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 seems to be a lot of confusion around the definition of “natural” versus “bioidentical versus “synthetic” hormones. One thing to remember when making this distinction is that “bioidentical” refers to the shape of the molecule itself rather than the source of the hormone.
The conventional view of what happens at perimenopause is that estrogen levels plummet. This is a gross oversimplification and too often leads to treatment that can make mildly uncomfortable symptoms worse.
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.