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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.

Are You Having HRT Side Effects?

Hormone Treatment

Tender breasts or enlargement of breasts:

Men have some testosterone that gets converted to estrogen but normally isn't enough to cause estrogenic side effects such as gynecomastia (breast enlargement) But when taking supplemental doses of testosterone, particularly through hormone replacement therapy, much of it is converted to estradiol. The result of which, is feminized characteristics in men such as enlarge breasts.

Liver Toxicity:

There have been no reports of liver toxicity from transdermal testosterone replacement. However, for those on oral testosterone replacement, there have been a significant number of men reported to have developed liver problems. Incidentally, this is also the reason why all manufacturers of hormone replacement medications are now mentioning the possibility of liver failure when using their products.

Polycythemia:

One of the most important side effects of testosterone replacement therapy is the increase in the red blood cell mass and hemoglobin levels (Polycythemia). This is particularly true of older men as the increase of blood cell mass may lead to the possibility of heart attacks, strokes or peripheral clotting in the veins.

Prostate Growth:

Hormone replacement therapy for men can cause prostate growth. Prostate growth can cause problems with urination or at worse, may promote the growth of cancerous prostate cells. It is noteworthy to state that prostate cancer is a common cancer for older men and the second most common cause of cancer deaths.

Bioidentical hormones are often touted as the natural alternative to HRT (Hormone Replacement Therapy) which is the synthetic version of a female's hormones. Bioidentical refers to the progesterone and estrogen that is supposedly identical to the hormones a female's body produces. When a women enters menopause or experiences some other hormonal depletion, many doctors will prescribe hormone replacement therapy as a treatment to the varied symptoms that can accompany hormonal deficiencies.

Because of the dangers associated with HRT, many women have searched for an alternative, which to date, has been bioidentical hormones. This type of hormone compound is usually made in pharmacies that specialize in producing compounds that are regulated for each woman's identical hormone level. Pharmacies that process these compounds are not federal or state regulated so it's never certain as to the quality and consistency of dosages.

The baby boomer generation of women has been the biggest reason for the demand of a more natural way to replace depleting hormones at menopause. Also, this generation is more demanding of natural alternatives to synthetically derived treatments and want a more natural approach that may promise less side effects. The celebrity driven bioidentical conversation has also fueled the demand as many women see famous people who look 20 years younger than their real age.

Some issues to think about when considering the use of natural hormones is the fact that even though bioidenticals are naturally derived, they are still hormones that can affect the body in not only positive but negative ways as well. Also, for women who are impressed with various celebrities who recommend these treatments as a new fountain of youth, remember that celebrities have unlimited access to cosmetic surgeries and other physical assistance to help them achieve the illusion of looking younger.

It is true that natural hormones do not have the synthetic makeup of HRT compounds, but there are still risks as well as benefits associated with their use. Before making your decision about hormonal issues, it is wise to consult with one or more healthcare professionals who can provide a detailed plan for your best health.

Are You Having HRT Side Effects?

Hormone Replacement Therapy For Women

Every individual wishes to maintain a youthful appearance. There are several beauty enhancement products available in the market. However, cosmetic products do not provide permanent positive results. They can cause certain complications with the presence of harmful chemicals. As people get older, they lose their charm and youthful appearance. According to the medical survey, this occurs due to the decrease in the hormones in the human body. The natural production gets affected or stopped with aging. The imbalance starts to take place as soon as the individual crosses 20. These changes are experienced by both men and women. There are many reliable clinics in Ohio that offer hormone replacement treatment. It has benefited many individuals in this region.

Hormones are considered to be crucial for the smooth development of the body. They are termed as chemical messengers that flow in the blood systems to promote proper functioning of the mental and physical aspect of human being. There is no denying that with aging, the deficiency starts to occur and thus appropriate measures have to be taken. The reliable clinics have state of the art facilities to offer appropriate solutions to the patients. You can contact experienced and qualified physicians to get detailed information about the entire procedure. Bio-identical hormone replacement therapy is perfectly suited for both men and women. It has proven its worth as an effective medical solution to promote wellness, healthy aging and vitality among the human being.

Male Hormone Replacement Therapy: Andropause

Hormone Treatment

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.