Due to an age-related decline in estrogen, progesterone, and testosterone, women experience symptoms of hormone deficiency, such as hot flashes, insomnia, low libido, difficulty with memory and concentration, vaginal dryness, and discomfort during sex. Some women experience mild symptoms, while on the other side of the spectrum, some women experience severe symptoms, causing a poor quality of life. Overall, about 85% of women report symptoms of varying types.
For example, you could be sitting in a room with others, and everyone else feels comfortable, but you are sweating and feeling miserable. Suddenly, your cheeks feel hot, and you sweat as if you’re in a humid sonna. Your clothes feel wet and uncomfortable. Ironically, 10 minutes later, you feel like you’re cold and experience chills. Women in menopause feel like their body’s thermoregulation is disrupted and inaccurate. Some wake up in the middle of the night drenched in sweat and change their clothes several times before falling back asleep.
We had a 51-year-old female who complained that her cheeks felt on fire out of nowhere. She would turn beet red, which showed through her makeup. She couldn’t fall asleep quickly, woke up several times nightly to urinate, and couldn’t get deep sleep. She was successfully treated with small doses of bio-identical estrogen cream and progesterone capsules. The minimal effective dose is all you need to regulate this problem.
I know what you are thinking: what about the risk of breast cancer? The link between HRT and breast cancer remains controversial, but for many patients, the benefits, such as quality of life and bone protection, can outweigh the risks.
Breast cancer is the most common cancer diagnosis among women in the United States. At IOPBM, we carefully monitor our patients with screening modalities such as yearly mammograms, ultrasounds, and MRIs. Early detection, with or without hormone therapy, is critical to achieving successful outcomes.