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Bioidentical Hormone Replacement therapy for Menopause

Explore bioidentical hormone replacement therapy for menopause relief. Learn how it mimics natural hormones for fewer symptoms.

  • Gynaecology
By Aliya Anchan 2nd May '24 6th May '24

Overview

Are hot flashes and mood swings becoming your new norm? 

Menopause is a natural biological process that marks the end of a woman’s reproductive years. It starts between 45 and 55 years old and brings symptoms like hot flashes, sleep issues, and mood changes due to lower hormone levels. About 75% of women experience hot flashes during menopause. Bioidentical Hormone Replacement Therapy (BHRT) has emerged as a popular treatment option for managing these symptoms. This blog post provides an overview of BHRT for menopause.

Looking for relief from menopause symptoms? Considering hormone therapy? Having a discussion with your gynaecologist could guide you to the right choice.

What is Bioidentical Hormone Replacement Therapy?

 Bioidentical Hormone Replacement Therapy

Bioidentical Hormone Replacement Therapy (BHRT) uses hormones identical to those your body produces. These hormones are made from plant estrogens and are designed to exactly match human hormones.

Here’s how BHRT compares to traditional hormone replacement therapy (HRT).

Wondering how BHRT works to smooth out menopause symptoms?

The Science Behind BHRT

Bioidentical Hormone Replacement Therapy (BHRT) brings your body's hormone levels back into balance. Here's a look at how it operates and the hormones involved.

How BHRT Works in the Body

  • Natural Hormone Mimicry: BHRT hormones are identical to the ones produced by your body. When introduced, they act like your own hormones, integrating into your body's processes.
  • Restoring Balance: These hormones help stabilize hormone levels that drop or become unbalanced during menopause, easing symptoms like hot flashes, mood swings, and sleep problems.

Types of Hormones Used in BHRT

Hormones Used in BHRT

  • Estrogen: Vital for managing the majority of menopausal symptoms, especially hot flashes and vaginal dryness.
  • Progesterone: Used together with estrogen to maintain hormone balance and support reproductive health.
  • Testosterone: Sometimes included to improve libido and energy levels, though less than estrogen and progesterone.

Thinking about trying BHRT? Talk to us today. To know how these hormones might work for you.

Benefits of BHRT for Menopause

Consider Bioidentical Hormone Replacement Therapy (BHRT) for relief during menopause and beyond:

Relief from Menopausal Symptoms:

  • Hot Flashes and Night Sweats: BHRT reduces their frequency and intensity.
  • Mood Swings: Stabilizing hormone levels can smooth out emotional fluctuations.
  • Sleep Issues: Better hormone balance often leads to improved sleep quality.
  • Vaginal Health: BHRT with estrogen can enhance vaginal lubrication and elasticity.

Long-term Health Benefits:

  • Bone Health: BHRT helps prevent osteoporosis by maintaining estrogen levels critical for bone density.
  • Heart Health: Balanced hormones contribute to cardiovascular health, reducing heart disease risk post-menopause.
  • Cognitive Function: Estrogen replacement may help maintain memory and cognitive function as you age, according to some studies.

Potential Risks and Side Effects

While Bioidentical Hormone Replacement Therapy (BHRT) offers benefits, it's essential to consider potential risks and side effects:

Common Side Effects:

  • Mood Changes: Adjusting to new hormone levels can cause mood swings or irritability.
  • Bloating and Weight Gain: Hormonal changes may lead to temporary weight gain or bloating.
  • Skin Reactions: Cream or patch application sites may become irritated.
  • Headaches: Fluctuations in hormone levels can trigger headaches or migraines.

Long-term Risks:

  • Cancer Risk: Debate exists over whether hormone therapy increases the risk of certain cancers, especially breast cancer. Risk may vary depending on the hormone combination.
  • Heart Disease: Starting BHRT later in life may pose an increased risk of cardiovascular issues.
  • Blood Clots: BHRT has been associated with a higher risk of blood clots, which can lead to serious health complications.

Concerned about the side effects of hormone therapy? Discuss your health history and concerns and get in touch with us to make a safer decision.

How to Start BHRT

BHRT

Starting Bioidentical Hormone Replacement Therapy is a decision that should be made with careful consideration and professional guidance. 

Here’s what you need to know about getting started.

Criteria for Starting BHRT

  • Symptom Severity: BHRT is recommended for women experiencing moderate to severe menopause symptoms that impact daily life.
  • Medical History: A thorough review of your medical history, including any family history of hormone-sensitive cancers, is essential to ensure BHRT is safe for you.
  • Current Health Status: Conditions like liver disease, heart disease, or risk factors for blood clots can affect your eligibility for BHRT.

What to Expect During the Initial Consultation

  • Comprehensive Evaluation: Expect a detailed discussion about your symptoms, health history, and lifestyle. Your doctor may ask about your sleep patterns, emotional state, and other physical symptoms.
  • Blood Tests: These tests are crucial to measure your current hormone levels and other relevant health markers.
  • Discussion of Options: Your doctor will explain different types of bioidentical hormones and forms of administration (e.g., creams, patches, pills) to find what might work best for you.
  • Personalised Plan: If you’re a good candidate for BHRT, you’ll receive a customized treatment plan tailored to your specific hormonal needs.

Conclusion

BHRT provides a natural approach to easing menopause symptoms by using hormones that are identical to those your body produces. It's customized to your unique hormonal needs, making it a personalized treatment option. But, like any treatment, it comes with potential side effects and risks that should be considered.

Ready to take the next step? Consulting with specialists can help you navigate your options and make an informed decision about whether BHRT is suitable for you. Talk to us today.



FAQs

Q: How does BHRT start to work?

A: Many women begin to see improvements in their symptoms within a few weeks, but it can take a few months to feel the full effects.

Q: Is BHRT safe for everyone?

A: BHRT may not be suitable for everyone, especially those with a history of hormone-sensitive cancers or certain cardiovascular risks. A thorough medical evaluation is necessary.

Q: Can BHRT help with weight loss?

A: While BHRT isn't a weight loss treatment, balancing your hormones can make it easier to manage weight by improving metabolism and energy levels.

Q: How long do I need to be on BHRT?

A: The duration of BHRT varies by individual. Some may need long-term treatment while others might use it. It’s best to assess your therapy with your doctor.

Reference

https://my.clevelandclinic.org/health/treatments/15660-bioidentical-hormones

https://www.healthline.com/health/bioidentical-hormone-replacement-therapy

https://my.clevelandclinic.org/health/treatments/15245-hormone-therapy-for-menopause-symptoms

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Question and Answers

Good evening, dear doctors, I am writing to you because I am anxious and worried. I am 49 years old and have had very large fibroids for years that have never given me any problems, apart from swelling and the occasional early or very late period. This summer I had a gynecological visit with ultrasound because it had been about three years since I had a check-up due to anxiety problems that prevent me from going for visits and other fears. The visit went well in the sense that it was the same as three years ago but every doctor almost always suggested that I evaluate the option of removing it to eliminate the problem. This summer my period was a bit irregular, it came a little early, then spotting, then it ended as usual. In October I only had spotting for two weeks and that was it, in November spotting and then a very heavy period that ended a few days ago, still with very light spotting. In the grip of anxiety, I went to the gynecological clinic in my city, and he did a manual examination without an ultrasound, telling me that they are fibroids and to go to another gynecologist to evaluate what to do, I went to a gynecologist the other day and he did an ultrasound and an examination, apart from the fibroids that I already knew about, he told me that the endometrium is vascularized and a little irregular and measures 8mm. He told me that I need to look into it further. A few months ago it always measured 8 mm, but he didn't tell me anything. (He didn't talk to me about hormone levels or premenopause or anything else. I want to do hormone levels to see everything in general) I took a lot of antibiotics months ago for dental problems and I don't know if it could interfere with my cycle. I'm really desperate also because I have a lot of anxiety problems and this doesn't help... I hope it's nothing to worry about.. I'll try to look into it further. Thank you so much. Jenny Italy

Female | 49

Answered on 17th Dec '24

Dr. Swapna Chekuri

Dr. Swapna Chekuri

Answered on 17th Dec '24

Dr. Mohit Saraogi

Dr. Mohit Saraogi

Haii I need to message directly to gynaecologist can you share the number

Female | 29

I sense you want to talk to a gynecologist directly. Unfortunately, I am unable to reveal personal contact information, however, it is a must to listen to all your issues. The most frequent warning signs that may require you to have a checkup include irregular periods, unusual pain, or changes in the appearance of the secretions. 

Answered on 17th Dec '24

Dr. Mohit Saraogi

Dr. Mohit Saraogi

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