The term “Bio-identical” is often misinterpreted and there is confusing literature surrounding the differences between “Bio-identical” versus “synthetic” hormone replacement.  A “Bio-identical” hormone is specifically referencing the chemical structure of a particular hormone.  Which are most similar to the hormones naturally produced by our bodies.  This is not to say all “synthetic” hormones are bad.

For example, most oral contraceptive pills are “synthetic hormones” and play an important role for women wanting to prevent unplanned pregnancy.  In this regard these products serve their purpose well.  However, when prescribed to address symptoms associated with menstrual irregularities (i.e. painful menses, heavy flow, severe cramping, etc.) they often come with undesirable side effects.  In many cases bio-identical progesterone can be utilized to address the underlying hormone imbalance causing these symptoms.

Optimizing hormone levels has shown to play a significant role for improving overall health. From reducing one’s risk of cardiovascular disease to improving brain health, helping stabilize moodiness and enhanced concentration.  As well as improving sexual wellness for both men and women.

The three primary sex hormones in Women consist of; Progesterone, Estrogen and Testosterone.  An imbalance of these hormones will often lead to symptoms of depression, weight gain or weight loss, hot flashes, loss of libido, brain fog, vaginal dryness, night sweats, insomnia and headache.

The expected age-related decline of these hormones consists of a gradual decline in testosterone, followed by progesterone.  With Estrogen the last to drop, resulting in a postmenopausal state.  With the average age of menopause currently around 51 years of age.  An elevated estrogen level in the presence of low progesterone and testosterone is the most prevalent hormone imbalance noted among women between the ages of 30 – 50 years old.

Overtime estrogen dominance has become increasingly common due to multiple confounding factors.  Unknowingly, we’re exposed to estrogen-like compounds known as “xenoestrogens” on a daily basis.  As manufacturing processes continue to evolve, xenoestrogens have become more prevalent and are present in many of the foods we consume as a result of toxic pesticides, herbicides and artificial growth hormones.  Additionally, xenoestrogens now exist in the majority of household products we routinely use.  Many of which include plastics containing BPA, laundry detergents, cosmetic products, cleaning products, furniture and carpeting.  Through chronic exposure researchers suspect the chemicals containing xenoestrogens play a causal role in further disrupting our endocrine system.

As unique and special individuals our tolerance and thresholds for each hormone varies from person to person.  Placing emphasis on the importance of obtaining a baseline hormone panel combined with a thorough review of your symptoms and past medical history.  With continued monitoring of follow up labs at recommended intervals based on your results and customized treatment regimen.

For pre and peri-menopausal women with ovaries intact the recommended interval for obtaining baseline bloodwork is day 18-21 from the first day of menses.  This allows our providers to appropriately interpret your hormone levels and determine the best customized treatment plan for you and your body.  Otherwise, timing of lab work is not as important for postmenopausal women, those having undergone hysterectomy with ovarian removal or women on oral or implanted contraception preventing menstruation.

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