“Scientists who have been studying the interplay between hormones and mood disorders say this newest gene research adds one more significant piece of evidence to the growing body of studies showing that PMS and PMDD are biologically based conditions that affect a small group of women who have an unusual mood response to monthly hormonal fluctuation.”

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The study followed nearly 57,000 teachers in California and found that women who were using HRT at the outset were 36 percent less likely to develop colon cancer during the next 10 years than those who had never used HRT.

The findings of the study, detailed in the American Journal of Epidemiology on Jan 11, 2010, support the hypothesis that estrogen offers some defense against colon cancer.

“… no one is recommending that women take HRT to ward off colon cancer. Millions of women stopped using the hormones after a large U.S. government study in 2002 found that postmenopausal women given HRT had higher risks of heart attack, stroke, breast cancer and blood clots than women given an inactive placebo.

“As a result, experts now advise that while HRT is effective at relieving menopausal symptoms — like hot flashes and vaginal dryness — women should take it at the lowest dose and for the shortest time possible.

“These latest findings do not alter that advice. But they point to a need for further study into the different effects of HRT on specific organs, write the researchers, led by Dr. Katherine DeLellis Henderson of the City of Hope National Medical Center in Duarte, California.”

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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 bio-identical 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 bio-identical 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 throrough 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.

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