Hormone Replacement Therapy – Women

Women

Hormone replacement for women remains controversial due to incomplete and frequently conflicting information available to women and their doctors.

  • Most of the debate surrounding HRT for women is manipulated by factors other than science or physiology
  • No direct comparison of synthetic pharmaceutical hormones and bioidentical hormones has been conducted
  • Understanding the physiology of hormones may obviate the need for such a comparison

Dispelling misconceptions

Menopause hormone test

  1. There is no need to replicate the menstrual cycle. True. The menstrual cycle is designed to facilitate replication. Health benefits can be obtained with the lowest effective hormone doses, provided they are balanced.
  2. Estrogen deficiency is the culprit. False. Due to the frequently underappreciated influence of diet, body fat, environmental estrogen exposure and the extraglandular conversion of androgens, peri and post menopausal women can still have significant estrogen levels. The actual problem is an imbalance between estrogen and progesterone.
  3. Hormone testing is not necessary. False. The only way to accurately prescribe hormone replacement is to have both serum and saliva hormone levels to guide therapy.
  4. No need for progesterone if you don’t have a uterus. False. Progesterone has many other significant effects than just preparing the uterus for pregnancy. It is necessary for hormone balance whenever estrogen is present.
  5. Hormone Replacement therapy is not safe. False. The Women’s Health Initiative (WHI) released several years ago, which was supposed to definitively answer questions about the benefits of HRT, only created confusion and concern. The study was poorly designed and the analysis was faulty. The study evaluated women taking synthetic estrogen (Premarin) alone or in combination with a synthetic progestin (not progesterone). The study was stopped prematurely because the risks appeared to outweigh the benefits. In the WHI study, all women received a one-dose-fits-all synthetic hormone derived from animals – not a form that is identical to the human body’s hormones. Individual variations in dose, route of administration, timing of dose, health status or years a woman was menopausal were not taken into account in the WHI.

Premarin is a synthetic estrogen made from the urine of a pregnant horse; it’s named for its source: Pregnant mare urine.

Provera or medroxyprogestin is not Progesterone. It is a foreign, synthetic compound with a chemical structure different than naturally occurring progesterone.

See “Essence of Estrogen” on our blog for more in depth detail.

Testosterone

Considered the “hormone of desire”

  • Improves quality of life
  • Increases energy levels
  • Restores libido
  • Increases sexual sensitivity
  • Enhances orgasms
  • Healthy body composition
  • Increases bone density
  • Earn more money

See “Women Need Testosterone Too” on our blog.