Understanding your hormones
Hormones are chemical messengers produced by glands and released into the bloodstream. They help regulate metabolism, growth, sexual function, sleep, mood, appetite, heart rate, and body temperature. Adrenaline, insulin, cortisol, melatonin, estrogen, progesterone, and testosterone are examples.
Hormone changes and symptoms
Hormone levels change through life, including puberty, pregnancy, and menopause. Thyroid and other endocrine conditions, medications, and other health factors can also affect hormone levels. Symptoms alone cannot establish a hormone deficiency.
The original practice guide discusses fatigue, sleep changes, hot flashes, night sweats, changes in sexual function, menstrual changes, mood concerns, and changes in weight or hair. These concerns can have several causes. An assessment helps determine what is happening and whether hormone treatment, another approach, or further investigation is appropriate.
Start with an individual assessment
Bring your symptoms, medical history, current medicines and supplements, and questions to your consultation. Your clinician can discuss whether testing is needed and explain the benefits, risks, and alternatives relevant to you.
Hormone therapy is not one-size-fits-all. If treatment is recommended, the choice of medicine, dose, delivery method, and follow-up should be individualized. Regular review gives you an opportunity to discuss symptom changes and side effects.
Hormone therapy and menopause
Hormone therapy is one option for bothersome menopausal symptoms. Suitability depends on individual circumstances and the treatment being considered. A clinician can explain hormonal and nonhormonal options and review your medical history before prescribing.
The term “bioidentical” does not establish that a preparation is safer or more effective. FDA states that evidence does not establish compounded bioidentical hormones as safer or more effective than FDA-approved therapy. Ask whether a proposed product is FDA-approved or compounded, why it is recommended, and what monitoring is needed. Read FDA information about menopause and hormone therapy.
Questions about testosterone
Discuss symptoms and test results with a qualified clinician rather than assuming that changes in energy or libido mean you need testosterone. Ask about eligibility, potential side effects, fertility considerations, and monitoring. Your clinician should use current prescribing information for the specific product. Read FDA testosterone information.
Questions for your consultation
- What else could be contributing to my symptoms?
- What testing, if any, would help?
- What benefits are realistic for me?
- What are the risks and alternatives?
- Which product and delivery method would you recommend, and why?
- How will we monitor treatment and decide whether to continue?
Our team can help you confirm the appropriate provider and office for a wellness consultation. Call (727) 527-2888 to discuss the next step.