In the years before and during menopause, women’s hormones can go up and down, causing symptoms like hot flashes, night sweats, and vaginal dryness. For some women, the symptoms are mild, but for others, hormone replacement therapy can help.
Some hormone therapies are synthetic and are different from natural hormones. Compounding pharmacies can make hormone replacement therapies that match a woman's needs.
Using customized bioidentical hormone replacement therapy has become more popular since the Women's Health Initiative trials in 2002. Bioidentical hormones have been used to help women with menopause, fertility issues, and hormonal imbalances. Compounded hormones can be made in specific doses to minimize side effects and help women who didn't respond well to other treatments.
Treatment should be personalized based on a woman's age, how long it's been since menopause, and other factors.
The North American Menopause Society supports hormone therapy for menopause symptoms and bone health. The type, dose, and how it's taken can affect the risks and benefits. Treatment decisions should be made together with a doctor, and the benefits and risks should be regularly checked.
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