Change is inevitable, and everyone’s hormones slowly dry up.
Bones begin to crumble in the urine, skin thins and wrinkles, and many other signs unpleasantly appear which signal that the life giving sex hormones are slowly disappearing.
It begins very insidiously with feeling warmish, first at night, then all the time. (insidious-producing harm in a stealthy, often gradual, manner. Wiktionary.) LACK of estrogen promotes weight gain, also mediated through the hypothalamus along with temperature and energy production. (And you thought you would just get through menopause, right?)
“…Estrogens are potent modulators of energy balance, as evidenced in extreme conditions of estrogen deficiency characterized by hyperphagia and decreased energy expenditure,…leading to obesity.” (hyperphagia-the desire to eat everything in site!) (Trends in Endocrinology & Metabolism, Vol 26, issue 8, Aug. 2015, pages 411-421)
The best time to start hormone therapy is early.
The best time to start hormone therapy is early. That first warm damp neck and face at night, that first missed period might mean that your estrogen, progesterone, and testosterone is beginning to wane. This timing is called “the window hypothesis of hormone therapy”. The optimal effects of estrogen and progesterone occur with early use.
“But how do I know I need hormones and when?” Get your labs tested. Researchers know the normal range of a young woman’s hormones every day of her cycle. I aim to get the dose of hormones to match the blood levels which occurred after the first 7 days of normal cycle. So many women complain that they were handed a prescription of one hormone and told to call the office if that didn’t work. “give us a call now if you’re still sweating at night, hon!”
No, hormones are not for everybody. Some blessed women have no symptoms of menopause and their vagina remains moist and good. We may suffer side effects of hormone therapy and some doctors believe these side effects include a small risk of cancer, blood clots, and heart attack. Monitoring, careful history and physical, life style changes, and information help to guide your decision for the life style choice of balanced, bio-identical hormone replacement therapy.
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