Women’s Health Redlands
Menopause – Hormone Balancing for Women
Hot flashes are one of the most common symptoms of menopause and pre-menopause. Hormone fluctuation, diet and lifestyle all play a role in the onset and severity of hot flashes. Meditation, stress reduction, high fiber diets, and testosterone pellet implants can all relieve hot flashes in the majority of women.
Recommendations for Hot Flashes
- Testosterone pellet implant
- Diet: Eat whole foods, fruits and vegetables. Add flaxseed and whole soy foods to your diet. Cut back on refined carbohydrates (sugar).
- Reduce Stress: Meditate, avoid stressful situations, and pay attention to how you react to stress.
- Practice deep breathing exercises throughout the day.
- Herbal Products: Black cohosh, dong quai and chaste berry. Vitamin E 800 IU/day. B vitamin complex.
- Low Dose Transdermal Progesterone Cream: apply ½-1 gm. daily or twice daily as directed. Consider application to the mucous membranes of the labia and vagina. You may want to apply a small amount behind the ears.
- Sublingual Progesterone Drops: Apply under the tongue and may provide relief. Hold under the tongue 3-5 minutes.
- Estrogen Gel, Vaginal Cream or Patch: Apply an estrogen cream with progesterone to the mucous membranes of the labia and vagina or the skin (a small amount behind the ears will be absorbed rapidly). The estrogen patch provides consistent delivery of estradiol.
- Avoid spicy foods, limit alcohol.
- Ice water: Sipping on a cold beverage can alleviate or reduce the severity of hot flashes.
Testosterone-Anastrozole Implants for Breast Cancer Survivors
Testosterone pellet implants have been used for hormone replacement since 1940. The implants used in breast cancer survivors contain testosterone, a hormone and anastrozole, an aromatase inhibitor. Anastrozole (Arimidex®) is an oral medication that treats breast cancer by preventing the conversion of testosterone to estradiol (a strong estrogen that may stimulate breast tissue). The dose of anastrozole used in the implant has not been studied for the prevention of breast cancer.
Testosterone and subcutaneous anastrozole may both be used ‘off label’ in women.
If you have questions about this, please ask Dr. Apodaca or Marcella Hardy-Peterson, CNP for further information.
Female Testosterone Implant Treatment
Testosterone pellets in women relieve hot flashes, decrease vaginal dryness, increase libido, increase bone density, and relieve depression.
Testosterone pellets deliver testosterone for three to four months on average. Testosterone stimulates the bone marrow to produce red blood cells. Estrogen may be given along with testosterone as a vaginal cream to treat vaginal discomfort. Please notify Marcella Hardy-Peterson, CNP prior to the procedure, if you have a history of heavy menstrual flow, abnormal uterine bleeding, endometriosis, and uterine fibroids or have required a D&C or endometrial ablation in the past.