Finding Your Balance

Hormones play a big role in so many parts of your life including mood, memory, energy, sleep, fertility, and libido. The benefits of hormone replacement therapy keeps growing all the time.  Hormones like Vitamin D, Thyroid, and Sex hormones (estrogens and progesterone) also help foster a strong immune response, stress response, maintain cardiovascular function, and bone mass.

What are the different kinds of hormone imbalances?

  • Estrogen Dominance or Low progesterone – Mood swings, migraines, fat gain on hips and thighs
  • Low Estrogen or Flucuations of Estrogens- Triggers hot flashes, night sweats, palpitations, foggy thinking, vaginal dryness
  • Low Testosterone or DHEA – Leads to decrease in bone or muscle mass, metabolism, energy, strength, and libido
  • High Cortisol- Anxiety, sugar cravings, tired and wired, increased belly fat
  • Low Cortisol- Chronic fatigue, low energy, food cravings, low immune reserves
  • Neurotransmitter imbalance- low estrogen can lead to a drop in serotonin
  • Thyroid imbalance- Low estrogen can lead to thyroid symptoms, ie. slowed metabolism and always feeling cold.
  • Low Vitamin D


  • Perimenopause- between ages 35-50
  • Natural menopause- ages 50-52
  • HRT- Could be Vitamin D or thyroid replacement
  • BHRT- Bioidentical means hormones that are the most similar to what your body is or was already producing

What are the long term effects of reduced estrogen?

  • Osteoporosis
  • Heart Disease
  • Stroke

What Is Hormone Replacement Therapy?

Hormone replacement therapy allows you to take control of your mind and your body. Hormones are compounds that are engineered to look and behave in our bodies just like our natural hormones (which our bodies produce regularly). Hormones such as testosterone, estrogen, DHEA, thyroid, melatonin, and progesterone, all have bio-identical hormone equivalents. These are processed by the body easily, with minimal side effects. That’s because bio-identical hormones are created from natural ingredients (usually soy or wild yams) and thus will not have any harsh consequences on the body unlike synthetic compounds that were used in the past for hormone replace therapy.

What are the different kinds of hormones?

  1. Androgens– such as testosterone and DHEA play a major role in enhancing libido, enhancing bone building, providing cardiovascular protection, and improving energy and mental alertness. When women enter menopause, testosterone and DHEA levels may decline.
  2. Estrogens– include E1 (Estrone), E2 (Estradiol) and E3 (Estriol). Estrogens refers to a group of related hormones each with unique activites. When hormone replacement therapy to provide a normal psychological balance these hormones are often prescribed in combination with each other.
  3. Progesterone- (P4) is commonly prescribed for women during perimenopause to counteract “estrogen dominance” which occurs when a woman produces smaller amounts of progesterone than estrogen. Progesterone also minimizes the risk of endometrial cancer in women who are receiving estrogen, and is usually preferred by women who hard previously taken synthetic progestins.

What treatment options should I discuss with my doctor regarding my menopausal symptoms?

  1. Phytoestrogens including trans-reservatrol and Ipriflavone
  2. Supplements including Black Cohosh, Dong Quai, Licorice Root. Click Here for other supplements.
  3. Bio-Identical Hormone Replacement Therapy– Combinations of E1, E2, E3, P4, and DHEA have been effective in treating various vasomotor symptoms associated with menopausal hormone imbalance. Formulations include progesterone troches, topical and vaginal creams, oral capsules. Various ratios of these hormones exist in the female body, and in order to mimic these ratios, formulations often have to be compounded to contain some proportion of the three estrogens. TriEst is a common name given to formulations containing E1, E2, and E3 while BiEst is a common name given to formulations containing E2 and E3. BiEst generally contains 80% estriol and 20% estradiol, while TriEst contains 80% estriol, 10% estrone, and 10% estradiol. A prescription written for 2.5 mg of BiEst will actually contain 2 mg of estriol (E3) and 0.5 mg of estradiol (E2) if using a conventional 80:20 ratio.

How can working with our compounding pharmacy help?

As a compounding pharmacy, Webster Pharmacy can personalize treatment options for you that other pharmacies may not be willing to prepare.


Q: Is hormone replacement therapy safe?

A: Because bio-identical hormones are created from natural ingredients and are structurally identical to natural hormones, they are considered the safest form of hormone replacement therapy on the market today.

Q: Which Bio-Identical Hormones Do I Need And How Is That Determined?

A: To determine what bio-identical hormone replacement therapy is best, you will fill out a detailed personal medical profile and undergo a saliva test to check your hormone levels. Once your results come back in about a week , our pharmacist will sit with you and discuss your results as well as a recommended course of treatment, which is usually carried out on a regular basis for a certain period of time.

Q: Are There Any Side Effects To Taking Hormone Replacement Therapy?

A: A sudden increase in hormones in the body may trigger certain short-term side effects such as increased hair growth on the face as well as an outbreak of acne. Women may experience sensitivity in their breasts and spotting. Some of these side effects will subside on their own after your body has adjusted to the therapy. Other symptoms like spotting can be alleviated through the use of progesterone capsules at bedtime.

Q: Can I Improve My Sex Life By Taking Hormone Replacement Therapy?

A: If you’ve been suffering from a low libido, taking bio-identical hormones that simulate testosterone can most definitely increase your sex drive and tremendously improve energy levels.

Q: Are There Other Medical Benefits To Hormone Replacement Therapy?

A: In certain studies, taking bio-identical hormones has shown to have protective qualities against breast and ovarian cancer, osteoporosis, high cholesterol, and heart disease.

Q: Am I Still A Good Candidate For Hormone Replacement Therapy If I Haven’t Gone Through Menopause?

A: Yes. Although women who have gone through menopause are at risk of experiencing hormone imbalances, they are not alone. Individuals who have given birth, experienced other milestones in their lives, who have been working hard and/or not eating right, are also at risk.