Which HRT is Best for Me?

Which HRT is Best for Me?
By Judy Couch, FNP-C

This is another popular HRT question I hear often. The first step is understanding what bio-identical hormone replacement (BHRT) is. Starting as early as their 30s, men and women experience hormonal changes that we label as menopause (women) and andropause (men). These symptoms range from mild to severe, impacting both the little moments and big life milestones.

At Your Wellness Center, we use BHRT to naturally replace these missing vital hormones to boost mood, energy, and libido, among other things. If you are unfamiliar with BHRT, I highly recommend checking out our videos on if you need HRT and the general benefits of HRT. From there, we can move on to which BHRT is right for your specific conditions:

Which HRT is best for weight loss?

Typically, we find most people struggling with weight loss in our medically-supervised program have underlying health issues. These can be remedied with a customized HRT program. We tend to prescribe two forms of HRT to start:

  • Nature-throid – A treatment for hypothyroidism, an underactive thyroid gland
  • Metformin – A medication to help regulate blood sugar, especially in people with type 2 diabetes

Which HRT is best for hair loss?

We hear this more from men than women, but it is common for both genders to experience hair loss in andropause (men) and menopause (women). We recommend a full blood panel, because researchers have not yet found a single cause for hair loss. Typically, we use one or both of the below prescriptions to combat hair loss: 

  • Testosterone – This typically affects men more than women, because men experience a more significant drop in testosterone when they hit their 40s-50s than women do.
  • Estradiol – When estrogen levels drop in women, it can promote premature hair loss.
  • Thyroid – Low thyroid functioning is common in aging women, especially when their other hormones (progesterone, estrogen) are off-balance too.

Which HRT is best for low libido?

This is a tricky one, because low libido can be caused by a number of things. Typically, it is in imbalance of the three big hormones:

  • Testosterone – One of the biggest causes of low libido in men and women, as stated above.
  • Estradiol – Estrogen impacts women more than men, and we usually prescribe pellet therapy.
  • Progesterone – A vital hormone for women that can sometimes be overpowered by estrogen dominance. Optimizing these levels can help increase sexual desire.

Which HRT is best for PCOS?

Polycystic Ovarian Syndrome (PCOS) is a tough diagnosis, because each woman experiences a different variety of symptoms. Typically, though, women experience weight gain and irregular or heavy menstrual cycles. Some women are put on hormonal birth control to manage their PCOS, but this often disrupts their hormonal balance. Thus, we typically recommend a combination of:

  • Nature-thyroid – This helps manage underactive thyroids and improve metabolic functioning.
  • Metformin – This helps improve insulin resistance for lower blood sugar and better weight management.
  • Progesterone – One of the strongest hormones in women, it is vital to maintaining your moods, libido, weight, and reproductive systems.
  • Testosterone – Like men, testosterone replacement will help increase your natural libido.
  • Estradiol – Estrogen replacement can help temperature swings, fatigue, and decreased libidos.

How do I start HRT?

You can call our office at 513-791-9474 or submit a consultation form to request a short blood draw. Once we get your lab results back, we’ll schedule your first consultation. Our providers will discuss your individual results and work with you to create a tailor-made HRT program for your needs. After all, we’re here to help you feel better, live better, and look better!

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