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.
• 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.
The Dangers of Hormone Replacement Therapy
Many women who are entering their middle years and going into menopause, or perimenopause as it's called, are confused about the hype surrounding something called HRT. HRT is an acronym for Hormone Replacement Therapy, and it's a therapy intended to treat or ease the annoying side effects of menopause by replacing the lost hormones, i.e. estrogen and progesterone, and occasionally even, testosterone. Confused yet? Good. But keep reading, anyway, it will get better... hopefully.
A lot of the confusion has to do with the usage of words such as "Natural," "Synthetic" and "Bioidentical." We all think we know the meaning of natural and synthetic - natural is good, synthetic is bad and bioidentical just sounds scary.
"Natural" hormones are created within a biological organism, be it human, animal or plant matter. To be considered "natural," a hormone must share the same characteristics as its real-body counterpart, in terms of its make-up, shape and structure. But bear this in mind; a popularly prescribed hormone called "Premarin" is a natural estrogen hormone, because it's made from a biological organism. Unfortunately, that organism happens to be a horse. Now, it's been quite a while since Biology 101 class, but I don't recall that humans and equines share any biological qualities that are interchangeable.
"Bioidentical" hormones are made entirely in the lab, but they are identical or a clone to the hormones you produce naturally in your body, and they do the same thing. Now, the compounds could come from any source, but the bottom line is, when they enter your body, they do exactly what your body would have done, no more and no less.
A "synthetic" hormone in produced or made in the laboratory by means of a process known as synthesis. But, just because a hormone is synthetic doesn't mean that it's bad, provided that it does exactly what it's supposed to do, in the same way that the body does it. Because it does exactly what it's supposed to, it's actually quite "natural."
The real concern is the clever advertising directing you to choose one hormone over another. "Natural" implies better for you than "synthetic" or "bioidentical," but that may not be the case.
All of that didn't help much, did it? Good, because you should be ever cautious about what you put into your mouth in the form of a pill, or slap onto your body via a patch. Hormone replacement therapy can and does work, but don't let the media or the marketers influence your decision.
Testosterone is a major player in the complex mielu of hormones (cellular messengers) that direct our bodies to function. In men who are over the age of 40, there is a significant drop in this level of this hormone. Until recently it was considered taboo to replace this important hormone. But today forward thinking anti-aging specialists realize what scientific studies over the past decade have taught us.
As with women who have gone through the change of life, replacement of their sexual hormones (estrogen, progesterone and testosterone) enact major health benefits such as osteoporosis prevention, heart disease prevention and increases in cognitive function. Likewise for older male subjects the benefits of the addition of testosterone under careful physician management is a crucial aspect of maintaining good health. I wish in this article to dispel some misconceptions about Testosterone Replacement Therapy and provide a list to readers of the benefits of this simple and safe treatment.
First of all there is overwhelming evidence in the scientific literature that testosterone does not cause prostate cancer. In actuality it is the unbalanced estrogen excess in man that is implicated in prostate cancer.
The caveat here is that once there is prostate cancer, testosterone which is an anabolic (building) hormone can promote cancer growth, but contrary to the popular belief, even within the medical field, it does not cause cancer. With advancing age Testosterone levels drop while estrogen levels rise and compete for binding sites on the prostate gland as well as other cells in the body causing a hormonal havoc.
Such problems as an increase in adipose tissue with midsection obesity, a decrease in muscle mass, generalized hormonal imbalances (growth hormone, estrogen, thyroid), depression, increased cholesterol and lipid dysfunction, glucose and insulin imbalance, decreased coronary artery elasticity, elevated blood pressure and loss of a feeling of well being result from low testosterone levels. Supplementing Testosterone in the appropriate candidates reverses these unwanted outcomes, but it is not as simple as taking a pill. There are enzymes in our body that can change exogenous testosterone into other undesirable hormones such as Estrodiol and DHT. Therefore, a physician that understands the balancing act and has the ability to monitor these other hormones is best to treat such a disorder.
Along with the correct replacement modality (cream, gel or patch) there are other considerations which halt the trend of testosterone conversion and these are usually supplemented along with testosterone. Such supplements are Saw palmetto, Zinc and Nettle extract to name a few. In a recent study of the Androderm patch after a 12-month period a depression score dropped by nearly one half with testosterone replacement alone. Again men with complaints of fatigue receiving testosterone in one study had symptoms of fatigue drop for 79% to 10%. A Medline medical literature search reveals many more positive outcomes of testosterone replacement. For those interested in finding out more about their bodies, there is a non-invasive home testing kit available at the Saleeby Longevity Institute which allows men to evaluate the levels of testosterone in circulation.
Andropause the male menopause
by J.P. Saleeby, MD
Stop Menopausal Hot Flashes Now, Without the Use of Hormone Replacement 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.
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.
Estrogen, Progesterone, And Cancer
The essence of science based hormonal therapy is not to treat sickness but to maintain wellness. This is a dramatic change from the historical methodologies of health care in the U.S. Our nation's traditional measure of health care is actually "sick care". We wait until sickness before requesting medical interventions. The ideal way to address is health care is to prevent sickness rather than treat sickness. This new approach is what has inspired the new "hormone replacement clinics" as a standard of health and prevention.
Women often seek hormone replacement therapy from their physician for reasons related to menopausal symptoms. The object is not to prevent a natural process but to minimize the symptoms associated with menopause. Hormonal therapy helps restore hormones to eliminate or decrease the symptoms. Hormone therapy is not the use of a pharmaceutical to treat symptoms but assisting the body with additional natural hormones that are present but not in the quantity needed.
The hormonal therapy is not intended to enhance or exceed what our body normally produces but to supplement our body's ability to produce what once came naturally.