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WHAT’S HAPPENING? WHAT DO I DO? I’M ON HRT BUT I DON’T FEEL ANY BETTER It is not unusual for women on hormone replacement therapy (HRT) to be somewhat dissatisfied with the effects. This is one of the most common reasons I see women in my practice for menopause difficulties. The trend in menopause treatment has been, unfortunately, to a one-size-fits-all approach. Hormones are part of what makes us individual. This implies that no one hormone regimen will work out for all women. The preparations with fixed doses - Prempro®, OrthoPrefest® and FemHRT® work fine for some. Some women need higher or lower doses than the standard ones. Those who are hormonally vulnerable or who have been estrogen deficient for more than a year often need to start at a tiny dose and increase it gradually so their body can get used to estrogen again. The various oral estrogen differ from each other and for many, patches with their smooth estrogen levels give a more comfortable feeling. If HRT has not helped your mood, check which form of progesterone you are on and consider a switch to a more natural version. Here too, there is likely to be a form that will work for you. If HRT has not been working for you, my suggestion is that you find a physician who is familiar with the diverse forms of estrogen and progesterone and who will take the time to work with you to develop a customized form of HRT that your body likes. What is Menopause? |
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Copyright © 2008 Hormone Center of New York. Last modified:
03/23/08
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