Q. Under what circumstances/conditions should a woman consider hormone replacement therapy?

A. There are a variety of reasons that a woman might consider hormone replacement: Menopause, symptomatic perimenopause, low hormones, chronic fatigue, low libido, insomnia, vaginal dryness and weight gain,  just to name a few.

Q. What are the basic differences between HRT and bioidentical hormones?

A. Bio-identical hormones are generally plant-derived substances that are engineered to have the exact chemical structure as the hormones in our bodies. The body recognizes these “natural” hormones as their own. Hormone replacement can have amazing benefits. Here are a few:

• Improved Energy
• Better memory and mental acuity
• Cardio protection
• Bone health
• Reduce or eliminate symptoms of PMS and PCOS
• Reduce or eliminate Menopausal symptoms
• Balance of mood and less depression
• Maintenance of good skin, hair and teeth
• Improved muscle definition and normalization of weight
• Enhanced libido and sexuality

A quick note on synthetic hormones and the drug companies: Drug companies can alter the structure of hormones so they can obtain a patent on the new chemical structure. This alteration is required in order for the drug company to obtain a patent and the exclusive marketing rights to the “new drug.” Only chemically altered substances can be patented therefore substances found in nature — such as vitamins and bioidentical hormones — are protected by federal regulation. Natural hormones cannot be patented and generally are not profitable for the manufacturer.

Q. Can men benefit from HRT?

A. Absolutely, Men also have age related decline in there hormone levels. Supplementing these deficiencies can improve health, optimize exercise, elevate libido and enhance mood.

Q. Can someone simple decide to go on HRT on their own?

A. In our office, a patient can expect a thorough evaluation with a detailed history and extensive lab profile.  Once problems have been identified, we decide what hormonal treatment will best help our patients achieve their goals.