The topic of hormone replacement therapy (HRT), especially with bioidentical hormones, seems to raise more questions than answers. Given the amount of misinformation and confusion that exists, I have prepared the following primer. It covers the ABCs of HRT and addresses some of the most commonly asked questions.
There’s no question that heart palpitations at menopause are related to changing hormones. However, my experience has been that in many midlife women, heart palpitations are primarily from increasing heart energy trying to get in and be embodied in a woman’s life. At midlife our hearts and bodies often become increasingly sensitive to those things that don’t serve us, including caffeine, refined carbohydrates, aspartame, alcohol, or monosodium glutamate, all of which may overstimulate our hearts. Your heart may also be telling you it’s time to pay attention to your deepest desires or what your heart is longing to express.
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.