During perimenopause, the time before menopause, levels of estrogen and menstrual cycles begin to fluctuate. During this time, women begin to experience the symptoms associated with menopause: hot flashes, night sweats, sleep problems, flushing, mood changes, loss of sexual desire, painful intercourse due to vaginal changes, and sometimes urinary incontinence. Since all of the symptoms are due to decreasing levels of estrogen, hormone replacement therapy (HRT) can successfully treat all of the problems.
HRT also helps prevent or relieve other health issues that occur due to low estrogen levels. Estrogen influences bone loss, so as you lose estrogen, bones weaken and are more likely to break. You may also delay age-related changes in skin, such as dryness and loss of elasticity.
Bio-identical hormones have the same molecular structure as the hormones produced by your body. As a result, the mirror your natural hormones, interacting precisely the same way and producing the same results. Bio-identical hormones can come from a variety of sources — they can even be mixed with synthetic hormones — so it’s important to know that you can rely on Dr. Lebowitz to choose safe and natural bio-identical products.
When you meet with Dr. Lebowitz, he reviews your medical history and runs blood tests to analyze your hormone levels. Then he creates a treatment plan tailored to bring your hormones back into balance. As part of that plan, he works with you to determine which form of hormone therapy is best for you. The choices include:
Hormone pellets: A pellet that’s about the size and shape of a grain of rice and made to contain a precise amount of hormones, is inserted under your skin. The pellets slowly release hormones that are absorbed into the bloodstream. This method is popular because the pellets provide continuous relief for 3-5 months.
Creams or gels: Hormones can be mixed with creams or gels, then rubbed onto skin, where they’re absorbed into the bloodstream.
Pills: The traditional oral form.
Sublingual tablets: These tablets are placed under the tongue, where the hormones can be absorbed directly into the bloodstream as the tablets rapidly dissolve.
Vaginal rings and suppositories: Suppositories and creams applied directly to the vagina are often used to treat dryness and discomfort during sex. Vaginal rings stay in place and gradually release estrogen, which relieves other menopausal symptoms.
*Individual results may vary
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