Case Study: Full Menopause
Names have been changed for patient privacy.
Barabara’s Background
A dynamic and active woman, 58-year-old Barbara plays tennis and golf, watches her diet and is a frequent volunteer with several organizations. Although Barbara has a great relationship with her husband, sex has become too painful to continue. Problem Before coming to Georgia Hormones, Barbara’s previous doctor prescribed hormone replacement therapy, as she was experiencing hot flashes. After several years, Barbara decided to stop the medication because she worried that HRT could possibly cause cancer. A recent bone density scan showed indications of osteopenia. To prevent further decline into osteoporosis, Barbara’s doctor encouraged her to take bone loss medication. After reading stories about patients getting shattered jaws or broken bones, Barbara decided not to fill the prescription and found her way to Georgia Hormones. Treatment Plan Barbara’s blood work clearly showed there was no production of estrogen, progesterone or testosterone and — despite being active in the sun — vitamin D levels were low. We discussed data results from the Women’s Health Initiative Study. That study created a wave of panic with many women worrying that if they took hormones they could develop breast cancer or have a heart attack. The study uncovered that women who took Provera (a synthetic progestin) had a direct link to increased breast cancer rates. Georgia Hormones only prescribes genuine, bioidentical progesterone. Taking small doses of estrogen, progesterone and testosterone can actually help strengthen bones. We advised Barbara to receive estrogen through the skin as opposed to an oral dose. When applying estrogen directly to the skin, doses can be administered in smaller increments (1/20th of an oral measurement). Each morning, Barbara applied a small amount of estrogen and testosterone cream and twice a week inserted vaginal estrogen tablets. She also supplemented the hormone therapy with calcium and magnesium. Results At her follow-up visit, Barbara was elated. Sex was more enjoyable (without any pain), and the progesterone helped her sleep better. Barbara was looking forward to many happier, healthier years ahead. |