Menopause is a natural biological process that marks the end of a woman’s reproductive years. It is a significant milestone in a woman’s life and can have a profound impact on her physical and emotional well-being. Menopause occurs when a woman’s ovaries stop producing eggs and her hormone levels, particularly estrogen and progesterone, decline. This hormonal shift can lead to a variety of symptoms and changes in the body. It is important for women to understand what to expect during menopause and how to manage the associated symptoms in order to prioritize their health and well-being.

Understanding Menopause: What It Is and What to Expect

Menopause is defined as the permanent cessation of menstruation, marking the end of a woman’s reproductive years. It is typically diagnosed after a woman has gone without a period for 12 consecutive months. However, the transition into menopause, known as perimenopause, can begin several years before this final cessation of menstruation. During perimenopause, a woman may experience irregular periods, changes in menstrual flow, and other symptoms as her hormone levels fluctuate.

The average age for menopause onset is around 51 years old, but it can occur anywhere between the ages of 45 and 55.  However, some women may experience menopause earlier or later than this range. Factors such as genetics, smoking, certain medical conditions, and certain surgeries (such as hysterectomy and removal of the ovaries) can influence the timing of menopause.

The decline in estrogen and progesterone levels during menopause can have various effects on the body. These hormonal changes can lead to symptoms such as hot flashes, night sweats, mood swings, vaginal dryness, sleep disturbances, and more. It is important for women to be aware of these potential changes and understand how to manage them effectively.

Common Symptoms of Menopause and How to Manage Them

1. Hot flashes and night sweats: Hot flashes are sudden feelings of intense heat, often accompanied by sweating and flushing of the face and neck. Night sweats are hot flashes that occur during sleep, leading to excessive sweating and disrupted sleep. These symptoms can be managed by dressing in layers, using a fan or air conditioning, avoiding triggers such as spicy foods and hot beverages, and practicing relaxation techniques such as deep breathing.

2. Mood swings and irritability: Hormonal changes during menopause can lead to mood swings, irritability, and even depression or anxiety in some women. It is important to prioritize self-care during this time and engage in activities that promote emotional well-being, such as exercise, spending time with loved ones, and seeking support from friends, family, or a therapist if needed.

3. Vaginal dryness and discomfort: Declining estrogen levels can cause vaginal dryness, itching, and discomfort during intercourse. Using water-based lubricants or moisturizers can help alleviate these symptoms. Additionally, hormone replacement therapy (HRT) or low-dose vaginal estrogen therapy may be recommended for women experiencing severe vaginal symptoms.  Bioidentical Hormone Replacement Therapy (BHRT), also known as Bio Natural Hormone Replacement Therapy (BNHRT), is shown to carry fewer side effects than traditional Synthetic HRT and more closely mimics the body’s natural physiology. 

4. Sleep disturbances: Many women experience sleep disturbances during menopause, including difficulty falling asleep, staying asleep, or waking up too early. Practicing good sleep hygiene, such as maintaining a regular sleep schedule, creating a relaxing bedtime routine, and creating a comfortable sleep environment can help improve sleep quality. If sleep disturbances persist, it may be helpful to consult with a healthcare provider for further evaluation and treatment options.

The Importance of a Healthy Lifestyle during Menopause

Maintaining a healthy lifestyle is crucial during menopause to support overall health and well-being. Regular exercise has been shown to reduce the frequency and severity of hot flashes, improve mood, promote better sleep, and help maintain a healthy weight. Engaging in activities such as walking, swimming, yoga, or strength training can have numerous benefits during this time.

Eating a balanced diet that is rich in fruits, vegetables, whole grains, lean proteins, and healthy fats is also important during menopause. This can help support overall health, manage weight, and reduce the risk of chronic diseases such as heart disease and osteoporosis. It is also important to stay hydrated by drinking plenty of water throughout the day.

Stress reduction techniques such as deep breathing, meditation, yoga, or engaging in hobbies or activities that bring joy and relaxation can also be beneficial during menopause. Chronic stress can exacerbate menopause symptoms and have negative effects on overall health. Prioritizing self-care and finding healthy ways to manage stress can help improve well-being during this time.

Maintaining a healthy weight is important during menopause as it can help reduce the risk of chronic diseases such as heart disease and diabetes. It can also help alleviate certain menopause symptoms such as hot flashes and joint pain. Avoiding smoking and excessive alcohol consumption is also important for overall health during menopause.

Hormone Replacement Therapy: Pros and Cons

Hormone replacement therapy (HRT) involves taking medications that contain hormones, typically estrogen and progesterone, to replace the hormones that the body no longer produces in sufficient amounts during menopause. HRT can be an effective treatment for managing menopause symptoms such as hot flashes, night sweats, vaginal dryness, and mood swings. There are generally two categories of HRT.  There is traditional Synthetic HRT (commonly referred to as HRT) and there is Bioidentical Hormone Replacement Therapy (BHRT) or by another name Bio-Natural Hormone Replacement Therapy (BNHRT).  The difference is that HRT uses synthetic compounds, some linked to adverse side effects because they are chemically different than what the body produces naturally. BHRT or BNHRT are compounded to form a chemical structure that most closely resembles human physiology.  BHRT/BNHRT are known to have fewer side effects and are safer and more efficacious than traditional HRT.

Benefits of hormone replacement therapy include relief from menopause symptoms, prevention of bone loss (osteoporosis), and potential reduction in the risk of certain chronic diseases such as heart disease. However, there are also risks associated with Synthetic HRT. These include an increased risk of blood clots, stroke, heart disease, breast cancer, and gallbladder disease.  Medical literature has shown that BHRT/BNHRT have fewer side effects and are safer and more efficacious than Synthetic HRT.

It is important for women considering hormone replacement therapy to discuss the potential benefits and risks with their healthcare provider. The decision to use HRT hormone replacement therapy should be based on an individual’s specific health history, symptoms, and personal preferences. For women who cannot or choose not to use HRT hormone replacement therapy, there are alternative treatments available to manage menopause symptoms.

Alternative Treatments for Menopause Symptoms

For women who cannot or choose not to use hormone replacement therapy, there are alternative treatments available to manage menopause symptoms. These include non-hormonal treatments such as herbal supplements, acupuncture, and lifestyle changes.

Herbal supplements such as black cohosh, red clover, and soy isoflavones have been used by some women to alleviate menopause symptoms. However, it is important to note that the effectiveness of these supplements varies and more research is needed to determine their safety and efficacy.

Acupuncture is another alternative treatment that has been shown to provide relief from hot flashes and other menopause symptoms in some women. It involves the insertion of thin needles into specific points on the body to stimulate energy flow. While acupuncture is generally considered safe, it is important to seek treatment from a qualified and licensed practitioner.

Lifestyle changes can also be effective in managing menopause symptoms. These include maintaining a healthy diet, engaging in regular exercise, practicing stress reduction techniques, getting enough sleep, and avoiding triggers such as caffeine and alcohol. It may be helpful to keep a symptom diary to identify triggers and patterns in order to better manage symptoms.

Maintaining Sexual Health during Menopause

Menopause can bring about changes in sexual desire and function for many women. Declining estrogen levels can lead to vaginal dryness, decreased libido, and discomfort during intercourse. It is important for women to prioritize their sexual health and maintain intimacy with their partner during this time.

Using water-based lubricants or moisturizers can help alleviate vaginal dryness and discomfort. Engaging in regular sexual activity can also help maintain vaginal elasticity and blood flow. Open communication with a partner about any concerns or changes in sexual desire or function is crucial for maintaining a healthy and satisfying sexual relationship.

If menopause symptoms are significantly impacting sexual health and well-being, it may be helpful to consult with a healthcare provider. They can provide guidance and recommend treatments such as hormone therapy or low-dose vaginal estrogen therapy to alleviate symptoms and improve sexual health.

Coping with Emotional Changes during Menopause

Menopause can bring about emotional changes such as mood swings, anxiety, and even depression in some women. These changes are often attributed to hormonal fluctuations and the physical and emotional adjustments that come with this life stage. It is important for women to prioritize self-care and seek support when needed.

Engaging in activities that promote emotional well-being, such as exercise, spending time with loved ones, pursuing hobbies or interests, and practicing relaxation techniques can help manage emotional changes during menopause. It may also be helpful to seek support from friends, family, or a therapist who can provide guidance and coping strategies.

If symptoms of anxiety or depression persist or significantly impact daily functioning, it is important to consult with a healthcare provider. They can provide a proper diagnosis and recommend appropriate treatment options such as therapy or medication if necessary.

Menopause and Bone Health: Preventing Osteoporosis

During menopause, women are at an increased risk of developing osteoporosis, a condition characterized by weak and brittle bones. This is because estrogen plays a crucial role in maintaining bone density, and the decline in estrogen levels during menopause can lead to bone loss.

To maintain bone health during menopause, it is important to engage in weight-bearing exercises such as walking, jogging, dancing, or weightlifting. These activities help stimulate bone growth and strengthen bones. It is also important to ensure an adequate intake of calcium and vitamin D through diet or supplementation.

Calcium-rich foods include dairy products, leafy green vegetables, tofu, almonds, and fortified foods such as orange juice. Vitamin D can be obtained through sun exposure or through foods such as fatty fish, egg yolks, and fortified dairy products. If necessary, calcium and vitamin D supplements may be recommended by a healthcare provider.

It is also important to undergo regular bone density testing, known as a dual-energy X-ray absorptiometry (DXA) scan, to assess bone health and identify any signs of osteoporosis. If osteoporosis is diagnosed, medication may be prescribed to help prevent further bone loss and reduce the risk of fractures.

Navigating Menopause at Work: Tips for Success

Menopause can present unique challenges for women in the workplace. Symptoms such as hot flashes, mood swings, and sleep disturbances can impact productivity and overall well-being. It is important for women to prioritize their health and well-being during this time and communicate their needs with their supervisor and HR department.

Some strategies for managing menopause symptoms at work include dressing in layers to accommodate temperature fluctuations, using a fan or personal cooling device, taking regular breaks to stretch or practice relaxation techniques, and maintaining a healthy lifestyle that includes regular exercise and stress reduction.

It may also be helpful to have open and honest conversations with supervisors or HR representatives about any accommodations or support that may be needed. This could include adjustments to work schedules or environments, flexible work arrangements, or access to resources such as employee assistance programs.

Women should not hesitate to advocate for their needs and seek support from colleagues or mentors who may have experienced similar challenges. It is important to remember that menopause is a natural part of life and should not be a barrier to professional success.

Talking to Your Doctor about Menopause: Questions to Ask and What to Expect

Regular check-ups and discussions with a healthcare provider are important during menopause to monitor overall health and address any concerns or symptoms. It is helpful to come prepared with questions and information about any symptoms or changes you may be experiencing.

Some questions to ask your healthcare provider about menopause symptoms and treatment options include:

– What are the typical symptoms of menopause and how long do they typically last?
– What treatment options are available for managing menopause symptoms?
– What are the potential benefits and risks of hormone replacement therapy?
– Are there any alternative treatments or lifestyle changes that may be effective in managing menopause symptoms?
– How often should I come in for check-ups and what tests or screenings should I expect during menopause?

During a visit, a healthcare provider may perform a physical examination, review medical history, and order tests or screenings as needed. These may include blood tests to assess hormone levels, bone density testing, mammograms, and other screenings based on individual risk factors.

It is important to be open and honest with your healthcare provider about any symptoms or concerns you may have. They are there to provide guidance, support, and appropriate treatment options to help manage menopause and promote overall health.


Menopause is a significant life stage that can have a profound impact on a woman’s health and well-being. It is important for women to understand what to expect during menopause and how to manage the associated symptoms effectively. By prioritizing a healthy lifestyle, seeking support when needed, and maintaining open communication with healthcare providers, women can navigate this transition with confidence and prioritize their health during this important time in their lives.

If you’re experiencing symptoms of menopause and wondering if you could be peri-menopausal, this article on hormonehealthandweightloss.com provides some helpful insights. It discusses the signs and symptoms of peri-menopause and how it can impact your hormones. Understanding these changes can help you navigate this transitional phase with more ease. Check out the article here to learn more.

What are mood swings and why do they happen?

Mood swings are characterized by sudden and intense shifts in emotions. They can occur for various reasons, including hormonal changes, stress, and mental health conditions. Hormonal changes, such as those experienced during puberty, pregnancy, or menopause, can lead to mood swings due to the fluctuation of hormones in the body. Stress is another common trigger for mood swings, as it can overwhelm the body’s ability to cope with emotions effectively. Additionally, mental health conditions like bipolar disorder or borderline personality disorder can cause severe and frequent mood swings.

The impact of mood swings on daily life and relationships

Mood swings can have a significant impact on various aspects of daily life, including work, school, and personal relationships. In the workplace, frequent mood swings can affect productivity and interpersonal relationships with colleagues. It may be challenging to concentrate on tasks or maintain a positive attitude when experiencing intense emotional fluctuations. Similarly, in educational settings, mood swings can interfere with learning and academic performance.

In personal relationships, mood swings can strain communication and emotional connection. Loved ones may find it difficult to understand or cope with the sudden changes in mood, leading to misunderstandings or conflicts. This can create a cycle of frustration and isolation for both the individual experiencing mood swings and their loved ones.

Addressing mood swings is crucial for overall well-being. Ignoring or dismissing them may lead to worsening symptoms and a decline in mental health. Seeking support and implementing strategies to manage mood swings can help individuals regain control over their emotions and improve their quality of life.

Recognizing the signs and symptoms of mood swings

Recognizing the signs and symptoms of mood swings is essential for understanding when they occur and how they impact daily life. Common symptoms of mood swings include irritability, sadness, anxiety, anger, and sudden bursts of energy or euphoria. These emotions can be intense and may last for hours or even days. It is important to differentiate between normal mood fluctuations, which are a natural part of life, and more severe mood swings that disrupt daily functioning.

How to track and monitor your mood swings

Tracking and monitoring mood swings can provide valuable insights into patterns, triggers, and severity. Keeping a mood journal or using a mood tracking app can help individuals identify trends in their emotions and recognize potential triggers. By recording daily moods, activities, and any significant events or stressors, individuals can gain a better understanding of their emotional patterns. This information can be shared with healthcare providers or therapists to aid in diagnosis and treatment planning.

Coping strategies for managing mood swings

Managing mood swings involves implementing coping strategies that promote emotional regulation and overall well-being. Self-care practices play a crucial role in managing mood swings. Regular exercise, such as walking or yoga, can help release endorphins and reduce stress levels. Engaging in activities that bring joy or relaxation, such as reading, painting, or listening to music, can also help stabilize moods.

Techniques for managing stress and anxiety are also beneficial in managing mood swings. Deep breathing exercises, progressive muscle relaxation, and mindfulness meditation can help individuals calm their minds and regulate their emotions. Additionally, maintaining a healthy diet with balanced meals and adequate hydration can support stable moods.

The role of medication in treating mood swings

In some cases, medication may be necessary to manage severe or persistent mood swings. Antidepressants and mood stabilizers are commonly prescribed to help regulate emotions and stabilize moods. It is important to work closely with a healthcare provider to find the right medication and dosage, as individual responses can vary. Medication should always be used in conjunction with other therapeutic interventions, such as therapy or counseling.

The importance of self-care in managing mood swings

Prioritizing self-care practices is crucial for managing mood swings and maintaining overall mental health. Self-care involves taking intentional actions to nurture and care for oneself. This can include activities such as taking a bath, practicing mindfulness, spending time in nature, or engaging in hobbies. By prioritizing self-care, individuals can reduce stress levels, improve emotional well-being, and better manage mood swings.

How to communicate with loved ones about your mood swings

Open and honest communication with loved ones about mood swings is essential for maintaining healthy relationships. It is important to explain the nature of mood swings and how they impact daily life. Setting boundaries and expressing needs can help loved ones understand how to provide support without enabling or exacerbating the mood swings. Asking for support when needed and seeking understanding from loved ones can foster a sense of connection and reduce feelings of isolation.

Seeking professional help for severe mood swings

If mood swings become severe or significantly impact daily functioning, it may be necessary to seek professional help. A mental health professional can provide an accurate diagnosis, develop a treatment plan, and offer support throughout the recovery process. Therapy or counseling can be highly beneficial in helping individuals better understand and manage their mood swings.

The potential benefits of therapy for coping with mood swings

Therapy can play a crucial role in helping individuals cope with and manage their mood swings effectively. Different types of therapy, such as cognitive-behavioral therapy (CBT) or dialectical behavior therapy (DBT), can provide individuals with the tools and strategies to regulate their emotions, identify triggers, and develop healthy coping mechanisms. Therapy can also provide a safe space for individuals to explore underlying issues that may contribute to mood swings and work towards long-term emotional stability.

Mood swings can have a significant impact on daily life and relationships, but with the right strategies and support, they can be effectively managed. Recognizing the signs and symptoms of mood swings, tracking and monitoring them, implementing coping strategies, and seeking professional help when needed are all crucial steps in managing mood swings. Prioritizing self-care and open communication with loved ones can also contribute to overall well-being. Remember, seeking help and support is a sign of strength, and there are resources available to help individuals navigate the challenges of mood swings.

If you’re struggling with mood swings, you may find this article on hormone therapy helpful. It discusses the benefits of bio-identical hormone replacement therapy for women dealing with menopause and how it can help regulate mood swings and other symptoms. Check it out here.

Causes of Night Sweats: What Triggers Them?
Night sweats can be triggered by a variety of factors, including, as noted above, environmental conditions, medications, hormonal changes, and medical conditions. Environmental factors such as hot weather or an overheated bedroom can lead to excessive sweating during sleep. Certain medications, such as antidepressants or hormone therapy drugs, can also cause night sweats as a side effect.

Hormonal changes, particularly in women, can contribute to night sweats. Menopause is a common time for women to experience night sweats due to the fluctuation of hormones in the body. Additionally, certain medical conditions such as infections, cancer, hormonal disorders, and neurological conditions can also cause night sweats.

Health Conditions That Cause Night Sweats
Night sweats can be a symptom of various health conditions. Infections such as tuberculosis or HIV can cause night sweats as the body tries to fight off the infection. Cancer, particularly lymphoma, can also lead to excessive sweating during sleep.

Hormonal disorders such as hyperthyroidism or pheochromocytoma can disrupt the body’s natural temperature regulation system and result in night sweats. Neurological conditions like autonomic dysreflexia or stroke can also cause night sweats as a result of dysfunction in the nervous system.

Menopause and Night Sweats: What You Need to Know

Menopause is a natural stage in a woman’s life when her menstrual periods stop, and she can no longer conceive. It typically occurs between the ages of 45 and 55, but can occur sooner, particularly if surgically induced. Along with other symptoms such as hot flashes and mood swings, night sweats are a common occurrence during menopause.

During menopause, there is a significant decrease in estrogen levels in the body. This hormonal change can disrupt the body’s temperature regulation system, leading to hot flashes and night sweats. Night sweats during menopause can be particularly bothersome as they can disrupt sleep and lead to fatigue and irritability.

Treatment options for menopausal night sweats include hormone replacement therapy (HRT), which involves taking estrogen to alleviate symptoms. However, HRT is not suitable for everyone and may have potential risks. Over the past two decades, “Bioidentical Hormone Replacement Therapy” (BHRT) or “Bio-Natural Hormone Replacement Therapy” (BNHRT) has been shown to have fewer side effects and less serious side effects than their synthetic counterparts.  Other non-hormonal treatments such as lifestyle changes, herbal remedies, and medications may also be considered.

Night Sweats and Anxiety: A Vicious Cycle 

Anxiety and night sweats often go hand in hand, creating a vicious cycle that can be challenging to break. Anxiety triggers the body’s fight-or-flight response, which can lead to an increase in body temperature and sweating. This can result in night sweats during sleep.

On the other hand, night sweats can worsen anxiety symptoms. Waking up drenched in sweat can be distressing and cause feelings of panic or unease. The fear of experiencing night sweats can also create anxiety about going to bed, leading to difficulty falling asleep or staying asleep.

Coping strategies for managing anxiety-related night sweats include practicing relaxation techniques such as deep breathing exercises or meditation before bed. Creating a calming bedtime routine and ensuring a comfortable sleep environment can also help reduce anxiety and improve sleep quality.

Tips to Help You Sleep Better with Night Sweats

While it may not be possible to completely eliminate night sweats, there are several strategies that can help individuals sleep better despite experiencing them. If the night seats are caused by a lack of estrogens (estradiol), then restoring that hormone to appropriate levels with BHRT/BNHRT can often address this issue in the short term. Practicing good sleep hygiene is essential, which includes maintaining a consistent sleep schedule, creating a comfortable sleep environment, and avoiding stimulating activities before bed.

Choosing the right bedding and clothing can also make a difference. Opting for moisture-wicking fabrics that help regulate body temperature can help keep individuals dry and comfortable throughout the night. Additionally, using breathable bedding materials and keeping the bedroom cool can help reduce the occurrence of night sweats.

Relaxation techniques such as progressive muscle relaxation or guided imagery can also be beneficial in managing night sweats. These techniques can help individuals relax and reduce stress, which may contribute to excessive sweating during sleep.

Cooling Techniques for Night Sweats

Implementing cooling techniques can help alleviate night sweats and improve sleep quality. Using fans or air conditioning in the bedroom can help circulate air and keep the room cool. Placing a fan near the bed or using a ceiling fan can provide a constant breeze that helps regulate body temperature.

Investing in cooling pillows or mattress pads made from materials that dissipate heat can also be helpful. These products are designed to provide a cooler sleeping surface and prevent excessive sweating during sleep.

Taking a cold shower before bed can also help lower body temperature and reduce the likelihood of night sweats. The cool water can help cool down the body and create a more comfortable sleeping environment.

Lifestyle Changes to Reduce Night Sweats

Making certain lifestyle changes can help reduce the frequency and severity of night sweats. Maintaining a healthy diet that includes plenty of fruits, vegetables, whole grains, and lean proteins can support overall health and potentially alleviate night sweats.

Regular exercise has been shown to improve sleep quality and reduce symptoms of menopause-related night sweats. Engaging in activities such as walking, swimming, or yoga can help regulate hormones and promote better sleep.

Stress management techniques such as mindfulness meditation, yoga, or deep breathing exercises can also be beneficial in reducing night sweats. Stress can exacerbate night sweats, so finding healthy ways to manage stress can help break the cycle.

Identifying and avoiding triggers that may contribute to night sweats is also important. This may include avoiding spicy foods, caffeine, alcohol, or smoking, as these substances can increase body temperature and trigger sweating.

When to See a Doctor for Night Sweats

While occasional night sweats are usually not a cause for concern, there are certain circumstances when it is important to seek medical attention. If night sweats are persistent, severe, or accompanied by other symptoms such as fever, weight loss, or fatigue, it is recommended to consult a healthcare professional.

Providing a detailed medical history to the doctor is crucial in order to help identify the underlying cause of night sweats. This may include information about medications being taken, recent illnesses or infections, and any other relevant medical conditions.

Breaking the Night Sweats Cycle for Better Sleep

Night sweats can significantly impact sleep quality and overall well-being. Understanding the causes and triggers of night sweats is essential in order to effectively manage the condition. By identifying the underlying cause and implementing appropriate treatment options, individuals can break the cycle of night sweats and improve their sleep quality.

Coping strategies such as practicing relaxation techniques and implementing cooling techniques can also help alleviate night sweats and promote better sleep. Making lifestyle changes such as maintaining a healthy diet, exercising regularly, and managing stress can further support overall health and reduce the occurrence of night sweats.

If night sweats are persistent or accompanied by other concerning symptoms, it is important to seek medical attention to determine the underlying cause and receive appropriate treatment. With proper management and care, individuals can break the night sweats cycle and achieve better sleep quality.

If you’re experiencing night sweats, it could be a sign of hormonal imbalance. Hormone Health and Weight Loss offers valuable insights into the causes and solutions for night sweats in their article “Night Sweats: Causes and Treatment Options.” This informative piece discusses the various factors that can contribute to night sweats, such as menopause, medications, and medical conditions. It also provides practical tips and treatment options to help alleviate this uncomfortable symptom.

Aging poses changes for men and women. Imbalanced hormones can significantly affect your quality of life. It is common to assume that these symptoms are just the expected signs of aging and that nothing can be done to address it. The good news is, there are options. 

When estrogen and progesterone levels become deficient, menopause or perimenopause begins, marking the end of childbearing. 

For women, menopause can begin as early as their 40s and can affect all facets of life. The most notable symptoms of menopause are hot flashes, night sweats, and low sex drive, to name a few. However, menopausal symptoms are person-specific and can vary across the board. Many women will note that their friends and family notice a shift in mood, anxiety, or irritability. It is common to become forgetful or experience ‘brain fog’, along with a lack of sleep. Experiencing these symptoms affect interpersonal relationships and even career. As a lack of sleep presents itself, it isn’t easy to function during the day, especially for activities like going to the gym and keeping active. Some women describe this as a snowball effect; if you can’t work out, you gain weight and risk becoming unhealthy. Gaining weight can result in low self-esteem, and so on. 

Women are not the only ones dealing with low hormones in life; men can experience severe changes and symptoms as well. When men’s bodies stop producing sufficient testosterone, they may notice a loss of sex drive, inability to sustain an erection, loss of muscle tone, fatigue, to name a few. 

The excellent news is bioidentical hormone replacement therapy (BHRT) can help both men and women restore their vitality. BHRT is a well documented and accepted way to replenish hormone levels by using plant-based pellets that are compounded specifically for you, under strict supervision of State Boards of Pharmacy. You will need to begin by finding a clinic that specializes in BHRT and making an appointment for a consultation. Be prepared to discuss your symptoms, healthy history, and make sure to bring an up to date list of any medications that you take, including supplements and over the counter medications. A complete record of this information is vital for the practitioner to evaluate and ensure proper dosing of your hormones. 

It is essential to discuss your symptoms thoroughly. A journal is an excellent way to keep up with the changes in your body, as it is easy to lose track of them. Once your blood is drawn, it is sent away to a lab to analyze the levels of hormones. After your practitioner evaluates the report from the lab, an appointment will be made for you to come back in to discuss your treatment plan, review the expected benefits and potential side effects.  Your hormone pellets will be ordered for your specific needs, as there is no one size fits all approach to hormone replacement. 

The next step is a small area on your hip is prepped and numbed, and then the pellets are inserted. Most patients report little to no discomfort and can carry on with their typical day for the most part. You will notice soreness over the next day or so, similar to a bruise. You will be given a follow-up appointment for another lab draw to help establish your baseline. 

It will take a few months to feel the benefits of BHRT. Keep in mind, you experienced a depletion in hormones over years, so no treatment will become effective immediately. It is vital to keep your appointments and a close track of your symptom relief along with any other changes so you can accurately report your progress at your follow up visits. 

As Sophia on ‘The Golden Girls’ would preface her famous stories, picture it, you are at your PCP office for your yearly physical. Your doctor asks you how you are doing. Instead of saying the inevitable, “fine,” you decide to disclose the truth. You feel awful, and something seems off. You have found yourself snapping at your spouse and coworkers over nothing. One moment you think life is sustainable the next moment you feel like the walls are caving in and nothing is going right. You get hot for no reason, and you have gained weight that you can’t blame on the holidays. Your friends suggest cautiously, “could it be your hormones?” How offensive is that? The thought of the people you thought cared most about you making you feel like you are old or even worse menopausal. Wait. Maybe they are right. So you ask your doctor to check your hormones to consider the possibility. And in a flash, you receive a quick, “Nope, we don’t do that.” Or worse, you get the old, “here is a prescription for an antidepressant, you’re probably just depressed.” Nothing feels worse than feeling discounted or that you are overreacting. Any time you feel like your body is telling you something, you have a right to ask. An empathetic doctor will at least hear you out.  If your doctor does agree to order a hormone panel, likely when the results come back, you will get very little explanation as to what the levels mean or told that your levels are all within a normal range. Why?

Doctors are trained to read the lab’s suggestions on what ‘normal range’ is. The interesting thing is that different labs have different ‘normals.’ There’s a fun fact for you! The labs determine the normal ranges. Now, most of the ranges across the board of different labs are similar but not identical. The problem is that what is normal for you may not be normal for the next person. The normal range also does not mean that your hormones are balanced across the board, either. Hormones work together, and if one level is on the high end of normal and the other is on the low end of normal, that is not going to create a balance. 

The other issue with normal ranges is that your hormones change a lot, so checking your hormone levels just once only gives you one piece to a much larger puzzle. If you are peri-menopausal, ovulating or menopausal will all play a part in where the lab values fall as well, without considering where your cycle may be (if at all). The lab results don’t mean much, if anything at all. Have you had a hysterectomy? Do you still have any periods? When was the last time? Have you had an ablation? Do you have an IUD? These are all factors that need to be considered alongside your actual lab values. If your PCP doesn’t specialize in hormones, he may not consider these factors. 

Another huge factor in evaluating lab results are the symptoms. Your body is responding to changes, and that can look like many different things. You may have extreme changes in body temperature with little to no warning. You may notice that you are easily agitated, and things that bother you now aren’t things that used to bother you. Your sex drive could be down or gone and follow that with vaginal dryness, just to name a few. 

The takeaway from all of this is not to encourage you to disregard your PCP. Just consider that if you had a heart condition, you would want to be seen by a heart doctor. If you break a bone, you probably won’t call a kidney doctor. Hormone replacement is no different. Hormone replacement is a specialty, just like other practices of medicine. Find a hormone specialist that can discuss with you safe options like bio-identical hormone replacement therapy. You have one life to live, don’t settle for being told you are ‘normal’ when you know your body better than anybody else could. Meet with the experts, and what you find may surprise you. 

My wife starting going through ‘the change’ two years ago. Needless to say, it changed our lives. We had always had a very close relationship and fought rarely. We were always considered to be ‘that couple’ that other people wanted to mirror. We are married for over 30 years, two kids, a house with a fence. We are pretty simple people. We mind our own business and just live our lives as best we can. We are both hard workers and really enjoy our vacation each year. Our vacation is something that we saved for throughout the year, and since being empty nesters, it is our splurge. Two years ago, when she began exhibiting signs of menopause, we were on our coveted vacation. She felt awful and was very sensitive just about everything. We ended up in an argument that resulted in us not speaking for the remainder of our trip, which was about five days. Needless to say, it was a memorable trip in the worst way.

When we returned, my wife decided to go to a clinic that specialized in bio-identical hormone replacement therapy. Within a few months, she began feeling better, and it was great to see her happier. It’s easy, as a man, to chock everything up to blame on menopause and take no responsibility for a bad experience. As much as I would love to take no blame, I was to blame as well.

There is no way that a woman goes through this massive change in her life, and men are left unscathed. Granted, I firmly believe that menopause is much worse than anything a man experiences with age, but there had to be a direct result of aging for men as well. The answer is Andropause. When a man starts to decline in testosterone production significantly, noticeable changes can take place. Sure, I stopped working out as much as I used to, but why? I didn’t have the energy or mental motivation to go anymore. Also, my cholesterol was through the roof, and my doctor started me on a statin.

After reading about the side effects and risks of taking statins, I knew my lifestyle needed a change. I knew that there had to be a more natural way of treating what was going on. If my wife needed hormone replacement therapy, why wouldn’t I? After I visited our local bio-identical hormone replacement clinic, I found out that I also needed to address severely deficient hormones. After I got my labs drawn, the doctor called me and said that he had no doubt I felt awful. The funny thing is, I knew I wasn’t my old self, but I didn’t realize I was as bad off as I was. I had gotten used to feeling sluggish and less libido. I figured that my belly getting bigger is just part of life; my dad did it, my brothers did it. Accepting negative health changes only made sense to me. After my BHRT began, I finally realized just how bad I really did feel! Once I noticed my energy increase and my waistline decrease, I knew that I could never go back to where I was before BHRT.

Understanding that women go through far worse symptoms of low hormones is mind-blowing. What I don’t understand is why do we accept these negative changes as ‘normal’? Who sets that standard? My PCP told me that the midsection weight gain was genetic, and to cut back on having a few beers on the weekend. Never once was the topic of my hormone levels brought up.

Watching bio-identical hormone replacement change my wife’s quality of life and then experiencing the very same thing for myself makes me want to scream this from the rooftops! I feel like too many people are told that aging and decline is normal and to deal with it. If I have an issue, I don’t want to be told to accept it or put a bandage on it like buying elastic waistband pants! This is my health, body, and I do have the right to hear all of the possibilities as well as the options for treatment. Instead, my PCP didn’t know enough about BHRT; therefore, it was left out of our conversation. I feel bad that so many others live in misery like myself and my wife did for the remainder of their lives. This is a golden time in our life, kids are gone, and we get to live life more. I am so thankful for BHRT; it has given us both a second chance at life. We are closer than we have been in years, and we are happy. I love to tell my story because if it reaches even one person that didn’t know about BHRT, I feel like I have shared my wealth!

What is andropause?
Testosterone is a type of androgen, which is where the name “andropause” comes from. Known mainly as a sex hormone, testosterone also affects the tenor of a man’s voice, how much or how little facial hair he has, and his overall muscle mass. As men age, testosterone production drops at a rate of about 10 percent each decade starting at age 30. It’s a gradual decline that doesn’t affect every man in the same way. Some men experience little difference in everyday function while others experience extreme symptoms, which are classified under andropause. If you’re affected by andropause, you might experience:

• Hot flashes and trouble sleeping
• Mood changes, including irritability and depression
• Low sex drive and trouble getting or maintaining an erection
• Fatigue, muscle weakness and loss of strength
• Increased body fat and lack of energy

For women, the decline in hormone production is drastically different. Eventually, the ovaries stop producing reproductive hormones altogether, making women infertile after menopause. Men are still capable of producing testosterone well into their 80’s and even later. This is why doctors are hesitant to classify a “male menopause.” There isn’t a defined time parameter for male infertility or loss of reproductive capabilities.

Still, andropause primarily affects older men as they enter a new transition period in life. Libido lessens, sexual prowess diminishes and muscle mass weakens. You are more likely to experience extreme symptoms of testosterone depletion if you’re overweight or you have other medical problems, such as diabetes. About 30 percent of men in their 50’s suffer from andropause symptoms. Your doctor can determine if there are underlying problems affecting your physical and mental health.

Are there treatment options?
Low testosterone levels don’t affect every man, but for men who are suffering, andropause can cause other health problems as well, particularly osteoporosis and heart disease. It’s important to talk to your doctor about options for dealing with symptoms that interfere with your daily life. You may be advised to try lifestyle changes, such as exercising more, or dietary changes, such as avoiding certain foods that make problems worse.

There’s also hormone replacement therapy, which reintroduces testosterone into your body to boost your levels and level out your symptoms. Synthetic and natural versions exist, but natural hormones can be a better long-term option since they get released in steadier doses over time, effectively mimicking your body’s natural production levels before middle age. You don’t have to let andropause impact your ability to enjoy growing older. Start the conversation with your doctor about symptoms to find relief.

Sources:
https://www.webmd.com/men/guide/male-menopause
https://www.medbroadcast.com/condition/getcondition/andropause