Biodentical Hormone Replacement Therapy and Periods To Cycle or Not To Cycle

Could you imagine ever wanting your periods back after menopause? Most women would say no. And it is understandable: who wants to have this trouble again?

If you decide to get bioidentical hormone replacement, is this something you have to worry about again? Will you get your youth back, including your period again?

Well, no! Youth is back but with no periods and no worry of pregnancy. Another choice is to go back to cycling with periods again. There is no consensus as to which is better. And I usually recommended my patients’ BHRT without cycling. Until recently.

Two things changed my mind:

1.             With periods the uterus sheds its superficial part, getting rid of the old possibly damaged cells and regrowing new healthy tissue.  This may be considered a natural uterine cancer prevention.

2.        A recent animal study from Texas A & M Health Science Center showed that estrogen as a memory enhancer works only in a cycling state.  It makes me think that estrogen may work better for a woman’s brain if they are cycling.

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