As a women’s health physician with over 25 years of experience, I’ve witnessed a fascinating transformation in the landscape of hormone therapy. We experienced a prolonged period of misinformation regarding hormone therapy that was a great injustice in women’s health but, newer research is finally showcasing the benefits of hormone therapy.
As new research and more women embrace the restorative impact of hormone therapy, we can begin breaking down other myths that hold us back from feeling our best. Today, we’re moving towards personalized medicine, recognizing that a woman’s hormonal health is a dynamic journey, not a singular event.
One myth that persists is that women don’t need hormones until menopause.
The truth is, there is no “right” age to have your hormones tested.
Hormonal imbalances can affect women at various stages of life, impacting everything from our energy levels to mood and sleep. The key is to be aware of your body and its signals.
Anytime you’re not feeling your best, experiencing symptoms suggestive of a hormonal imbalance, consider getting tested.
Here are some common red flags to watch out for:
- Fatigue and low energy: Feeling constantly drained can be a sign of hormonal fluctuations, especially thyroid issues or perimenopause, which can cause not only estradiol and progesterone imbalances but testosterone deficiency
- Irregular periods or heavy bleeding: Changes in your menstrual cycle can indicate hormonal imbalances throughout your reproductive years.
- Mood swings, anxiety, and depression: These can be linked to fluctuations in estrogen, testosterone, and progesterone, particularly during perimenopause and menopause.
- Brain fog and difficulty concentrating: Feeling forgetful or having trouble focusing can be a symptom of hormonal imbalances.
- Changes in sleep patterns: Difficulty falling asleep, staying asleep, or waking up frequently can be linked to hormonal fluctuations.
- Weight gain or difficulty losing weight: Unexplained weight gain can be a sign of a sluggish metabolism, potentially linked to thyroid or other hormonal issues.
- Decreased libido and sexual dysfunction: Changes in sex drive and vaginal dryness can indicate hormonal imbalances.
- Night sweats and hot flashes: These are classic symptoms of perimenopause and menopause.
The New Era of Bioidentical Hormone Replacement Therapy (BHRT):
For years, conventional hormone therapy (HRT) was met with skepticism due to concerns about potential side effects. However, exciting new research is shedding light on a safer, more personalized approach – Bioidentical Hormone Replacement Therapy (BHRT).
BHRT uses hormones that are structurally identical to those produced naturally by the human body. These hormones can be customized to address an individual’s specific needs and delivered through various methods like patches, creams, gels, or pellets.
Recent studies have shown promising results with BHRT. For instance, a 2020 study published in the journal Maturitas found that BHRT effectively improved symptoms like sleep disturbances, hot flashes, and vaginal dryness in postmenopausal women.
Beyond Menopause: Addressing Hormone Imbalances Throughout Life
While menopause is a significant point of transition, hormonal imbalances can occur at various stages:
- Perimenopause: This period leading up to menopause can last for years and bring a wave of hormonal fluctuations, causing symptoms like irregular periods, mood swings, and sleep disturbances. BHRT can offer relief from these distressing symptoms.
- Thyroid Issues: An underactive or overactive thyroid gland can significantly impact your energy levels, mood, and metabolism. BHRT can help regulate thyroid function when combined with traditional treatments.
- PCOS (Polycystic Ovary Syndrome): This hormonal imbalance can cause irregular periods, acne, and unwanted hair growth. BHRT, along with lifestyle changes, can help manage PCOS symptoms.
- Postpartum Depression: Hormonal changes after childbirth can trigger depression in some women. BHRT, with therapy, can be a valuable tool in managing postpartum depression.
The Takeaway: Listen to Your Body, Work with Your Doctor
The key to optimal hormonal health is proactive management. Don’t dismiss symptoms as simply “getting older.” If you’re experiencing any of the issues mentioned above, have a conversation with your doctor. Discuss your concerns and explore the possibility of getting your hormone levels tested.
Remember, hormone therapy is not a one-size-fits-all solution. A qualified healthcare professional can help you navigate the options, including BHRT, and develop a personalized plan to address your unique needs. By working together, you can create a path to optimal health and well-being throughout your life’s journey.
Disclaimer: This blog post is for informational purposes only and should not be construed as medical advice. Always consult with a qualified healthcare professional before making any decisions about your health.
As our Associate Medical Director, Dr. Angela De Rosa is integral to the continued education and innovation here at Nava Health. Dr. Angela DeRosa, DO, MBA, CPE, is a dynamic professional on a mission to change the face of women’s health and wellness. As a respected, internationally recognized authority on women’s hormonal health, Dr. DeRosa understands the range of health issues women face leading up to and during menopause, as she was in full-blown menopause by age 35. Dr. DeRosa has more than 25 years of experience in the medical field, both on the pharmaceutical side and in clinical practice.
Dr. DeRosa’s enthusiasm for educating patients on the realities of menopause and the risk factors of hormonal health imbalances has never waned. It was the driving force behind her first bestselling book, A Woman’s Health Survival Guide: How to Prevent Your Doctor From Slowly Killing You. Her book and its controversial title caught the attention of the public, media, and the medical community.
Dr. DeRosa is on the advisory board for the European Menopause and Andropause Society, a member of the International Menopause Society International Society of the Study of Women’s Sexual Health, and a researcher on women’s health issues. Dr. DeRosa is a Midwestern University Clinical Assistant Professor and a Past Arizona Osteopathic Medical Association President.