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Everybody knows estrogen causes breast cancer. The media reports about the Woman’s Health Initiative (WHI) have been abundantly clear. The message is estrogen causes breast cancer. But do we really know that, or have we just been told that? The fear of hormone replacement therapy (HRT), like the Sword of Damocles, looms over the head of all who dare use or prescribe estrogen replacement therapy. The frequent negative media reports on breast cancer as well as Black Box...

According to a report by the venture capital firm Female Founders Fund, there is a $600 billion opening for the business of menopause but I think it is more than that. The report stated that based on an average of $2,000 a year that the 1 billion women expected to be in menopause worldwide by 2025 spend on prescriptions, doctor visits, treatments, devices, and products to address symptoms like night sweats, loss of libido, fatigue, and difficulty concentrating. I believe the...

Before I meet with a potential hormone therapy patient, I review their chart and look through the paperwork to get an idea of what kind of “shape” they are in, hormonally speaking. The first two places I look is at their clinical indicator assessment questionnaire and their current labs. (The clinical indicator assessment is one of the tools we use in the hormone clinic, along with lab work, to determine the hormonal balance status of a woman.)

When I saw the...

One thing I found in my years of research is that you can find a study to support just about anything even when it comes to hormonal contraception use, depression, and suicide. One study from The American Journal of Psychiatry¹ entitled, Association of Hormonal Contraception With Suicide Attempts and Suicide concludes, “Use of hormonal contraception was positively associated with subsequent suicide attempt and suicide. Adolescent women experienced the highest relative risk.”...

I'm 38, my partner rolls his eyes and says I'm too young to go through perimenopause. Is this true?

He may be right that 38 is too young for perimenopause however over the past 20 years as a clinical hormone coach, I've seen the median age of perimenopause go down to where it is not unusual for women to experience Stage I symptoms in their late twenties and early thirties. (There are three stages of perimenopause.)

So what is the cause of this age decline? In order to answer that...

Every relationship you encounter is impacted by the relationship you have with yourself. Every person who comes into contact with you whether it’s your significant other, child, co-worker, friends, or any person you interact with on a daily basis will experience the person behind how you feel in that moment.

How you see yourself in this world and how you feel about yourself in general strongly impacts your relationship with others.

One of the biggest benefits of working in a...

Many women who come into the hormone clinic say they experience hot flashes and night sweats and ask me what causes them. Here is what I tell them...

When estrogen drops too low, the brain realizes estrogen is no longer high enough to protect the body and do its job of regulating all processes, so the adrenal gland kicks in to increase cortisol secretion to excess for added support.

This excess cortisol is enough to cause instability of the blood pressure, appearing as vacillating...

I received this question from a 43 year old woman clearly suffering from perimenopause. Read on and see if you can relate.

When Will My Hormones Be Balanced?

I’ve been seeing my doctor for about three years now and she recently did about $1800 worth of testing. How will I know when my hormones are balanced? I hate the night sweats, hot flashes that make my entire head sweat like crazy, and the stupid emotions that like to be on a roller coaster. 

Does your doctor have any clinical...

This question was sent to me by Kelly L. who is 40 years old suffering from perimenopause.

What is the best form of HRT?

It depends on your clinical goals. If your goal is to manage the symptoms of your hormone deficiencies, then you can take a patch or a low-dose compounded cream. This method also requires pharmaceutical drugs to assist the hormones in managing the side effects of hormone deficiencies, aka, hormonal imbalances. The reason drugs are needed with this approach is that the dose...