In the months or years preceding menopause (formally known as perimenopause) and after menopause, women experience a fluctuation in their levels of estrogen, progesterone, and other hormones. The production of these hormones naturally decreases with age and the imbalance caused along the way can lead to a multitude of unwanted symptoms, such as hot flashes and night sweats, low libido, vaginal dryness, mood swings, depression, headaches, fatigue, insomnia, weight gain, brain fog, osteoporosis, and frequent urinary tract infections and urinary incontinence. These same symptoms may also be experienced by women who undergo a hysterectomy. If lifestyle changes and natural remedies are ineffective, women with severe symptoms almost always find relief with hormone replacement therapy. Hormone replacement therapy entails replenishing decreased hormones in the body, returning them to optimum levels.
However, hormone replacement is not appropriate for everyone, so Emily has a consultation to help determine if hormone replacement therapy is medically appropriate and will counsel on the various options for dealing with menopausal symptoms. Hormone replacement therapy is not recommended for women who have been on hormone therapy for greater than 10 years, women who smoke or have a history of cancer, blood clots, or undiagnosed breast masses.
After a complete examination, if Emily determines that hormone replacement therapy is a viable option, she will create an individualized program for the patient. Hormone replacement therapy is always customized and may entail hormones that are taken orally or applied topically.
First, if you believe hormone replacement is right for you, please schedule a consultation with Emily and bring in your most recent mammogram report. If she believes you are a candidate, she will recommend you have saliva testing. If not, she will recommend other options for managing your symptoms. One Stop Family Clinic is located conveniently inside of Mills Family Pharmacy. Although not required, Emily recommends the saliva hormone testing done through the pharmacy. The saliva method of testing allows for a highly patient-specific treatment plan in comparison to blood testing, so you get just the most appropriate amount of hormone therapy. Patients usually have their hormones compounded into a topical cream at the pharmacy as well.
Feel free to email us regarding any scheduling or general questions!