As women approach their mid-forties, these questions begin to form: Should I consider Hormone Replacement Therapy (HRT)? When sleep becomes more difficult. When we become moody, irritable even angry. And even though we eat the same, we cannot maintain our weight. And the list goes on.
Prior to 2002, it was somewhat standard for woman to use synthetic, oral hormones to ease symptoms during menopause. The was halted abruptly, when the Women’s Health Initiative study was stopped early due to an increase risk of breast cancer while using this type of hormone therapy.
Bioidentical Hormone Therapy
More recent research has shown that bioidentical hormones are safer than their synthetic counterparts. Other studies suggest that topical has fewer complications than oral administration of Hormone Replacement Therapy (HRT). This research gives us some answers to the where and how of HRT.
This is important data since our hormones are involved in more than just reproduction. Since our life expectancy has increased, we seem to need our hormones for a bit longer than in the past. It turns out that estrogen is important in preventing cognitive aging, preventing cardiovascular disease and keeping our bones strong. And the “if” question is potentially answered.
When to Begin HRT?
The Kronos Early Estrogen Prevention Study (KEEPS) looks at the timing of when to begin HRT use. Data suggests that administering estrogen therapy earlier in the menopausal period may be more protective. There was a trend toward decreasing plaque in coronary arteries. There were positive effects on mood, decreased hot flashes, improved sleep and maintenance of bone mineral density with HRT. Athletic performance and sexual function improved with transdermal estrogen therapy. Bonus!
Healthy aging and Hormone Balance is a big area of interest at Radiance Functional Medicine. Consider joining us at one of our quarterly Healthy Hormone Happy Hour events. They are fun and informative!
Hope to see you soon,
Dr. Tracy
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