Peri-Menopause and Menopause
The Best Years of Our Lives?
Embarking upon the “golden years” holds the promise of experiencing some of the best moments in life. However, it is acknowledged that many women find themselves navigating through the challenges and discomforts of menopause during mid-life. This period is often marked by a significant decline in crucial hormones such as estrogen and progesterone, which can lead to a decreased quality of life and pose substantial health risks if left unaddressed.
There is comforting news to share: Bioidentical hormone replacement therapy (BHRT) presents a safe and effective solution. It directly addresses the hormonal deficiencies characteristic of menopause, alleviating associated symptoms and mitigating related health risks.
However, it’s important to recognize that, amidst various misconceptions, only a fraction of postmenopausal women—20% to be exact—are currently reaping the benefits of hormone replacement therapy. Even fewer sustain long-term estrogen therapy. Despite this, there is an abundance of medical literature affirming the life-enhancing qualities, safety, and health advantages that properly administered BHRT can offer to women during peri-menopause and menopause.
Embracing this support through BHRT can be a transformative step toward navigating these pivotal years with ease, understanding, and the utmost care that is deserved. Here’s to gracefully journeying through these transformative times, with a spirit of compassion and proactive well-being at the forefront.
What is Peri-Menopause?
Peri-menopause is a lesser-known life phase that regrettably tends to receive less attention and treatment compared to menopause. Peri-menopause treatment is nonetheless crucially important. It marks a period of hormonal transition that commences 5 to 10 years before menopause, bringing along a spectrum of symptoms that can significantly impact daily life.
These symptoms may include:
- Mood variations such as irritability, mood swings, and a general decrease in mood o Feelings of anxiety
- Challenges in getting a good night’s sleep (insomnia)
- Experience of hot flashes and night sweats
- A sense of fatigue coupled with mental fog
- A noticeable decrease in libido and challenges in achieving sexual satisfaction o Vaginal dryness and discomfort during intimate moments
- An intensification of pre-menstrual syndrome (PMS) symptoms
- Heavier and more prolonged menstrual cycles
- Challenges in managing weight, particularly around the mid-line and buttocks o Noticeable changes in skin health, including increased dryness, atrophy, and wrinkles Many of these symptoms are tied to a deficiency in progesterone, one of the key hormones affected during peri-menopause (and later menopause). The aim of treatment, therefore, is to restore progesterone levels to a more youthful state, providing relief from these challenging symptoms.
It’s important to note, however, that some symptoms may be linked to deficiencies in other hormones, such as testosterone, estrogen, or thyroid hormones. After a thorough discussion about your specific symptoms and a review of your lab values, a healthcare professional can tailor a treatment plan that addresses your unique needs.
We aim to shed light on peri-menopause, emphasizing its significance and the variety of symptoms associated with it. By doing so, it encourages a compassionate and understanding approach to managing this phase of life, ensuring that women are supported, and their symptoms addressed with care and precision.
What is Menopause?
Menopause, a pivotal stage in a woman’s life, emerges as a medical condition that follows peri menopause, characterized by noticeable declines in vital hormones: progesterone and estrogen. This period is marked by a dramatic drop in these hormones upon the onset of menopause, leading to biological hormonal deficiencies that, without proper attention and care, can persist and affect the quality of life.
To accurately diagnose menopause, a combination of distinct signs, symptoms, and confirmatory laboratory studies, including assessments of estradiol, progesterone, and follicle-stimulating hormone (FSH), are utilized.
The noticeable decrease in estrogen and progesterone, as well as other hormones, manifests in a wide array of symptoms. These include the various challenges encountered (and described here) during peri-menopause, as well as introducing new concerns that merit attention and understanding.
Moreover, the loss of estrogen, particularly estradiol, plays a significant role in the development of major health conditions, encompassing heart attacks, strokes, Alzheimer’s, microvascular dementia, and osteoporosis. There is also an increased risk of urinary tract infections and incontinence due to pelvic atrophy associated with hormonal deficiencies.
To offer a more detailed perspective on health risk mitigation:
- Heart Attack (and Stroke) Risk
- Pre-menopausal women, in comparison to men, exhibit a lower risk of cardiovascular diseases. However, post-menopausal women, now deficient in estrogen, lose this protective advantage.
- A proactive approach involving estrogen can lead to a reduction in heart disease risk by as much as 50%.
- Alzheimer’s Dementia
- Initiating natural estrogen therapy at the onset of menopause has shown promising results, reducing the risk of Alzheimer’s by over 25% and aiding in the preservation of memory.
- Osteoporosis and Fracture Risk
- Osteoporosis affects 24 million Americans, with women making up 80% of this population.
- Natural estrogen has a pivotal role in preventing bone loss, potentially eliminating associated risks.
We strive to provide a compassionate understanding of menopause, emphasizing the importance of acknowledging and addressing hormonal changes. By doing so, it aims to support women through this transition, fostering awareness, and promoting well-being during this significant and undertreated phase of life.
Is BHRT Safe?
The short answer is YES. Certainly, when we delve into the topic of bioidentical hormone replacement therapy (BHRT), a common question that arises is about its safety. It’s completely understandable to have concerns, especially considering some studies that have linked certain chemically altered hormones to a slight increase in the risk of conditions such as breast cancer or blood clots.
However, it’s crucial to differentiate these instances from the use of native, biologically identical hormones in BHRT. When properly administered, these natural hormones do not heighten the risk of developing cancer. In fact, beyond helping individuals to flourish and feel their best during what are often referred to as the ‘golden years’, BHRT can also play a pivotal role in safeguarding their overall health.
For those with specific concerns or seeking further clarity on this matter, the dedicated clinicians at JumpstartMD specializing in BHRT are readily available. They are well-equipped to provide personalized guidance, address any questions and ensure a thorough understanding of the therapy’s safety and benefits, tailored to each individual’s unique needs. This educational piece aims to offer a compassionate and informed perspective, emphasizing the importance of making well-informed decisions about one’s health and well-being.
Treatment Options
Navigating through the variety of treatment options available for hormonal imbalances can be overwhelming, but understanding each option’s nuances can empower individuals to make informed decisions that best suit their needs. Here is an educational and compassionate guide to help elucidate these options:
This common approach typically involves a combination of oral prescription progesterone and estradiol, along, potentially, with “trans-dermal” testosterone cream or oral testosterone. These are generally taken once daily. DHEA, a supplement, is also a frequent part of this regimen. In certain situations, clinicians might prescribe thyroid medication, with NP or Armour Thyroid being among the most commonly chosen options, based on both thyroid levels and an individual’s symptom profile.
- Pros:
- The treatment is straightforward to initiate, stop, and adjust whenever necessary.
- Cons:
- It requires a consistent daily commitment to complying with the therapeutic regimen for effectiveness
In this method, oral progesterone is again utilized, and there is also the potential addition of oral thyroid medication (and DHEA). However, estradiol, often paired with testosterone, is delivered in a different manner. These hormones are implanted directly into the subcutaneous space of the buttock under a local anesthetic. This medication remains active for around 3 months, at which point a follow-up procedure is performed to replenish levels of estrogen (estradiol) and testosterone.
- Pros:
- Compliance is simplified since two of the medications are administered through a sustained release method, requiring attention only once every 3 months.
- Cons:
- Adjustments to dosing or discontinuation of therapy would necessitate a wait of up to 3 months.
- Some individuals might prefer the flexibility and control provided by an oral and cream regimen over undergoing recurrent pellet implant procedures.
In conclusion, both treatment options have their unique advantages and considerations, and the choice ultimately depends on an individual’s personal preferences, lifestyle, and specific health needs. Engaging in open and informed discussions with a JumpstartMD BHRT Clinician can aid in navigating these choices, ensuring that the selected treatment aligns well with one’s goals for health and well-being.
Laboratory Follow Up
JumpstartMD BHRT members can expect thorough follow-up through laboratory testing. This is a crucial aspect of the journey, ensuring that the hormone levels are precisely adjusted and meet the therapeutic targets set for optimal results. Achieving this balance is paramount, as it directly correlates to an enhanced quality of life and the successful mitigation of hormonal imbalance symptoms.
Once the desirable hormone balance is attained, the approach to monitoring transitions to a more streamlined process. The frequency of laboratory testing is reduced to an annual schedule, provided that there are no pressing clinical reasons necessitating more frequent evaluations.
Clinical Follow Up
JumpstartMD’s BHRT program incorporates systematic clinical follow-ups to meticulously monitor and enhance members’ quality of life. These sessions are crucial for evaluating hormone levels, reviewing lab results, and optimizing dosing regimens, as well as addressing any potential side effects that may arise during the course of treatment.
Furthermore, the clinical follow-ups extend beyond the immediate scope of hormone replacement therapy, embracing a holistic approach to healthcare. This involves delving into a broader spectrum of health concerns and objectives, and potentially guiding members towards additional services offered by JumpstartMD.
The range of recommendations provided during these sessions can span from dietary modifications to support weight loss and sustain a healthy lifestyle, to advice on exercise types and regularity. Discussions may also cover sleep hygiene practices, the introduction of specific medications to bolster health goals, as well as vitamin and supplement therapy. Strategies for effective stress management are also an integral part of the holistic health approach.
Treatment Goals
The primary objectives of BHRT treatments and follow-up sessions are to enhance the overall quality of life, extend healthspan, and contribute positively to the longevity of our members.
Next Steps If Interested in BHRT
At JumpstartMD, we’re thrilled to have a dedicated team of professionals who are passionate about Bioidentical Hormone Replacement Therapy (BHRT)!
Are you ready to take the next step? All you have to do is call 855 JUMPSTART or reach out to your Health Coach, Clinician, or friendly Member Care Coordinator, and express your interest. They will happily arrange a comprehensive 60-minute consultation with a BHRT specialist for you. During this session, we will delve into your unique medical history, evaluate your symptoms, analyze laboratory results, and explore a variety of treatment options tailored just for you.
JumpstartMD is at the forefront of utilizing cutting-edge science to foster health, joy, and longevity in life. Embracing BHRT is a way to elevate proactive and preventative wellness to unprecedented levels. It’s a fantastic way to enhance the hormonal balance and health improvements you’re already achieving as you embrace a new, vibrant lifestyle with us.
Don’t wait to start this exciting journey towards your best years yet! Let us know to set up your pre BHRT laboratory evaluation and initial consultation. Your brighter, healthier future is just around the corner, and we can’t wait to be part of it!
