You might think of hormone replacement therapy only as a treatment for those going through menopause. Although menopause is one of the most well-known hormonal conditions, women can experience various disruptions or imbalances in hormone production that can affect them physically and emotionally. When this happens, it’s important to consider hormone replacement therapy to restore balance.
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Thyroid diseases occur when the gland makes either too much or too little hormones. These hormones play an important role throughout the body and imbalances can lead to conditions such as hyperthyroidism, hypothyroidism, thyroiditis and Hashimoto’s thyroiditis.
There are hormones that constitute what is often referred to when the term “hormone replacement therapy” is used. These include:
Estrogen
Estrogen is a hormone produced by the ovaries and adipose (fat) cells. It has a variety of functions, including:
Causes an increase in blood flow and oxygen metabolism
Increases neurotransmitters responsible for many of the emotions you experience
Improves mood by increasing serotonin levels
It is important to have a balanced level of neurotransmitters to maintain normal body functioning and stable mood. Estrogen replacement therapy helps maintain proper levels of these neurotransmitters, especially during times when estrogen naturally drops (e.g., during menopause).
Progesterone
Progesterone acts as a relaxing hormone produced by the ovaries. It works with a different neurotransmitter in the brain but has a calming effect. Progesterone allows for feelings of well-being. Just like estrogen, when progesterone levels are out of balance depression and anxiety may ensue.
Cortisol is a hormone produced by your adrenal glands. This hormone is necessary for survival. It is responsible for energy metabolism and is critical in the management of stress. Consider when quick responses are important for saving your life (i.e., jumping out of the path of a car). Cortisol is produced in quick bursts and then naturally recedes.
Increased levels of cortisol during stress are normal, but when cortisol levels are too high the impacts can be dramatic. Chronically high levels of cortisol can cause:
On the other hand, inadequate levels of cortisol levels are not healthy either. The most common symptoms experienced with low cortisol levels are:
Cortisol levels can be affected by many conditions, such as physical or emotional stress, strenuous activity, trauma, and infection. Hormone replacement therapy that focuses on cortisol levels brings your stress response back into balance.
Testosterone
Testosterone naturally wanes in women as they age, but in some cases low testosterone levels can cause physical symptoms earlier. Symptoms of low testosterone include:
It’s important to note that just having one or two symptoms in passing is not necessarily a sign of low testosterone. Talk to your doctor to rule out other possible causes.
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Dr. Levinstein brings the highest standard of medical care while delivering the most advanced treatments to meet your specific needs and help you reach your pain management goals. He is an interventional and anti-aging functional medicine specialist. He has a clinical interest in the biomechanical etiology of musculoskeletal injuries, pain conditions and degenerative spinal and joint disorders utilizing treatment of the whole-body continuum with innovative orthobiologic treatments.
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