Women Seeking Natural Mid-Life Therapy Should Check Into Bio-Identical Hormones
May 14th, 2011
Thirty years ago, Gail Sheely’s landmark book “Passages” defined the major stages that adults move through. Menopause, with its accompanying hot flashes, sleeplessness, bone-density loss and mood swings, is unquestionably one of those stages. Women in search of some relief from the frustrating symptoms of this mid-life transition should look into bio-identical hormones.
Bio-identical hormones are the same in molecular structure to those that the human body produces on its own. Synthesized from a chemical produced from yams and soy, they are a natural hormone replacement therapy (HRT). But the truth is, any prescription medication prefabricated from an animal, vegetable or mineral can also be called “organic.”
Premara, the drug tracked for years in the Women’s Health Initiative, was derived from the urine of pregnant mares and was regarded as natural, but not bio-identical. That study was suddenly ended in 2002 due to issues with increased risks for breast cancer, heart disease, strokes and blood clots. These dangers must still be considered when seeking relief from menopause symptoms, and most authorities concur that therapy should be brief and conducted under close monitoring.
Bio-identicals can be delivered in several ways – pills, skin medications, patches, gels and lotions. Pills are metabolized in the liver first, thereby activating proteins associated with heart attacks and strokes. Topical applications travel directly into the blood stream, bypassing the liver and those doable associated side effects.
Research has shown good symptom relief with bio-identicals and have been Food and drug administration approved. This means readily accessible from large pharmaceutical companies with a prescription. However, just as “one size fits all” is seldom true with clothing off the shelf, the standard formulations and dosages of mass medication don’t always meet individual women’s needs, either.
A compounding pharmacy can produce a personalized solution on a individualized basis. Dosages can be adjusted in accordance with symptoms, and preservatives in commercial preparations that cause allergic reactions can be eliminated.
It is good to keep in mind that a few of the same side effects in non-compounded HRT, including breast tenderness or bleeding, can still occur. For this reason it’s a good theory that women work with a medical physician who is very familiar with this treatment, and with a particular compounding pharmacy. Responsible practitioners will also begin out with what is called a hormone panel, which will help guide precise dosing and equilibrium between estrogen and progesterone. As therapy proceeds, subsequent monitoring will alter the dosage as appropriate.
Your compounding pharmacy should also be accredited by the Pharmacy Compounding Accreditation Board and be happy to discuss their quality-control techniques with you. You can then feel more comfortable with a personalized therapy that is best designed to help you deal with life’s changes.
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