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.
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
The woman in menopause, who is becoming the queen of herself, finds herself at a crossroads of life, torn between the old way she has always known and a new way she has just begun to dream of. A voice from the old way (in many cases it’s her husband’s voice) begs her to stay in place—”Grow old with me, the best is yet to be.” After working with thousands of women who have gone through this process, as well as experiencing it myself, I can say with great assurance that menopause is an exciting developmental stage—one that, when participated in consciously, holds enormous promise for transforming and healing our bodies, minds, and spirits at the deepest levels.
The primary relationship that needs updating at midlife is the one you have with yourself. All other interpersonal crises that arise at this time are simply reflections of this. Your new self is no longer willing to accept less than you deserve. Relationship troubles are not due to the crazy-making effects of their hormonal shifts. And midlife gives us new wisdom and the courage to voice it.