Southwest Florida's Health and Wellness Magazine Health and Wellness Articles
By Dr. Magdalena Kerschner
As women age, hormonal changes can significantly impact their quality of life. Many experience symptoms like hot flashes, mood swings, and decreased libido during menopause and perimenopause. To address these issues, an increasing number of women are turning to bio-identical hormone replacement therapy (BHRT) as a potential solution. This approach aims to alleviate symptoms and improve overall well-being by using hormones that are chemically identical to those produced naturally by the body.
Bio-identical hormones are derived from plant sources, typically soy or yams, and are molecularly altered to match human hormones exactly. This similarity allows them to function in the body just like endogenous hormones. Common bio-identical hormones used in therapy include estradiol, progesterone, and testosterone. Unlike traditional hormone replacement therapy, which often uses synthetic or animal-derived hormones, BHRT offers a more personalized and potentially safer alternative.
One of the primary advantages of BHRT is its customizability. Healthcare providers can tailor the hormone blend and dosage to each woman’s unique needs based on her symptoms, hormone levels, and medical history. This individualized approach may lead to better symptom relief and fewer side effects compared to one-size-fits-all treatments.
Women seeking BHRT typically undergo comprehensive hormone testing to determine their specific imbalances. This may include blood, saliva, or urine tests to measure levels of estrogen, progesterone, testosterone, and other relevant hormones. Based on these results, a qualified practitioner can create a personalized treatment plan.
Bio-identical hormones come in various forms, including creams, gels, patches, pills, and pellets. The delivery method is chosen based on the patient’s preference and medical considerations. For example, transdermal applications like creams or patches may be preferred for women with liver issues, as they bypass first-pass metabolism in the liver.
Many women report significant improvements in their quality of life after starting BHRT. Common benefits include reduced hot flashes and night sweats, improved sleep, increased energy, enhanced mood, better cognitive function, and improved sexual health. Some studies also suggest that BHRT may offer protection against osteoporosis and cardiovascular disease, though more research is needed to confirm these potential long-term benefits.
Despite its growing popularity, BHRT is not without controversy. The FDA has not approved many bio-identical hormone preparations, particularly those made by compounding pharmacies. Critics argue that there is insufficient long-term data on the safety and efficacy of these treatments. However, proponents of BHRT contend that because these hormones are identical to those naturally produced by the body, they are inherently safer than synthetic alternatives.
As with any medical treatment, BHRT carries potential risks and side effects. These may include bloating, breast tenderness, nausea, and mood swings, especially during the initial adjustment period. There are also concerns about potential increased risks of certain cancers, particularly breast cancer, although the evidence is mixed and often debated among medical professionals.
Women considering BHRT should consult with a healthcare provider who specializes in hormonal health and has experience with bio-identical hormones. A thorough evaluation of medical history, symptoms, and hormone levels is essential to determine if BHRT is appropriate and to develop an effective treatment plan.
In conclusion, bio-identical hormone replacement therapy offers a promising option for women seeking relief from menopausal symptoms and hormonal imbalances. While more research is needed to fully understand its long-term effects, many women find that BHRT significantly improves their quality of life. As with any medical decision, it’s crucial to weigh the potential benefits against the risks and work closely with a qualified healthcare provider to make an informed choice about hormone therapy.
Dr. Kerschner
Dr. Magdalena Kerschner is a board-certified Anesthesiologist and board-certified Interventional Pain
specialist.
She completed her medical school education at Wayne State University School of Medicine in Detroit Michigan and subsequent anesthesiology residency at the University of Kentucky in Lexington, KY.
After many years of practicing traditional medicine and treating illness, Dr. Kerschner realized that preventing disease before it starts results in healthier and happier patients.
The concept of preventing illness has awakened in her an interest in weight management and bio-identical hormone replacement therapies as a modern way to promote physical and emotional wellness. Dr. Kerschner holds a certificate of training from Dr. Neal Rouzier – a nationally recognized authority in bio-identical hormone replacement therapies and preventive medicine as well as receiving a Certificate of Continued Medical Education in Wellness at Canyon Ranch.
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