HRT Wilmington NC

Find Wilmington Hormone Replacement Near You Today

If you’re looking for relief from menopause symptoms, knowing the pros and cons of Wilmington hormone replacement therapy (HRT) can help you decide whether it’s right for you.

Estrogen Therapy

What Is WilmingtonHormone Replacement Therapy?

HRT (also known as hormone therapy, menopausal hormone therapy, and estrogen replacement therapy) uses female hormones — estrogen and progesterone — to treat common symptoms of menopause and aging. Doctors can prescribe it during or after menopause.

After your period stops, your hormone levels fall, causing uncomfortable symptoms like hot flashes and vaginal dryness, and sometimes conditions like osteoporosis. Wilmington HRT replaces hormones your body no longer makes. It’s the most effective treatment for menopause symptoms.

Testosterone Replacement Therapy - Do You Need It?

Menopause Hormone Therapy

Although menopause is just one of the phases of life, its symptoms often prove to be detrimental to a normal and active lifestyle of a career woman of today. So most of the women today undergo hormone therapy to get rid of these symptoms like hot flash, moderate to severe vaginal dryness and related discomforts. There are cases where even the younger women take the help of hormone therapy to treat the conditions in which ovaries do not produce sufficient estrogens naturally.
In its more advanced stage, hormone therapy is also being recommended for reducing the risk of heart disease and the debilitating disease of osteoporosis.

Part II

In order to alley the risks as far as possible, doctors suggest a continued treatment for 10 to 20 years or even throughout one's lifetime.

Hormone therapy is a procedure for receiving additional estrogen and progesterone in the body and there are several ways to take these hormones into your body. You can pop hormone pills. You can use them as topical medicines for your vaginal treatments. They can also get inside your body as implants or you can take the hormones through injections.

The normal women who have their uterus have to take a combination of estrogen and progesterone. This is because estrogen alone greatly increases a woman's risk of uterine cancer. The progesterone neutralizes this risk factor. The women who have had their uterus removed however are prescribed estrogen alone. This is known as "estrogen replacement therapy" (ERT).

There are many women who experience menopause before they are forty. Sometimes this happens naturally. Sometimes it is the result of surgery to remove the ovaries. Radiation or chemotherapy are also sometimes responsible for advancing menopause in the lives of certain women. Whatever may be the cause, in these cases of early menopause hormone or estrogen therapy becomes particularly essential to counter the effects of a premature drop in estrogen levels.

A point of confusion for some people is the difference between side effects and risks when taking a prescriptive drug. This is certainly true when it comes to hormone replacement therapy or HRT. HRT refers to synthetic hormones prescribed primarily to relieve menopause related complaints such as hot flashes, night sweats, erratic periods, excessive bleeding during perimenopause, etc.

Risks associated with HRT

There are long term risks associated with taking prescriptive hormones as part of replacement therapy. You may have taken prescriptive hormones for years with no side effects whatsoever, and they may have dramatically relieved your menopausal hot flashes, sweats and other complaints. Yet you are now at greater risk for a variety of serious illnesses including breast cancer, uterine cancer, stroke and heart attack to name a few. These are the risks associated with HRT. Research studies have found so many serious risks associated with hormone replacement therapy that most medical doctors are unwilling to routinely prescribe hormone replacement for relief of menopause related complaints. Rightly so, they don't want to put their patient's at risk for life threatening conditions.

Let's look more closely at the risks associated with replacement therapy. Much of our knowledge of these risks comes from the Women's Health Initiative, a study that tracked the health of thousands of women, some taking hrt and others not. The study was eventually stopped as it became clear that there was a dramatically increased risk of breast cancer among the women undergoing HRT. Because of the complex nature of the study, the results are difficult to summarize succinctly. Numerous other studies have also clarified the risks and benefits associated with hormone replacement. Here is a broad picture of the level of risk associated with hormone replacement, followed by the benefits.

Hormone replacement therapy risks

  • Breast cancer risk increased by 24 percent with combined estrogen / progestin HRT
  • Risk of ischemic stroke increased by 41 percent with medium to high dose HRT, but much less risk with ultra low dose hormone replacement
  • Heart attack risk increases by 29 percent for those taking HRT
  • Slightly increased risk of ovarian cancer when only estrogen is taken for more than 10 years
  • Twenty-one percent increased risk of kidney stones
  • Higher risk of developing gall stones

Hormone replacement benefits

  • Relief of menopause related complaints
  • Increases bone density
  • Reduces risk for colon-rectal cancer
  • Decreases risk of macular (eye) degeneration and loss of vision associated with aging

The side effects of HRT

Side effects are generally considered to be any temporary complaints that are experienced while taking a drug. Side effects often resolve soon after stopping the medication. Using this description, the side effects of hormone replacement are not well known. These side effects vary depending on which combination of hormones one is taking and the specific synthetic forms used. Some of the more common side effects of prescriptive forms of estrogen, progesterone and combinations of both are as follows.

  • Breast pain, enlargement and tenderness is associated with the stimulatory effect of estrogen
  • Nausea and vomiting with the use of estrogen HRT taken by mouth
  • Vaginal bleeding can occur in association with oral estrogen
  • Darkened skin spots tend to occur on the face
  • Headaches of a migraine type are associated with taking synthetic progesterone or progestins
  • Depression is a common complaint that is found to be a result of taking progestins
  • Greasy skin and acne are also associated with progestin use

Women are wisely looking for alternatives to hormone replacement. Fearing the risks associated with it, added to the side effects of prescriptive hormones, they are not too excited by it. Researchers and academics argue for and against hormone replacement.

The author's of a 2008 study titled the Women's International Study of Long-Duration Oestrogen after the Menopausesuggested that their study demonstrated such significant benefits for relief of menopause complaints that HRTshould be reconsidered by many women.

One of their colleagues (not an author of the study) reviewed the results of their study and came up with the opposite conclusion. Underscoring her concerns regarding the risks of hormone replacement therapy, Professor Anne Kavanagh of the University of Melbourne recently countered their claims as to the benefits of hormone replacement therapy. Professor Kavanagh points out that the study did not show and overall improvement in the "quality of life" for women in the study.

So the medical profession insists on using what it is familiar with, and that is drugs. Bioidentical hormones are becoming more familiar to doctors, and more and more doctors are willing to prescribe them. But its far from the majority--many will not.

Why bother with bioidentical hormones? Wouldn't they have the same side effects as what doctors now prescribe. Doctors who use them say no, that they do not have the side effects and risks of drug HRT. While most women are already aware of the risks associated with hormone replacement therapy, it may be helpful to look at the issue quickly.

Risks of HRT

Many studies have underscored the risks of HRT. The biggest is The Women's Health Initiative. The study followed 160,000 women between 1993 and 1998. It compared the health of women on different combinations of HRT with women who were not.

The study reported that the women on HRT had greater risk for a variety of health problems. The study showed that the women on HRT had a significantly increased risk for breast cancer, heart attack, stroke and blood clots. The study showed that HRT benefited some conditions, decreasing the risk of colorectal cancer and of hip fractures due to osteoporosis.

Benefits of Hormone Replacement Therapy

Estrogen Replacement

Can menopause symptoms be safely comforted with bioidentical hormones? Recent research suggests that menopause can be treated with bioidentical hormones, a natural replacement for a woman's body, with no reported side effects.

In the past, menopause has been treated like a disease - primarily with Hormone Replacement Therapy or HRT (including Premarin, which is made from pregnant mare's urine, Prempro and Provera), which meant ingesting synthetic chemicals on a regular basis. Now we know that these drugs are causing the very problems we're trying to avoid including breast cancer and heart attacks.

Bioidentical means the hormone molecule in the product, for example progesterone cream, acts exactly like the molecules produced by the female body. They function in your body in a natural and normal way unlike synthetic chemicals. A "natural hormone" is really a compound synthesized in the lab from a natural source (such as soybeans used for estrogens and testosterone; or wild Mexican yam in the case of progesterone and sometimes testosterone).

Synthetic hormones are typically only available in oral form, but bioidentical hormones come in a variety of delivery systems such as oral, transdermal patch, cream, lotion or sublingual drops. Bioidentical hormones recently caught mainstream attention in part because of Suzanne Somer's new book, The Sexy Years

Typically a successful approach to dealing with a woman's menopausal symptoms is to begin with laboratory tests of hormone levels called a "hormone panel." The doctor can then prescribe a precise dosage of bioidentical estrogens, testosterone or DHEA that can be made for you at a Compounding Pharmacy This is contrary to HRT treatments that are typically "one size fits all."

Most doctors prescribing bioidentical hormones find that a large percentage of women find some relief by using medical-grade supplements, over-the-counter bioidentical progesterone, and dietary and lifestyle changes (including the proper nutrition and exercise). And, for the percentage of women who need a little more help, most doctors don't support the idea that bioidentical hormones should be used indefinitely as some kind of fountain of youth.

Is it right for you to treat your menopause with bioidentical hormones? First you need to consult with a doctor to get the right answer for you. Once you know what you need, your doctor and you can work out the best alternative for your body.

Bioidentical hormones are often synthesized from plants, and processed to make them resemble, or become entirely identical to the hormones within our bodies. Bioidentical hormone preparations are often compounded by pharmacists, with respect to the quantity recommended by the doctor.

We have a conflict of interest here with the pharmaceutical industry, because they are unable to patent human hormones that are molecularly identical to actual substances in the body. Therefore everything that you hear about bioidentical hormones must be viewed with a skeptic eye, because of the pharmaceutical companies massive influence over the health industry.

These hormones are mainly used by females, to alleviate the signs and symptoms of menopause. A scientific study compared the usage of bioidentical progesterone cream to placebo, and learned that women using the cream experienced a massive decrease in symptoms, including hot flashes and night sweats. The cream had no effect on bone mineral density though.

Bioidentical hormones are generally prescribed as a healthier replacement for regular hormone replacement therapy, which has been proven to have serious adverse effects. Many people have voiced their criticism about this kind of treatment because it hasn't been analyzed extensively enough in clinical studies.

However, some scientific studies have demonstrated that these hormones are indeed healthier and also bring less risk of adverse effects than the synthetic versions. This includes significantly less risk of blood clots as well as cancer, the two primary issues concerning conventional hormone replacement therapy.

It's imperative that you realize that these types of hormones haven't been studied as extensively as the standard, artificial ones. This is very understandable because the main sources of research funds are the drug companies, and they have absolutely no interest in studying a substance that can not be patented or marketed for massive price tags.

Unfortunately, because scientific studies are missing, it is not easy to find details about the side effects of bioidentical hormones in the literature, but it appears obvious how the side effects tend to be less severe than with regular hormone replacement therapy.

I'm not really thrilled about individuals playing around with the hormones in their bodies, because this might have unpredictable consequences. If the symptoms of menopause are leading to big problems in that case bioidentical hormones can be a safe alternative to standard treatment.

I would personally also suggest using as little of them as possible, for as brief a time as possible. Menopause is really a natural occurrence that happens with getting older, and even though treatment methods are possible, doesn't mean they're always the right thing to do.

Make sure that if you are undergoing any kind of hormonal treatment, to do it under supervision by a physician who has knowledge of these matters, hormones are nothing to play around with.

Benefits of Hormone Replacement Therapy

Estrogen Therapy

So the medical profession insists on using what it is familiar with, and that is drugs. Bioidentical hormones are becoming more familiar to doctors, and more and more doctors are willing to prescribe them. But its far from the majority--many will not.

Why bother with bioidentical hormones? Wouldn't they have the same side effects as what doctors now prescribe. Doctors who use them say no, that they do not have the side effects and risks of drug HRT. While most women are already aware of the risks associated with hormone replacement therapy, it may be helpful to look at the issue quickly.

Risks of HRT

Many studies have underscored the risks of HRT. The biggest is The Women's Health Initiative. The study followed 160,000 women between 1993 and 1998. It compared the health of women on different combinations of HRT with women who were not.

The study reported that the women on HRT had greater risk for a variety of health problems. The study showed that the women on HRT had a significantly increased risk for breast cancer, heart attack, stroke and blood clots. The study showed that HRT benefited some conditions, decreasing the risk of colorectal cancer and of hip fractures due to osteoporosis.


North Carolina HRT