As you look for possible treatments for your symptoms, it is easy to become overwhelmed. Every website has different information and it may seem that your friends/family members might not agree with your treatment decisions. Here are some of the basic options listed below to help guide you in your journey.
Go confidently in the direction of your dreams. Live the life you have imagined.
Henry David Thoreau
What are my Options?
Option One: Use of BioIdentical Hormones. These hormones have the exact chemical structure that the human body produces. Thus, your body readily accepts them. These hormones can be given in a variety of forms. We usually use troches or creams in this facility but patients can use pellets, creams, troches, pills, patches or lotions. Not every patient is the same and you might do better with one form of delivery than another. These are primarily made by a local compounding pharmacy but there are a few FDA approved BioIdentical Hormones on the market.
Option Two: Use of synthetic hormones. Synthetic hormones have a different composition than those your body makes or once made. They bind to the receptors in your body and mimic the natural hormone but unfortunately can have other bizarre side effects. Public perception of hormones in America has been influenced primarily due to the over publicized WHI data which reflects the use of synthetic hormones (PremPro, Premarin). Other studies are pending to refute this misinformation.
Option Three: Use birth control pills, antidepressants, sleep aids, or anxiolytics. These products snowplow over the symptoms and do not actually treat the underlying condition. For some patients, these can be a viable fix for temporary problems (e.g., ovarian cysts) but balancing the hormones is more productive in the long run.
Option four: Use of over-the-counter products that contain herbs (i.e. black cohosh, ginseng) and phytoestrogens (e.g., soy, yam products). The products have not been shown to work in randomized control studies but some patients still do find mild relief with them. These products have poor bone protection and minimal help for urogenital atrophy such as vaginal dryness and urinary frequency/urgency.
Option Five: Just deal with it. It is estimated that about 25% of women do not experience severe vasomotor/menopausal symptoms. They can usually get through the menopausal period with adjustments of diet & exercise and stress reduction. Unfortunately, this group of women tends to suffer from the silent long-term issues such as osteoporosis, sleep apnea, vaginal dryness, memory changes, and urinary incontinence.
At the turn of the last century, the medical mantra was “Menopause and the changes that come with it are a natural progression in a woman’s lifespan.” The idea of just “dealing with it” is now no longer acceptable to the modern woman. We challenge you to decide…
…We are living longer. How MUCH longer are you willing to live with your symptoms?