1. Hormone therapy can be life changing, you can improve moods, you can have a better sex life, you can maintain your weight and your waist, you can have healthier bones and skin, as well as control sleep and cognition; find out from your gyno specifically which ways you would benefit
2. Know your individual risks. There are risks of starting, risks of continuing and now we know if you were ever taken off hormone therapy there are risks to discontinuing hormone therapy. There are individual risks and benefits, for sure, and to that end there is still a call to action as to the research. The good news is that there has been aggressive study of the following menopausal helpful strategies other than just life span because there are many potential risks and there has occasionally been overemphasis, and thus 'misinterpretation,' of the risks of hormone therapy.
3. Switch dosing, formulas, timing. There are many choices in how to take hormone therapy. A search for effective but even safer dosages, you may need more or less dosage than other women you know. A search for alternative therapy, especially if you are very early or very late in menopause you might be better off considering specialized dosing, or dosing that is modified with the right nutrition and supplements.
4. Appropriate testing can help direct our advice.
5.. A better understanding of long term body and bone health and the risks of alternative therapies, for this information we need to test your bones as well as your body composition test.
6. . Nutritional and fitness management of menopause. Can you pass some very simple fitness tests? Let us check your abdominal muscles, your posture, and your gait to give you proper advice.
7. Hormone therapies cannot solve all problems. For pelvic floor health there are now maintenance therapies that can help sex, improvement of the appearance of the vulva, correct minor labial issues, help prevent ingrown hairs. Non-medication radiofrequency or laser therapy can prevent ever having sexual pain with menopause. As with other aspects of your medical care, prevention is an important strategy.
8. Non-hormonal management of irregular bleeding in perimenopause, of utmost important is to get proper tests for breast cancer, cervical cancer, colon and skin cancer.
7. Understand your genetic risks in context of the type of hormone, the age of initiation, your response to hormone therapy.