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What Is Castle HayneHormone 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. Castle Hayne HRT replaces hormones your body no longer makes. It’s the most effective treatment for menopause symptoms.
Hormone Replacement Therapy: What Is It?
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.
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.
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.
Estrogen, Progesterone, And Cancer
Other improvements in the field of testosterone replacement therapy include different ways of administering testosterone. In the past, testosterone was taken in the form of pills. However, oral intake impacts the effectiveness of the therapy. Also, the medication has to be digested in the liver first before it is absorbed by the body. This dilutes the effect of the medicine and also puts the liver under tremendous stress. These days, testosterone is given through skin patches or injections so that absorption takes place transdermally.
Men undergoing testosterone replacement therapy are generally quite satisfied with the results they experience in terms of increased youthfulness, better muscle mass, lower body fat and of course, remarkable sex drive!
However, patients must be warned that they do not approach the therapy with unusually high expectations. The immediate effects of the therapy are quite intangible. Changes will be observed but these will be small changes only. Do not expect anything dramatic.
You've probably heard such terms as perimenopause and postmenopause floated around. These are menopausal terms that refer to the transition into, and out of menopause. It's a normal part of life, one experienced by every woman, at some point. Menopause is characterized by cessation of hormone production of the hormones involved with the regulating of a woman's menses. With the resulting changes in the levels of estrogen and progesterone there are usually changes in a woman's body. There are certain common symptoms; hot flashes, depression and being short tempered. But the level and degree of the various symptoms vary on a case-by-case basis, and may not occur in some women at all.
Peri-menopause lays the groundwork for menopause. The symptoms here may begin years before you experience your last menstrual period and may last up to a year after that. Post-menopause is what you go through after a year without your period-and lasts for the rest of your life. The average age is still an object of debate, some women tend to go well past their 50's, while some barely get to their 40's before it starts. It all varies based on lifestyle choices, genetics and habits among other influencing factors. Some women may have needed to get their 'tubes tied' or their uterus removed but even this does not guarantee a free pass. The ovaries still produce hormones, and they may eventually still experience these symptoms.
Every Woman's Guide to Menopause and the Importance of Hormone Replacement Therapy (HRT)
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.