Is HRT/BHRT safe? Making an informed decision.

Understanding Hormone Replacement Therapy (HRT) and Bioidentical Hormone Replacement Therapy (BHRT)

Navigating hormone changes during perimenopause and menopause can be incredibly challenging. Hormone replacement therapy (HRT) and bioidentical hormone replacement therapy (BHRT) are options that many women explore to address symptoms like hot flashes, mood swings, low energy, difficulty losing weight, and even libido changes. But what are the differences, and how do you know if it's safe?

What is HRT?

Hormone Replacement Therapy (HRT) involves supplementing your body with synthetic hormones to replace what you're no longer producing. The traditional approach usually includes estrogen and progesterone to help alleviate perimenopausal and menopausal symptoms.

While HRT can provide significant relief, it's important to note that some studies have raised concerns about potential risks, particularly if HRT is used improperly. Specifically, research has shown that supplementing with only estrogen without balancing it with progesterone can increase the risk of certain health issues, including breast cancer and heart disease.

What is BHRT?

Bioidentical Hormone Replacement Therapy (BHRT) is often considered a more natural approach because it uses hormones that are molecularly identical to those your body produces. BHRT is tailored to each individual's hormone levels, providing a customized treatment to restore hormonal balance.

Many women prefer BHRT because it is seen as more compatible with the body, potentially offering fewer side effects. BHRT can include estrogens, progesterone, and testosterone, which plays a crucial role in maintaining muscle mass, bone density, and even libido.

Testosterone in Women

Testosterone is not just a "male hormone." Women also need healthy levels of testosterone, particularly during perimenopause and menopause. A decline in testosterone can lead to symptoms such as low energy, decreased libido, difficulty building muscle, and even brain fog.

Supplementing with testosterone as part of a BHRT regimen can help:

• Boost libido and sexual function

• Increase energy and motivation

• Support muscle growth and maintenance

• Improve bone density

• Enhance mood and mental clarity

Many women report a significant improvement in their overall well-being when testosterone levels are optimized alongside estrogen and progesterone.

Is It Safe?

According to research, including a study published on PubMed,(https://pubmed.ncbi.nlm.nih.gov/28093732/) HRT and BHRT can be safe if started within 10 years of menopause. In fact, the risk of health complications seems to be linked more with the timing of when you begin therapy rather than the therapy itself. Starting before you’ve been in menopause for 10 years significantly reduces risks.

Additionally, it's crucial to ensure that all hormones are supplemented in balance. Taking only estrogen without progesterone or testosterone increases health risks and may exacerbate certain symptoms.

How Can You Get Started with BHRT?

For our clients, we highly recommend Advanced Vitality, a trusted clinic licensed in all 50 states. They specialize in hormone therapy and are experts in BHRT. If you're considering BHRT, their team can guide you through testing to determine what’s right for your body, including whether testosterone supplementation would benefit you.

• Contact: Brooke at brooke@advancedvitalityhrt.com for scheduling and info on how to move forward with testing.

What Are the Benefits of HRT/BHRT?

The benefits of balanced hormone therapy are extensive:

• Improved energy levels

• Better mood and mental clarity

• Weight management

• Increased libido

• Improved bone density and muscle mass

• Better sleep

While hormone therapy isn’t a "one-size-fits-all" solution, it's worth exploring if you’re dealing with debilitating perimenopausal or menopausal symptoms.

Final Thoughts:

Hormone Replacement Therapy can play an essential role in helping women manage the symptoms of perimenopause and menopause, improving quality of life and supporting long-term health. When considering HRT or BHRT, it's essential to work closely with your healthcare provider to personalize your treatment and monitor your health along the way. If you do not have a provider, you are welcome to reach out and we can connect you with the clinic we use for all our client needs.

According to current research, if HRT is started within 10 years of entering menopause, it is generally safe and can be highly effective. However, using only estrogen without progesterone can increase risks, especially in women who still have a uterus.

Interested in Learning More?

If you’d like more information on how to balance your hormones or explore non-hormonal options, reach out, and we can discuss the best path for your journey. We also offer guidance on nutrition and lifestyle adjustments through our Restorative Program, helping you thrive through every stage of menopause.