Dear Dr. Northrup, I know you’ve been an advocate of bioidentical hormones for menopausal symptoms, but sometimes you also recommend herbs. I’m confused. How do I know which I should take? Thank for your guidance, Kikoo
Too many women see the hormone therapy decision as an either/or, yes/no decision. It is important for you to know that you don’t necessarily have to choose between traditional HT and alternatives. Think of your perimenopausal support as a smorgasbord. You get to choose what appeals to you at the moment and leave what doesn’t.
A couple weeks ago, a good friend called and said, “Help. I have night sweats and hot flashes. And I haven’t had a good night’s sleep in months. I watched you talk about bioidentical hormones on television. What do you think?”
It’s 2002 all over again, and women are being warned against taking hormone replacement because of its link to breast cancer. Why is history repeating itself? Because we haven’t learned an important lesson. Synthetic progestins are not the same as progesterone, and reporting on them as if they confer the same risks and benefits is absurd.