The transition into menopause is unique for every woman. While some don’t experience troublesome symptoms, the majority are significantly affected on a
physical, mental, and emotional level.
During the months leading to menopause, hormone levels fluctuate and decrease which can have a ripple effect on the body. Hot flashes, night sweats, loss of energy, mood swings, brain fog, sleep disturbances, urinary frequency, vaginal dryness, and pain with sex are just a few of the common signs and symptoms.
For many women in their 40’s and beyond, hormone therapy (HT) is the best way to manage the symptoms associated with menopause. There is no need to suffer needlessly through this transition. The Center for Women’s Sexual Health & Medicine can help you feel like yourself again and get you on the right path toward physical, mental, and emotional wellbeing.
What is hormone therapy or HT for women?
Hormone therapy for women is a treatment used primarily to treat moderate to severe hot flashes and night sweats also known as “vasomotor symptoms” that occur in menopausal women. It effectively increases and stabilizes hormone levels and besides alleviating symptoms it can improve sleep, bone health, vaginal health, and sexual health. In some cases, your doctor may prescribe low doses of testosterone to increase libido as well. HT can also be used to treat the many symptoms that can occur if you have had a hysterectomy and your ovaries have been removed.
The dosage and combination of hormones prescribed are determined after undergoing a complete evaluation including : a medical history, family history, physical examination including pelvic examination, mammogram screening, and blood work.
What are the signs that you need female hormone replacement therapy?
Menopause is a natural part of a woman’s life cycle, but hormonal fluctuations produce a variety of physical and cognitive symptoms that can be treated with
If you experience any of the following, discuss them with a women’s hormone specialist at our Miami Beach office:
Unusual weight gain
Chronic sleep disturbances
Significant mood swings
Feelings of anxiety, depression, and irritability
Dry, itchy skin
What type of hormone replacement therapy are available?
We recommend using bio-identical hormone therapies which are made from plant sources and are chemically similar the hormones your body naturally produces. Although some women prefer to use custom compounded pharmacies for hormone preparations, we now have many FDA approved bio-identical hormone therapies available at the regular pharmacy and covered by the insurance.
Delivery methods for female hormone therapy include transdermal patches, oral
tablets or capsules, sprays, creams, gels, sub-epidermal pellets, vaginal rings, and
The primary types of menopause hormone therapy are:
- Estrogen & Progesterone: For women who have a uterus, combined HT is a safe way to reduce night sweats, hot flashes, and other vasomotor symptoms that disrupt sleep, leading to chronic exhaustion.
- Estrogen only: For women who have had a Hysterectomy and do not have a uterus.
- Vaginal estrogen: ultra low dose local vaginal treatment that restores moisture to delicate tissues to relieve dryness and itchiness that can cause painful sex.
- Testosterone Therapy: which corrects testosterone deficiency that may contribute to low libido, fatigue, headaches, slowed metabolism, and changes
in cognitive function.
HRT for menopause systemic hormonal treatment can be a beneficial for many, but it is not suitable for everyone. Hormone therapy is not recommended if you have a history of blood clots, endometrial cancers, liver disease, heart failure, or breast cancer. While there are some concerns regarding hormone therapy and the risk of breast cancer, in low doses and treatment for less than 5 years appears to be safe in low risk patients. There also may be some mild side effects such as breast tenderness, headaches, and sometimes bleeding when starting hormone therapy. So it is best to speak with a Menopause Specialist to get all the information and weigh the benefits and risks for yourself.
Contact a Miami Women’s Hormone Specialist
To find out if you are a good candidate for hormone therapy, book an appointment with a Miami HRT specialist today. Call for an appointment today.