On July 9, 2002, the federal government halted a research study being conducted by the Women's Health Initiative on the effects of Hormone Replacement Therapy (HRT), stating that the risks of long-term use of HRT outweighed its benefits. The study found that women using estrogen plus progestin had an increased risk of coronary heart disease, stroke, breast cancer and pulmonary embolism.
Despite the above findings, there are still some benefits to long-term HRT use that should be noted. These benefits include:
- A decrease in hip fractures
- A decrease in colon cancer
- A decrease in or an elimination of hot flashes
- A decrease in nocturnal wakefulness
- An increase in vaginal lubrication
In her best-selling book The Pause, psychologist and sex therapist Dr. Lonnie Barbach states that a Yale University study found 90 percent of women who had experienced less sexual interest prior to the study "reported an increase in desire and sexual activity after being treated with estrogen for three to six months." Barbach does not report the sample size of this study.
Natural Hormone Replacement Therapy (NHRT)
NHRT, or bio-identical hormones, work like hormones found in the body naturally. Natural hormones are derived from the yam plant or soybean plant. Unlike synthetic hormones, bio-identical hormones are manufactured to have the same molecular structure as the hormones produced in the body.
When the ovaries stop producing estrogen, they also stop producing testosterone. Testosterone has been called the hormone of desire. Therefore, if a woman's testosterone level falls below her personal baseline, she will likely experience a decrease in sexual desire. Doctors can test the level and prescribe the appropriate amount of testosterone.. If the testosterone is going to work, it will start taking effect immediately. Taking more than is needed will not increase your sexual drive further, and too much testosterone produces acne, oily skin and hair. It can cause hair loss on the scalp and hair growth on other parts of the body. While taking testosterone it's important to be monitored by physician.
- Vitex (chasteberry) tends to balance female hormones. It evens out mood disruptions, gets rid of hot flashes and restores vaginal lubrication. It can also be used for PMS. You can take it as a tincture. A tincture is an alcohol extract of an herb and is sold in a bottle. The directions on the bottle will state how many drops you should take in a small amount of hot water. Vitex also comes as a tea. The problem with Vitex is it takes two to three months to begin working and you must take it at least twice a day. It also comes in pill form, but this takes six months to become effective.
- Siberian ginseng reduces hot flashes. Like Vitex, it may take a few months to start working.
- Skullcap can be helpful for irritability or anxiety.
- Passionflower, motherwort and valerian are natural sedatives.
- Some sources recommend dong quai to reduce hot flashes; however, others cite research that shows it is no more effective than a placebo.
- Avoid or cut down on caffeine (including chocolate), alcohol and spicy foods. They can increase hot flashes and cause fatigue.
- Increase your intake of soy products, such as tofu, miso, tempeh and soybeans, which are rich in isoflavones. They reduce hot flashes.
- Eat small meals. Large meals dilate blood vessels and cause the body to grow warmer.