What is Hormone Replacement Therapy?
If you are over the age of 35 and experiencing hormone-related concerns that you suspect are signs of perimenopause, or if you’re in the transition of menopause or beyond, our HRT Program is designed to help you. Hormonal changes can bring about a variety of uncomfortable symptoms, and these shifts can persist for years — in some cases, even decades.
Our HRT Program addresses these changes with a personalized, science-driven approach that combines Personalized Anti-aging Treatments, and Hormone Health. Our goal is to help you regain control of your health and well-being by addressing your hormone-related concerns, such as:
Weight Gain: Difficulty managing your weight due to hormonal shifts.
Sleep Disturbances: Struggling with falling asleep or staying asleep.
Irritability and Low Mood: Mood swings, anxiety, or feeling overwhelmed.
Low Libido or Painful Intercourse: A decrease in sexual desire or discomfort during intimacy.
Skin and Hair Changes: Thinning hair, dry skin, and other changes in appearance.
Hot Flashes: Sudden waves of heat that can cause discomfort or embarrassment.
Anxiety: Hormone fluctuations can lead to increased anxiety and stress.
Our HRT Program offers a holistic solution to help you manage these symptoms and restore balance in your life. Through targeted treatments, we address the root causes of your concerns, empowering you to feel your best as you navigate this stage of life.
Summary of Some Key Benefits of HRT
Menopause and Perimenopause Relief
Weight Management
Enhanced Energy and Vitality
Improved appearance for skin, hair and nails
Improved Bone Health
Decrease in age - related chronic illnesses
Mood and Mental Clarity
Improved Sleep
Enhanced Libido and Sexual Health
Heart Health Support
Want to know if HRT is right for you?
Book a free 15-minute appointment to discuss your eligibility and get all your questions answered about our BHRT program. Take the first step toward balanced health today!
HRT Explained: Your Guide to Hormone Health
HRT is primarily aimed at supplementing essential hormones—estrogen, progesterone, and sometimes testosterone—when the body begins to produce less as ovarian function declines. This often starts in the perimenopausal stage, where hormone levels fall unevenly, causing symptoms like hot flashes, mood swings, night sweats, and sleep disruptions.
Bioidentical Hormone Therapy (BHRT) specifically uses hormones that are molecularly identical to the ones naturally made by the body. This approach is favored for its compatibility with the body, making it easier to restore hormonal balance in a more physiological, or natural, range.
Unlike synthetic hormone therapies, HRT aims to bring hormone levels back to a pre-menopausal range rather than introducing high doses. These are the levels generally found in a woman's 20s and 30s, helping to restore well-being without the intensity of synthetic hormone effects seen in products like contraceptives.
Types of Estrogen and Delivery Methods in HRT
Understanding estrogen types is essential for effective treatment. HRT often uses 17-beta estradiol, which is the primary estrogen produced by the ovaries. This bioidentical form of estrogen mimics natural estrogen closely, which enhances its effectiveness and safety.
HRT offers flexible delivery methods to suit individual preferences and needs. Transdermal methods, such as patches, gels, and sprays, are commonly used because they allow estrogen to be absorbed through the skin, bypassing the liver and reducing risks associated with oral forms. This delivery method ensures a steady absorption rate and minimizes side effects.
Selecting the right type and form of estrogen allows for more precise hormone balancing, which contributes to more stable and sustained symptom relief.
Hormonal Fluctuations and Symptom Patterns Throughout Women’s Lives
Women experience significant hormonal fluctuations at various life stages, from puberty through menopause. In puberty, fluctuating hormones regulate cycles but also bring symptoms like mood swings and acne. During the menstrual years, hormone levels vary within each cycle, affecting mood, energy, and physical symptoms.
This cyclical fluctuation continues monthly. For example, estrogen peaks at ovulation, while progesterone rises in the second half of the cycle. This can result in premenstrual syndrome (PMS) or, in more severe cases, premenstrual dysphoric disorder (PMDD), which affects about 5% of women. Symptoms of PMDD may include severe mood swings, low energy, and even depressive thoughts, impacting daily life.
By supplementing declining hormone levels, HRT can help alleviate these symptoms. For women who experience extreme symptoms, restoring a more stable hormone balance with BHRT can improve their quality of life and reduce the impact of these hormonal fluctuations.
The HRT Process During Perimenopause and Menopause
The perimenopausal stage, when the ovaries produce hormones at a reduced but still fluctuating rate, is an ideal time to consider HRT. In early perimenopause, the ovarian function may still be at 80%, causing minor symptoms; BHRT can act as a top-up. As ovarian function declines further, dose adjustments are essential to keep up with the body’s changing needs.
HRT needs are highly individualized since the rate of hormonal decline differs from one woman to another. For some, this decline may take a few years, while others might experience a faster transition. With regular dose reviews, BHRT can continue to meet the body’s shifting requirements, maintaining a stable and healthy hormone range.
Regular monitoring and consultation with healthcare professionals can help prevent the “cliff effect,” where symptoms re-emerge as hormone levels drop again. A tailored BHRT approach that adapts as ovarian function declines is key to consistent relief.
Understanding the Emotional Impact and Ways to Cope
Menopause brings about many physical changes, but the emotional shifts, like increased anxiety and depression, can be equally challenging. Hormonal fluctuations often affect mood-regulating chemicals in the brain, which can lead to heightened feelings of sadness, irritability, or worry. Recognizing that these emotional symptoms are common and manageable is essential for navigating this life stage with resilience.
Why Anxiety and Depression Occur During Menopause
Hormonal Changes: Estrogen and progesterone fluctuations influence the brain’s serotonin and dopamine levels, chemicals that regulate mood, sleep, and stress response. As these hormone levels shift, many women experience mood swings, anxiety, and even depression.
Physical Symptoms Adding to Emotional Stress: Common physical symptoms of menopause, like hot flashes, night sweats, and fatigue, can disrupt sleep and lower energy levels, contributing to feelings of irritability or sadness. The discomfort associated with these symptoms may make daily tasks feel overwhelming, adding to emotional stress.
Life Transitions and Increased Stress: Menopause often coincides with significant life changes, such as children leaving home, career transitions, or caring for aging parents. These stressors can amplify feelings of anxiety or depression, especially when coupled with hormonal changes.
Tips for Managing Anxiety and Depression During Menopause
Stay Physically Active: Exercise boosts endorphins, the body’s natural mood elevators. Physical activity, especially aerobic exercise like walking, swimming, or dancing, helps reduce stress and promotes better sleep, which can improve mood. Even a short daily walk can make a difference.
Practice Mindfulness and Relaxation Techniques: Mindfulness, meditation, and deep-breathing exercises can help reduce feelings of anxiety. Simple techniques, like guided meditation or yoga, can provide a sense of calm and help regulate mood, reducing the intensity of anxious or depressive thoughts.
Prioritize Quality Sleep: Lack of sleep can worsen both anxiety and depression, so focus on creating a consistent sleep routine. Limit screen time before bed, create a relaxing bedtime ritual, and keep the bedroom cool and dark. If night sweats are causing sleep issues, keep a fan nearby or consider moisture-wicking sheets.
Connect with Others: Isolation can worsen feelings of depression and anxiety, so make an effort to stay connected with friends, family, or support groups. Talking with others who understand can provide emotional support, boost self-confidence, and reduce feelings of loneliness.
Maintain a Balanced Diet: A balanced diet rich in whole foods, lean proteins, complex carbohydrates, and healthy fats can stabilize blood sugar and support emotional health. Certain nutrients, such as omega-3 fatty acids (found in fish and walnuts), magnesium, and B vitamins, can also promote a more balanced mood.
Consider Counseling or Therapy: Speaking to a counselor or therapist can be invaluable for managing anxiety or depression. Cognitive Behavioral Therapy (CBT), for example, is an effective method for addressing negative thought patterns, reducing anxiety, and improving coping skills.
Discuss Hormone Therapy with a Provider: For some women, Bioidentical Hormone Replacement Therapy (BHRT) may help stabilize mood swings and alleviate emotional symptoms by balancing hormone levels. Talk with a healthcare provider to explore whether hormone therapy or other treatment options might benefit you.