienced in the lower half as well.

The exact cause of hot flashes isn't known but they do know that factors affecting the regulatory area of the brain, the hypothalamus, regulates body temperature. When the brain senses an increase in body temperature it will release chemicals which cause the blood vessels in the skin to dilate in an attempt to release the heat. It is said that estrogen and testosterone allow the body to tolerate changes in core body temperature, therefore, as these hormones decrease in peri-menopause and menopause so does your body's ability to tolerate increased heat.

In my opinion this is only part of the problem. I believe it is more of an imbalance in the hormone family than just a decrease in estrogen and testosterone. In some women, when estrogen is balanced with progesterone, hot flashes decrease or stop altogether. Knowing what is out of balance will help you determine why you have hot flashes in the first place. Hot flashes are not normal, they are one of your body's very intelligent ways of communicating a larger problem.

Lifestyle, stress and dietary habits play a huge role in the occurrence and frequency of hot flashes and night sweats. Known hot flash triggers are:

Caffeine

Physical, Emotional & Dietary Stress

Alcohol

Nicotine

Over the Counter Medications

Prescribed Medications

Obesity

Spices

Physical Inactivity

Heat

Know what your triggers are and attempt to avoid them as much as possible. Avoid closed, hot rooms and lower the temperature in your surroundings. Dress in layers and do not wear synthetic clothing as they trap the sweat. Cotton clothing allows your skin to breath. Increase your exercise routine to 30 minutes per day and get sound, quality sleep. Decreasing stress is a no-brainer but not so easy to do. Practice stress reducing techniques and mindfulness. Absolutely avoid processed foods including; boxed and canned goods, fast foods, enriched breads, sugars, sodas, etc. These non-foods put undue stress on your digestive system and ultimately your endocrine system (hormones).

So what's the problem with (HRT) Hormone Replacement Therapy? Most of us have heard the stories, read the articles and have seen the warnings. The possible side-effects of HRT are just a bit too scary for me. Breast and/or uterine cancer, heart disease, blood clots, and stroke being the most prominent. Unfortunately, some of you have even experienced one of these yourself. And, watch out ladies, bio-identical hormone replacement therapy can be dangerous as well. Natural progesterone cream is sold over the counter and being used without knowing one's hormone levels. Hormone creams and gels must be used very carefully and monitored closely with appropriate testing. One of the many problems with using the transdermal creams and gels is that they are absorbed into the subcutaneous fat tissue where they build up and can eventually saturate the tissue and over time start to spill back into the system creating an overdose of the 'free fraction' of the hormone in the body. At this point your cells will down-regulate (not accept) the hormone and you will once again have the symptoms of deficiency while you actually have too much of the hormone in your system. Routine (serum bound) blood tests cannot accurately monitor the use of transdermal creams and gels. Testing must be performed in the free state, otherwise a person will be profoundly overdosed with 'free' hormone levels by the time the blood tests detect any significant changes. I have witnessed many a website advising the use of creams and gels without regard to the individual's symptoms, history or tested levels. This is totally irresponsible and a major problem for women looking for an end to the sometimes debilitating symptoms of menopause. When administering a hormone in a 'free' form you must test for and monitor the hormone in a 'free' form (saliva or serum free). Since hormones are interactive, the problem doesn't end here. Depending on the hormone being overdosed, multiple other imbalances will stream into the system. Hormones given in amounts that exceed normal physiologic needs will cause receptor cell down-regulation (the cells will not accept the hormone once the liver can no longer clear the excessive levels). In addition, Brain, HP (hypothalamus/pituitary) dysregulation is created and atrophy of the gland as well.

DHEA is also sold over the counter. You can literally go into a health food store and buy a bottle of 25 mg capsules of DHEA. Women should not take DHEA unless absolutely necessary. Women are especially sensitive to DHEA and will not tolerate DHEA if not needed, or if given in too large of an amount. In fact, the majority of men do not need 25 mg DHEA daily. What's the big deal? DHEA can boost estrogen levels or testosterone levels and for women that could mean facial hair, deeper voice, not to mention dys-regulating the steroid hormone family even more. Hormones are very powerful messengers in very tiny amounts. Start playing with the numbers and you could be creating some very serious health problems for yourself. This goes for the men as well. For men, when taking DHEA in higher than needed amounts it will convert to Estrogen.

OK, now that I've gone on and on what are some of the solutions? Medically, I've seen recommendations for prescription drugs such as Effexor, an anti-depressant which has been successful in relieving hot flashes in low doses. The two problems I see here is that #1, it is not solving the problem and #2, there are side-effects to every medication known. You're putting a band-aid on the problem and worse than that you will, in all probability, have a known or unknown side effect from the medication. They are now performing clinical trials on the drug Menerba. From what I can gather it is a plant based drug with 10 or 20 herbs, licorice being the major player. Hmmm, maybe I'll just try some licorice?

Let's look at some of the herbs that may be of value here:

Tribulus -

Indicated for hormonal support. Tribulus is known to boost male and female fertility and libido, enhance athletic performance, stamina and endurance, restore and build vitality, relieve menopausal symptoms and is helpful in male menopause.

Black Cohosh -

Is specific for menopausal symptoms such as reproductive problems, especially when accompanied by pain: amenorrhea, dysmenorrhea, uterine pain, ovulatory pain, post-partum pain, testicular and prostatic pain, and menopausal symptomotology such as anxiety, depression and insomnia. It is mildly useful for hot flashes and is more effective when used with Chaste Tree, Motherwort, Licorice, and Dang Gui. Black Cohosh is contraindicated in pregnancy & low blood pressure.

Sarsaparilla -

This herb is getting a lot off attention for its' role in decreasing hot flashes. Although a cooling herb Sarsaparilla is more specific for inflammatory conditions of the skin, connective tissue, and bowels. That being said, it does clear blood heat and is used with other herbs to reducef hot flashes.

Red Clover -

The isolated isoflavones are being used to treat menopausal symptoms. Since it is a cooling herb it can help reduce hot flashes.

Licorice - Contains isoflavones and is used for menopausal symptoms such as hot flashes and vaginal dryness. More effective when used with Chastetree, Black Cohosh, Motherwort, and Sage. High doses of Licorice is contraindicated in people with high blood pressure.

Soy - I'm going to be very opinionated here. I don't believe soy is meant for human consumption, there is a tremendous amount of controversy about the efficacy of soy and about the fact that is does not digest in the human body. BTW, soy is not an herb.

Wild Yam - What can I say, some experts swear by it and others say that is has no real benefit for menopausal symptoms, including hot flashes.

When using herbs be sure to purchase your herbs from a known and reputable source. Do a bit of research to be sure the herb is not contraindicated with any medications and/or physical challenges you may have.

No matter how long you have been suffering with hot flashes and/or other symptoms of peri-menopause and menopause, it's not too late to stop hot flashes now. The good news is - You can begin by knowing your triggers and avoiding them. Eat a healthy well balanced diet. Find a qualified herbalist or hormone specialist and discover your hormonal levels so that you can begin the balancing act for a healthier and happier you.

Men and women with hormonal imbalance may experience symptoms like increased wrinkles, fatigue, low libido and mental depression. Luckily, these can all be solved through Hormone Replacement Therapy. In this article, relief for depression caused by hormonal imbalance will be discussed further.

To combat depression, the first thing to do is to understand what causes depression. This happens to anyone, regardless of age and sex. Depression is characterized by sudden mood change for a long period of time. This is commonly associated with loss of interest in activities that one normally enjoys, eating and sleep disorders, and detachment family and friends. It was found out that women tend to feel depressed twice more than men.

The Difference Between HRT Therapy Side Effects And Risks

Best Hormone Replacement Therapy

Testosterone is a hormone, which is produced primarily in the testes of a human male. It helps to maintain bone density, sperm production, muscle strength and sex drive too. The levels of this hormone peak during the adolescent years and early stages of adulthood too. However, the level of testosterone gradually declines with age. It is estimated that it decreases 1% every year after the age of 30. In fact, it is believed to occur in 18 percent of 70-year-olds.

With a decline in testosterone levels, men notice physical and emotional changes accompanied with reduced sexual desire and sleep disturbances too. However, physicians across the world are recommending testosterone replacement therapy. It is believed to help improve libido, bone density and body composition.

Benefits of Testosterone Replacement Therapy

  • Increased energy levels: An increase in lean body mass, which leads to development of muscle will boost energy levels in individuals who undergo the therapy. This would imply increased ability to take up physical activity too.
  • Better sex life: There has been a noticeable improvement in the sex lives of individuals who have undergone the therapy. Especially people with an erectile dysfunction have noticed significant improvement upon restoration of the hormone level.
  • There is a reduced possibility of osteoporosis due to optimized bone density upon therapy and this reduces the risk of fractures too.
  • Most importantly, it improves the basic quality of life. With more energy and a better sex life, the therapy helps improve the lifestyle of men who have dealt with problems due to reduced testosterone.

Learn more about male hormone replacement therapy and see if it is the right option for you.

The Risks of Hormone Replacement Therapy for Women

Best Hormone Replacement Therapy

It wasn't until 2002 that the true health risks of hormone replacement therapy were discovered and communicated openly. Up until that time, doctors routinely prescribed HRT to women who were experiencing any sort of menopause symptoms. The most common symptoms where HRT was used were for severe hot flashes and vaginal discomfort. Hot flashes for some women can be extreme where visible sweating occurs while the body attempts to cool it self off. Hot flashes tend to be most severe during the late evening and early in the morning. There are often accompanied by night sweats.

Before women agree to hormone replacement therapy, they need to be fully aware of the health risks associated with this treatment. The combination of estrogen and progestin, a popular HRT, can result in heart disease, blood clots, strokes, breast cancer and dementia. In fact, if you are a breast cancer survivor, any sort of hormone replacement therapy is discouraged strongly even if you suffer from severe menopause symptoms.

HRT is effective at reducing the severity of menopause symptoms as well as decreasing the risk of hip fractures from osteoporosis and colorectal cancer. If you opt to participate in HRT treatment, it is recommended that you go for the smallest dosage possible for the shortest length of time to reduce your risk of the above side effects.