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Menopause: Treatment to help reduce your symptoms – how does it work?

Sophie Wessex shares support for the ‘Menopause Workplace Pledge'

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Hormone replacement therapy (HRT) is a treatment to relieve symptoms of menopause and replaces hormones that are at a lower level as one approaches menopause. Bioidentical hormone replenishment treatment is another alternative with Dr Marion Gluck speaking exclusively with to discuss how it could help.

When asked what bioidentical hormones are and how they may differ from what is available on the NHS, Dr Gluck answered: “The HRT usually prescribed by GPs uses synthetic hormones called Premarin.

“These are derived from horse urine, whereas BHRT (bioidentical hormone replenishment treatment) uses oestradiol, hormones which are derived from the diosgenin in Mexican yams.

“Bioidentical hormones are structurally identical to the hormones our own bodies produce.

“Body identical hormones (similar to bioidentical hormones) are now available on the NHS but only in set dosage, which can often be too high for the patient to tolerate.”

When it comes to personalised dosage, Dr Gluck explained that by utilising blood results, the doctors at our clinic can prescribe a personalised dose, which is usually much lower than the standard dosages available on the NHS.

“This achieves better results and reduces symptoms such as bloating, acne and mood swings,” she added.

Bio-identical hormones, sometimes called compounded HRT, are precise duplicates of hormones which are made in the human ovary, adrenal and thyroid.

Bioidentical hormones are extracted from soy and yams.

It is more accurate to describe these hormones as body identical rather than bioidentical as they resemble hormones produced within the body.

The oestrogen bio-identical hormones are usually compounded with some progesterone and testosterone and/or DHEA.

Symptoms associated with menopause which may be reduced from body identical hormone replenishment treatment include:

  • Mood swings
  • Low libido
  • Anxiety
  • Poor memory
  • Brain fog
  • Insomnia
  • Brittle bones
  • Low energy
  • Poor skin.

Replacement therapies should not be used for people who have:

  • A history of breast cancer, ovarian cancer or womb cancer
  • A history of blood clots
  • Untreated high blood pressure
  • Liver disease
  • Pregnant.

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