North Carolina HRT

Wilmington NC HRT For Women

The use of hormones to control hormones imbalances is known as bioidentical hormone replacement therapy. The symptoms of hormone imbalance occur among women over the age of 35 years, and most of the cases involve a decline in hormone production. The hormones used are chemically identical, and they are referred as bioidentical or natural, even to those produced by the body.

Specific hormones that North Carolina bioidentical hormone replacement therapy focuses on balancing or enabling their growth are estrogen which exists in the form of estradiol, progesterone, testosterone, adrenal hormones, as well as DHEA hormones. These hormones are associated with reproduction and youth. In women, the treatment is critical in the years leading to menopause and body starts to experience the effects like hot flashes and night sweats, vaginal dryness, thinning bones, and regular fatigue. In overcoming such effects, bioidentical HRT in North Carolina comes with several hormone therapy products.

BHR options at our Wilmington North Carolina location include injections, lotions, gels and creams, sprats or tablets that aim at increasing hormones levels in the body and ensure healthy body functioning primarily in a youthful state.

The Difference Between HRT Therapy Side Effects And Risks

Estrogen Replacement

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.

Exercises include the tensing of the muscles of the pelvic floor that not only improves bladder control, but also increases sexual functioning. They involve tensing and relaxing the muscles around the area of the urethra, vagina and anus.

To understand how these muscle work you can use the following techniques:

  • Begin to urinate and then stop. The same muscle you use to control urination is the muscle that is used during the Kegel exercises.
  • Insert a tampon and squeeze around it; these are the muscles being strengthened.

Kegel exercises can be added into any part of a daily routine-like when you are on the elevator, driving, talking on the phone, or while taking a shower. Repetition is very important and many women have found that these exercises have had a positive impact on their sex life.

When concerned about menopause and bladder control, Kegel exercise is an excellent alternative HRT. Doing your Kegels faithfully can strengthen your pelvic floor muscles enough that a sneeze or heavy lifting be a cause for loss of bladder control.

A key point to this training is that it IS part of an alternative hormone replacement therapy approach, which does not include drugs.

Natural Hormonal Replacement Therapy

Menopausal Hormone Therapy

A follow up study to the Women's Health Initiative showed that not only did it increase the risk of breast cancer, but that the type of breast cancer was more deadly. Other studies show that HRT also increases risk for gall stones, kidney stones, uterine cancer, ovarian cancer and uterine bleeding.

Side effects of HRT

While the press has spoken more about the risks of HRT recently, one doesn't hear much about side effects. Shorter term complaints or side effects that women have with HRT include nausea and vomiting, breast tenderness, vaginal bleeding, skin discoloration (particularly patches on the face), headaches, depression, anxiety, nervousness and irritability, fluid retention and bloating, acne and greasy skin.

It's not a very rosy picture. The majority of women are now deciding against hormone replacement therapy for relief of menopausal complaints. Instead they are turning to natural approaches such as herbs that contain estrogen like molecules, and estrogen rich foods.

Benefits of Hormone Replacement Therapy

HRT Hormones

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.