How do I know if I need hormone replacement therapy?

Whether you need hormone replacement therapy (HRT) depends on several factors. HRT can help relieve symptoms of menopause in women and andropause in men by replacing hormones that naturally decrease with age.

Some common symptoms that may indicate a need for HRT include:

- Hot flashes and night sweats
- Vaginal dryness and discomfort during sex
- Loss of libido (sex drive)
- Fatigue, irritability and mood swings
- Trouble sleeping
- Decreased muscle mass and bone density

HRT comes in different forms like pills, patches, gels and injections. The most commonly prescribed HRT for women contains estrogen and progestin. Men may be prescribed testosterone. Your doctor will determine the appropriate therapy based on your needs and health history.

It's important to have regular checkups and bloodwork while on HRT to monitor your hormone levels and check for any side effects. Your doctor may adjust your dosage over time. Most experts recommend using HRT at the lowest effective dose for the shortest time possible.

Some health conditions can be improved with HRT. For example, estrogen therapy may help prevent bone loss and testosterone can improve energy levels in men with low testosterone. However, HRT also has some risks, like blood clots, heart disease and certain cancers. Your doctor can help weigh the potential benefits and risks of HRT for your individual situation.

Here are some key indications that you may benefit from HRT:

- You are experiencing moderate to severe menopause or andropause symptoms that impact your quality of life. Mild symptoms can often be managed with lifestyle changes.

- You have an increased risk of osteoporosis and bone fractures. Estrogen therapy helps maintain bone mineral density.

- You are at higher risk of cardiovascular disease and HRT may provide some protective benefits when started early.

- You have other hormone deficiencies, like low testosterone or thyroid hormone imbalance. Correcting these can relieve symptoms.

- You are experiencing lack of energy, low libido or changes in body composition that are impacting you psychologically and physically. Testosterone therapy may help.

- You have severe vaginal atrophy causing painful intercourse, urinary symptoms and recurrent infections. Low-dose vaginal estrogen can provide relief.

- You still have your uterus and need progestin to protect against uterine cancer if taking estrogen.

- You are under age 60 when initiating HRT. The benefits tend to outweigh the risks more in younger women.

Ultimately, the decision to start HRT is a personal one made in consultation with your healthcare provider. They can review your symptoms, medical history, risk factors and preferences to determine if hormone therapy is right for you. Many people find HRT helps significantly improve their quality of life during menopause or andropause.

Hormone Harmony Clinic offers individualized hormone replacement therapy programs for both men and women. Our compassionate providers listen to your needs and concerns, then tailor HRT regimens aimed at relieving symptoms while minimizing risks. We offer convenient virtual and in-clinic visits, along with at-home blood draws and hormone testing.

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