Peri-Menopause

Peri-menopause and Pre-menstrual Syndrome (PMS)

Program Overview

Our hormone replacement team collaborates with you to tailor a hormone program that aligns with your unique needs and lifestyle.
This personalized therapy includes a blend of bio-identical hormones, along with doctor consultations and lab work conducted either in the office or virtually.

Common Symptoms of Perimenopause and PMS

Symptoms such as mood swings, headaches, insomnia, and emotional fluctuations are often linked to estrogen dominance compounded by low progesterone levels. Additionally, low testosterone levels may contribute to symptoms like decreased libido, fatigue, and weight gain, indicating a hormonal imbalance.

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  • Hormone Replacement Strategies

    Addressing Estrogen Dominance

    • Dr. Rogers Centers offers Estrogen Dominate capsules, with instructions to increase dosage when experiencing breast tenderness.
    • Our weight loss program is recommended to balance hormones by reducing non-ovarian estrogen production in fat tissues.
    • We also advise monitoring and minimizing environmental estrogen exposure by limiting the intake of hormone-exposed meat, milk, butter, and dairy products.

    Managing Progesterone Deficiency

    • Low progesterone may manifest as increased anxiety, moodiness, and disrupted sleep patterns, particularly after ovulation and until menstruation.
    • Treatment involves dosing progesterone based on symptom patterns throughout the menstrual cycle or during irregular cycles.
    • Peri-menopause patients may experience these symptoms all the time as the progesterone levels start to decline with ovarian fatigue.

  • Progesterone Dosage Timing Guidelines

    Continuous Symptoms

    If you experience symptoms consistently throughout the typical 28-day cycle or have irregular missed cycles, take progesterone every night before bedtime. However, omit the dose for the first two days of your menstrual period. Once menstruation begins, pause the nightly dose for two nights, then resume on the third night. Repeat this cycle accordingly.

    Pre-Menstrual Symptoms

    If symptoms manifest a week or two before your menstrual cycle begins, initiate progesterone supplementation on the night of ovulation (typically around day 12 or 13 of your cycle). Maintain the nightly dosage until the first day of menstruation. Discontinue the nightly dose until ovulation occurs again, then repeat the aforementioned regimen.

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Hormone Therapy Q & A

Hormones are the messengers of your body. Your endocrine glands produce them, and they travel through your bloodstream to various parts of your body, telling your organs and tissues what to do. They’re responsible for controlling a lot of your body’s major processes, like reproduction and metabolism, and they can have a profound effect on your mood and mental clarity.

Perimenopause and PMS Lab Draw Considerations

Ideally, labs should be drawn during the week before menstruation begins.
Lab draws for different hormone replacement methods should be timed accordingly, ensuring accurate assessment and dosage adjustments.

Hormone Therapy Q & A

Hormones are the messengers of your body. Your endocrine glands produce them, and they travel through your bloodstream to various parts of your body, telling your organs and tissues what to do. They’re responsible for controlling a lot of your body’s major processes, like reproduction and metabolism, and they can have a profound effect on your mood and mental clarity.

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Considerations for Hormone Replacement Therapy

  • Patients with a history of certain cancers or blood clotting disorders should consult with specialists to evaluate the risk-benefit ratio of HRT.

  • Maintaining healthy weight, cholesterol, and blood pressure levels while on therapy reduces the risk of adverse events such as blood clots, strokes, and heart attacks.

  • Potential side effects of estrogen, progesterone, and testosterone therapy should be considered, including bloating, headaches, breast tenderness, blood clots, and various gynecological issues.