Core hormones in BHRT: Progesterone, Estrogen, and Testosterone
What Are Bioidentical Hormones?
Bioidentical hormones, like estrogen and progesterone, are derived from natural sources and are chemically identical to the hormones naturally produced by the body. Unlike synthetic hormones, bioidentical hormones are customized to restore balance in individuals dealing with hormonal imbalances due to menopause, perimenopause, or other shifts in hormone levels. They aim to help people safely and effectively restore their hormone levels to promote overall health and wellness.
The Role of Estrogen in Bioidentical Hormone Therapy
Estrogen plays a key role in several bodily functions, including reproductive health, bone density, and cardiovascular wellness. However, during menopause or other hormonal changes, estrogen levels can decline, leading to symptoms such as hot flashes, night sweats, and mood swings. Bioidentical estrogen therapy helps alleviate these symptoms, restore balance, and support overall health.
Common forms of bioidentical estrogen used in therapy include estradiol and estriol. These forms are tailored to meet an individual’s hormonal needs and are shown to provide relief from menopausal symptoms, improve quality of life, and help maintain heart and bone health.
The Role of Progesterone in Bioidentical Hormone Therapy
Progesterone is vital for regulating the menstrual cycle, balancing estrogen levels, and supporting pregnancy. It also has a calming effect on the nervous system, helping with anxiety, sleep, and mood stability. Low progesterone levels, especially during perimenopause, can lead to issues such as irregular periods, sleep disturbances, and mood swings.
Bioidentical progesterone therapy restores natural progesterone levels, helping to alleviate symptoms like PMS, irregular cycles, and menopausal discomfort. When used in combination with estrogen, it enhances the benefits of BHRT by ensuring hormonal balance and supporting overall wellness.
Testosterone Replacement Therapy (TRT) for Men and Women
Testosterone Replacement Therapy (TRT) is increasingly recognized for its wide-ranging benefits in both men and women. While testosterone is often associated with male health, it plays a crucial role in female physiology as well. Here are the key benefits of TRT for both genders:
For Men & Women
For Men
For Women
Key Benefits of BHRT
PMDD and BHRT
Premenstrual Dysphoric Disorder (PMDD) is a severe form of premenstrual syndrome (PMS) characterized by intense mood swings, depression, irritability, and physical symptoms that occur in the luteal phase of the menstrual cycle. BHRT can be beneficial in managing PMDD by addressing hormonal imbalances.
Frequently Asked Questions (FAQ)
There is a widespread misconception about what “normal” lab values represent. Typically, the “normal” range is determined by analyzing data from the general population and excluding the top and bottom 2.5%, leaving the middle 95% classified as “normal.” However, considering the alarming decline in overall health, it raises the question of whether these are truly the values we should be aiming for.
In the case of hormones, the range can be especially wide, meaning there’s a significant difference between the low and high ends of what’s considered normal. Being within this range simply means your levels are comparable to most people, but it doesn’t necessarily mean they are optimal for you.
We factor in your age, lifestyle, medical history, and goals to create a personalized plan that relieves symptoms and helps you reach the hormone levels that are ideal for your individual well-being.
A significant portion of the negativity surrounding hormone replacement therapy (HRT) stems from the misinterpretation of the 2002 Women’s Health Initiative (WHI) study, which led to a global decline in HRT use. However, subsequent research has supported the National Institute for Health and Care Excellence (NICE) menopause guidelines, emphasizing that for most women, the benefits of HRT outweigh the risks.
Recent evidence highlights that using transdermal estrogen in combination with natural micronized progesterone is one of the most effective HRT regimens. Micronized progesterone, which is identical to the body’s natural hormone, tends to cause fewer side effects compared to older synthetic progestogens or progestins. Bioidentical hormones differ from those used in traditional HRT in that they are chemically identical to the hormones naturally produced by the body and are derived from plant estrogens.
In contrast, traditional HRT hormones are sourced from the urine of pregnant horses or other synthetic materials. Multiple studies have shown that synthetic progesterone (progestins) is associated with an increased risk of breast cancer. However, bioidentical progesterone appears to have the opposite effect, potentially reducing breast cancer risk. Additionally, recent studies suggest that testosterone has been shown to be breast protective and may lower the risk of breast cancer.
Some of the benefits to BHRT may be felt within the first 3-6 weeks; however, it may take 6 months to a year to see the full benefit. This is a gradual process, not an overnight fix.
BHRT alone is not enough to cause significant weight loss. However, if you are currently active and follow a healthy diet– it can be a game changer! It can be especially helpful in reducing abdominal fat, bloating, and building muscle!
A comprehensive medical evaluation is essential to identify hormone imbalances. Based on the results, a customized BHRT plan can be designed to address individual health needs.
You might benefit from BHRT if you experience:
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- Chronic fatigue or low energy levels
- Mood swings, irritability, or depression
- Reduced libido or sexual dysfunction
- Hot flashes or night sweats
- Difficulty concentrating or memory problems
- Unexplained weight gain or inability to lose weight
- Sleep disturbances or insomnia
- Muscle weakness or loss of muscle mass
- Thinning hair or changes in skin health
