Long Term HRT Use

I am often asked by patients when they should stop their hormone medications.

Previously, it had been recommended on the traditional side to try to taper or stop hormone medication after being on them for 5 years. However, many women would notice that either while trying to taper their medications or after stopping their medications that they just did not feel well at all. Their bodies were telling them that they needed what they had been using.

In 2017 there were some important developments with regards to hormones and their benefits over time.

The following study followed women over the course of 12 years and concluded that women on hormone replacement therapy had lower all-cause mortality. What does this mean? It means that women taking hormones had a lower risk of dying than women not on hormones and the ones that were on hormones and not dying from heart disease were not at higher risk of dying from something else, for example cancer. This is a good news story. As one of my cardiology colleagues commented: “How amazing it is that taking hormones makes women live longer!”

With regards to how long to take hormones, there is an authoritative group in the USA called the North American Menopause Society (NAMS). This group looks at all the studies with regards to hormones and issues guidelines for physicians. In July 2017, NAMS released the following change to their guidelines:

4 Takeaways

  • HRT is good for the heart
  • HRT is good for LIFE
  • Don’t stop HRT based on age
  • Don’t stop HRT based on duration of use

Want to learn more? Pick up your copy of my book, Feel Your Best. Live Your Best., here: http://georgearnoldmd.com/product/feel-your-best-live-your-best-a-natural-return-to-hormone-balance/ and take advantage of half price shipping for a limited time!

Patient Story: Jo-Anne Binns

My name is Jo-Anne Binns, I’ll be 55 next week.

I started taking bio identical hormones in my 40’s having peri-menopausal symptoms. I originally heard about these safe hormones via Oprah and Suzanne Somers raving about them in television interviews and subsequently reading and researching endlessly. My symptoms were:

sense of hopelessness
no libido

I suffered with extreme abdominal pain which went undiagnosed for over 4 years. I eventually found a wonderful Endometriosis Doctor suggesting exploratory laparoscopic surgery. I had two surgeries and was finally diagnosed with fibroids, ovarian cysts, adenomyosis and endometriosis. After several years of pain and this diagnosis, I agreed to a complete hysterectomy including removing  my ovaries.

I literally woke up the morning post surgery in the hospital with total body joint pain from my neck to my toes. Seems removal of one’s ovaries will place you directly into menopause.

Dr. Arnold saw me and immediately adjusted and re-prescribed appropriate bio-identical hormones and within no time (less than a week) I was feeling amazing and have felt like my old self ever since. It was as though a light switch had finally been turned on.

Now my symptoms are:

no joint pain
no hot flashes
no sleepless nights or night sweats
no depression
no headaches
lots of energy
libido is back
no weight gain

Friends complain about hot flashes, depression, no energy wondering how I feel so energetic and don’t have these horrible symptoms of menopause. I tell anyone that will listen how bio-identical hormones will change your life and in some cases, give you your life back again.

I met a woman well into  her 80’s while waiting for meds in a compounding pharmacy… she was feeling so good and had been her entire life due to bio-identical hormones. Without asking I guess she felt the need to let me in on her secret and how her bio-identical hormones gave her vitality and a feeling of well-being non of her friends felt.

How amazing I thought, but guess what, I’m already in on the secret.

Want to learn more? Pick up your copy of my book, Feel Your Best. Live Your Best., here: http://georgearnoldmd.com/product/feel-your-best-live-your-best-a-natural-return-to-hormone-balance/ and take advantage of half price shipping for a limited time!

Periandropause – Perimenopause for Men


Nowadays, it is also becoming more well-known that men go through their own version of menopause—for them, the midlife change is known as andropause. In andropause, men experience many of the same symptoms women in menopause feel: fatigue, depression, irritability, anxiety, loss of memory or concentration, loss of sex drive, erectile dysfunction, and more. And just like women, men can also go through their own version of perimenopause known as periandropause. Periandropause can occur when a man’s hormone levels start to decline.

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Progesterone: Helping Carry Pregnancy to Term

Progesterone | Pregnancy

Often, if a woman is able to conceive, but has trouble carrying to term, it’s because of progesterone production. Progesterone is the main female reproductive system hormone and it plays a vital role in fetal development during pregnancy. It prepares the inner lining of the uterus for pregnancy by signaling for its walls to thicken in preparation for accepting a fertilized egg. Progesterone also keeps the uterus’ muscles from contracting so that it doesn’t reject the egg, and the production of this crucial hormone also prevents ovulation.

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Progesterone: Keeping Postpartum Depression at Bay

Progesterone after birth hormone

Louise was 34 and pregnant with her second child when she came to visit me for relief from worsening depression. She had experienced mild postpartum depression (PPD) following her first delivery three years prior, but had taken no medication for the condition at that time. At 30 weeks, I started her on a bioidentical progesterone cream. Within two weeks, her depression had subsided and after delivery, she experienced zero postpartum depression.

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Thyroid: A Small Hormone with Big Impact


Slowing down in later years is part of the aging process. But sometimes there’s another culprit behind the decline people feel—hypothyroidism.

Hypothyroidism is a condition in which the thyroid gland doesn’t produce enough hormone to keep your body operating at optimum levels. When your thyroid hormone levels are low, your metabolism slows, which can lead to a host of other conditions.

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