Dr. Michelle Sands on Myths and Truths About Hormone Replacement Therapy

Bioidentical Hormones

Michelle Sands explains that bioidentical hormones are chemically identical to the hormones our bodies naturally produce. Unlike synthetic hormones, which can act as endocrine disruptors, bioidentical hormones provide a more natural and effective hormone replacement option. She emphasizes the importance of understanding the difference between these two types of hormones, as many doctors often confuse them due to misleading terminology in medical studies 1.

   

Synthetic Hormones

Synthetic hormones, such as those found in birth control pills, are man-made and differ from the hormones our bodies produce. Michelle points out that synthetic hormones, like conjugated equine estrogen, are derived from sources like horse urine and can have different effects on the body compared to bioidentical hormones 2. She stresses the importance of using the right type, delivery method, and dosage to ensure safety and effectiveness in hormone replacement therapy 1.

   

Hormone Testing

Testing hormone levels is crucial before and during hormone replacement therapy. Michelle highlights the inequities in hormone testing between men and women, noting that women are often not offered hormone tests or are misdiagnosed with conditions like depression instead 3. She advocates for regular testing to tailor hormone therapy to individual needs, ensuring optimal health outcomes 4.

   

Hormone Dosing

Proper hormone dosing is essential for effective hormone replacement therapy. Michelle explains that physiological doses, which mimic the hormone levels at the peak of reproductive health, are ideal. She warns against super physiological doses, which can cause side effects and complications 5. Michelle also discusses the benefits of different hormone delivery methods, such as topical applications, which can be easily adjusted to meet individual needs 6.