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Menopause & Hormone Therapy

Changes in a woman’s reproductive hormones, beginning as early as her twenties, can cause disruptive symptoms. Common complaints include irritability, hot flashes, insomnia, loss of sexual desire, decrease concentration, difficulty with relationships, anxiety, unhappiness – and a myriad of other problems.


We often see these problems being misdiagnosed as psychiatric disorders by other doctors with the initiation of powerful medications that can bring about other dangerous problems. As a general rule it’s better to avoid medication, particularly medication that changes the neurochemistry of your brain.

Dr. Litrel talks about menopause and hormone replacement therapy.

At Cherokee Women’s Health Specialists, we try to find the cause of the problem rather than just treat the symptom.

Hormone Balancing With Bioidentical Hormones

Many times an imbalance of hormones is the culprit, and thus we offer our patients natural (bioidentical) hormone replacement. The word “hormone” sometimes generates fear because of all the negative press regarding hormones causing cancer. However, the hormones implicated in causing cancer tend to be synthetic hormones rather than natural (bioidentical) hormones – in fact, without hormones, life would not be possible.

Dr. Haley discusses long term impact of bioidentical hormone therapy and its benefits.

In addition to hormone balancing, we often find our patients suffering because of problems with life balancing. There are many demands associated with being a woman; sometimes it’s the choices we are making in life that are causing our symptoms, not a biological deficiency.

As primary health physicians, we listen to you to understand what is going on in your life, in addition to performing a careful physical exam and laboratory testing.

Read more about menopause facts and bioidentical hormone replacement therapy in Dr. Haley’s articles Menopause, Part 1: Six Menopause Facts Every Woman Should Know and Menopause, Part 2: Hormone Replacement Therapy – 7 FAQs.

Menopause and HRT Education Articles

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The Many Benefits of HRT

Hormone replacement therapy (HRT) is a medical treatment that can help alleviate the symptoms of menopause in women. Menopause is ...

Bioidentical Hormone Replacement Therapy for Menopause – The Best Natural Treatment

Bioidentical hormone replacement therapy is the most natural treatment for menopausal women. Menopause is a natural biological process and part ...

Great Sex After Menopause?

Yes, it's possible to have great sex after menopause! One of the most common complaints among menopausal women is a ...
Michael Litrel, MD, FACOG, FPMRS

Hormone Replacement Therapy for Menopausal Symptoms

A Q&A with Dr. Litrel about menopause and hormone replacement therapy (HRT) ...

PMS Explained

PMS (premenstrual syndrome) affects most women at one time or another. In fact, it’s estimated that three out of four ...
perimenopausal woman with hot flash photo

Perimenopause – A Real Woman’s Story

Perimenopausal symptoms can be confusing. Along with the usual hot flashes and night sweats, you may also experience some lesser ...

How Long Should You Take HRT?

HRT, which stands for hormone replacement therapy, is exactly as the name implies — a treatment to replenish flagging hormones ...
unhappy woman

Menopause and Depression

It's estimated that 20% of women suffer from depression during the time leading up to menopause (perimenopause) and throughout menopause ...

Are Natural Bioidentical Hormones the Best Choice for You?

As women approach mid-life and start to experience menopause, many often wonder if hormone therapy is the right choice for ...
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Sexual Desire After Fifty – Treatment Options for Low Libido

Loss of sexual desire after fifty does not have to be the norm. If you find yourself uttering “not tonight” ...
Photo of woman

Menopause, Part 2: Hormone Replacement Therapy – 7 FAQs

by James Haley, MD, FACOG, FPMRS Below are the 7 FAQs about Hormone Replacement Therapy I’ve encountered in twenty five ...
James Haley, MD, FACOG, FPMRS

Menopause, Part 1: Six Menopause Facts Every Woman Should Know

by James Haley, MD, FACOG, FPMRS Menopause facts can be hard to come by, considering that a third or more ...
woman having hot flashes

4 Things to Know if You Are Entering Menopause

Menopause is a turning point in a woman’s life that can have a significant impact on her health and overall ...

Could it be Perimenopause?

Hot flashes are one of the most common symptoms of perimenopause, the time in a woman's life right before she ...
vaginal dryness

Menopause Management

Changes in a woman’s reproductive hormones, beginning as early as her twenties, can cause disruptive symptoms. Common complaints include irritability, ...