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What Is Carolina BeachHormone 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. Carolina Beach HRT replaces hormones your body no longer makes. It’s the most effective treatment for menopause symptoms.
The Dangers of Hormone Replacement Therapy
Often a clinic that specializes in "Hormone Replacement Therapy" is immediately regarded as an "estrogen" or "testosterone" clinic implying the patients are there for "sexual dysfunction". That simply is not the case if one is going to a "hormonal wellness clinic" or "science based HRT clinic". The reason for the reference by many to the sexual side is much of the discussion centers on what is known as male or female hormones related to sexual functions and sexual male/female characteristics. There are many more hormones than those two, and even those two may require the use of other hormones, specifically DHEA, to effectively assimilate those two hormones into our system properly.
My personal experience has been I go to my medical doctor, actually his experience/training is as an emergency room doctor, and Dr. Hummel analyzes a vast array of hormones and other chemicals to assess whether my body is meeting the minimum demands for hormones for me to live healthy. He looks at the typical blood pressure, cholesterol, triglycerides, testosterone, thyroid function and many more. A baseline is established so the results of hormonal supplements, if needed, can be monitored and measured. If hormones or other medications, such as statins, is warranted then those are prescribed. Several weeks/months later new blood work is ordered to verify the underlying unhealthy pathologies are reversing and improving.
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.
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:
Physical, Emotional & Dietary Stress
Over the Counter Medications
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:
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.
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.
Testosterone Replacement Therapy - Do You Need It?
Before starting upon testosterone replacement therapy, men need to have their prostate examined. This particular examination, typically conducted by urologists is to understand the condition of the prostate gland which is prone to cancer. Whilst cancer of the prostate is very common and usually harmless, any kind of irregularities, hypertrophy, or even urinary complaints must be identified and dealt with prior to beginning testosterone treatment.
Specifically, men need a PSA (prostate gland specific antigen) blood-work test. If the test's values are found to be raised, then a PSA-2 test may be ordered that may determine prostatic hypertrophy. Androgenic hormone not an option in men diagnosed with prostate cancer because testosterone may well aggravate the condition.
Men should continue doing this prostate and PSA testing every 6 months after the commencement of Testosterone Replacement Therapy or as directed by their doctor.
Androgenic hormone or testosterone is secreted by the testes the entire day and is metabolized by heavy physical work and stress. It is therefore normal for doctors to order the blood be drawn in the morning when life's demands have not yet affected the body's level. Further, it is normal for the doctor to do 2 blood tests over a period of time to take an average reading.
Once it has been determined that a testosterone deficiency does in fact exist, and that there are no prostate cancer risks preventing replacement therapy, decisions can be made about what is the best way to administer the treatment.
Most women experience the onset of the menopause at an average age of about 50, but it can start anytime from the early forties to the late fifties. Symptoms can vary: some women sail through but others suffer the miseries of lack of energy, hot flashes, depression, night sweats, and loss of libido.
The usual remedy prescribed by doctors is hormone replacement therapy (HRT), and tranquillizers and anti-depressants to which you can become addicted. Before embarking on such treatment, investigate the natural alternative.
HRT is prescribed to counter balance the reduced production by your body of estrogen which can lead to increased risk of osteoporosis and weakened bones leading to fractures. However, two large clinical trials have shown that HRT does not, in fact, significantly reduce the incidence of bone fractures, and there is an increased risk of heart disease, gallstones, and breast and endometrial cancer.
Many menopausal symptoms are less to do with a shortage of hormones and more to do with imbalances. By eating a healthy diet, taking regular exercise and natural supplements, you can boost the health of your bones, and balance sugar levels and your hormones.
It is well known that people in some parts of the world (for example Japan and the Mediterranean countries) rarely suffer from heart disease due to their different national diets. It is less well known that women in the Andes region of Peru do not suffer menopausal symptoms. Peruvian women take Maca, a tuberous plant related to the potato. As well as the beneficial effect on menopausal symptoms, Maca boosts energy and libido. Maca is also known as "Peruvian Ginseng" and "Peruvian Viagra".
The Incas once inhabited this area and, in order to boost their energy, their warriors used to take Maca before going into battle. When the Spanish conquered the area they found that their horses suffered from the high altitude. The locals advised them to feed Maca to the horses and the animals immediately experienced an increase in energy levels. The Spanish found that what was good for their horses would also benefit humans, so payment for the taxes levied on the locals was taken in Maca.
There are three phases of menopause: the peri-menopause or the period leading up to the menopause. During this time a low dose of 1500mg is recommended to counteract the slow down in the production by your body of hormones. During the actual menopause, increase the dose to around 4000mg each day for a period of 2-3 months, and then reduce the dose to 2000mg. In the post menopause phase, reduce your daily intake of Maca to 1500mg. It is during the menopause and post menopause phases that the risk of osteoporosis increases and you are advised to also supplement Maca with Forever Freedom, a drinking gel that contains aloe vera, Glucosamine, MSM, Chondroitin and vitamin C.
7 Ways on How to Avoid the Risks Associated with HRT
Many doctors and patients have been concerned about reports that estrogen replacement raises the risk of cancer, but is not be the case, if done properly.
When progesterone is given along with estrogen for ten or more days per cycle, it not only eliminates the risk of this cancer but may actually reduce it beyond that which occurs spontaneously. Researchers suggest that the progestin was the good guy in combination of estrogen in hormone replacement therapy, first stimulating mitosis, or breast cell division, followed by the reverse, apoptosis. They speculate that a combined continuous regimen of estrogen and progestin could counteract the cell division needed to produce a cancer.
Women on estrogen therapy have a lower risk of dying from breast cancer than those who do not take hormones.
Estrogen alone has been shown to protect against coronary heart disease, lower cholesterol, and preserve brain function. Estrogen replacement not only sharpens memory and lifts the spirit, but it helps protect against Alzheimer's and shows promise as a treatment for the disease. Estrogen and progesterone work in tandem in the body premenopausally and, increasingly, physicians believe that both hormones should be replaced postmenopausally.
Progesterone alone breaks down fat, increases energy through fat loss, protects against endometrial and breast cancer, improves mood and sexual function, and normalizes the levels of blood sugar, zinc, and copper.
The overall beneficial effects of combined estrogen-progesterone replacement make a good case for multihormonal replacement therapy.
By combining these hormones with DHEA and melatonin, both of which have an anti-cancer effect, and growth hormone that stimulates the natural killer cells that fight cancer, you may be able to enjoy all the health-giving, age-reversing benefits of female sex hormone replacement while lowering the risk of cancer. It is important to see a physician regarding this to make sure it is medically monitored and done properly.