There isn't a lot of hope offered to post menopausal women when it comes to seeing a doctor for HRT. Post menopause HRT is something doctors don't like to mess around with too much mostly because they don't know what to do. Below is a comment by a woman in a group I'm in, my response to her comment about post-menopause HR, and why her doctor is reluctant to prescribe it.
Rachel: "I waited over a week to see my doctor hoping to get some help, but I’ve just left feeling very deflated, upset and frustrated. I didn’t receive any useful advice on my sleeping problems, low moods, lack of motivation and energy. I was pinning my hopes on her offering me HRT, but when I mentioned it she said she would do more research into what type would be suitable for me! I’m 54 and have been post menopause for almost 2 years."
Moxie: Your experience is very typical for most women not because your doctor is a jerk, but rather, they just don't know what to do for you. If they bothered to take a course in hormone replacement therapy, they've been taught to not address clinical indicators like hot flashes, insomnia, mood issues, heart palpitations, weight gain, and low energy as red flags to estrogen deficiency, but instead are taught how to manage the symptoms of estrogen deficiency with low dose hormones for the shortest amount of time, which as you know does not work.
Finding a practitioner who understands the impact estrogen levels have on the brain and body of a female, and further knows what to do about, it is your best bet. Most doctors dick around with low dose hormone therapies because they just don't know, or that’s the schooling and training they received. There are very few places where doctors can get educated and clinical trained how to restore hormones in the right amounts and in the right manner to eliminate most physical and mental issues women have. It's the very reason I designed my own HRT system (Panacea Protocol™) and now teach doctors how to intelligently administer hormones in the right amounts and in the right way to each person’s "Hormone Sweet Spot"™. When women come into our clinic with those symptoms you listed, we look at that as not enough estrogen so we optimize hormones and address diet and lifestyle until those clinical indicators are virtually gone. There is a clinical dosing algorithm that allows for this to happen if done correctly.
We also look at menopause as a choice. There's no need to go into menopause anytime in your life. And if post menopausal already, then we restore your periods and pull you out of menopause to varying degrees depending on how long you’ve been post menopausal. The longer ovaries are shriveled up and non-productive, the harder it is to resurrect them. Our clinical goal is to restore a healthy menstrual cycle so the brain and body doesn't deteriorate and decline in the same manner as when estrogen is deficient. Estrogen levels also dictate how all the other hormones in the body will function.
Who you go to will make all the difference. Be judicial when selecting a hormone doctor. The mindset and clinical application training of your practitioner will dictate how you will feel and function for the rest of your life.
If you need help getting to your personal "Hormone Sweet Spot"™, click on the "Programs" link in the menu above and look for a course or program right for you.
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Griffing GT, Allen SH. Estrogen replacement therapy at menopause. How benefits outweigh risks. Postgrad Med. 1994;96(5):131-40.
Greendale GA, Reboussin BA, Slone S, Wasilauskas C, Pike MC, Ursin G. Postmenopausal hormone therapy and change in mammographic density. J Natl Cancer Inst. 2003;95(1):30-7.