Vitality NP NYC

Female Hormone Replacement Therapy

Most women never need hormone replacement therapy. But you may if you’re suffering from the symptoms of menopause or perimenopause. Dramatic mood swings, hot flashes or vaginal dryness may be due to a hormonal imbalance caused by low estrogen levels. Fortunately, female hormone replacement therapy with nurse practitioner Svetlana Pyatigorskaya at Vitality NP NYC brings you back into balance. Svetlana has more than three decades of experience working with women’s health. Call today for an appointment.

Who Needs Female Hormone Therapy?

Women who are going through menopause — or the stage before menopause called perimenopause — may need female hormone replacement therapy. If you’re in that group and want to talk to a professional about whether this therapy can benefit you, reach out to Svetlana Pyatigorskaya, a nurse practitioner with Vitality NP NYC in New York City.
Normally, your organs are basically bathed in estrogen your whole life. Once you begin to go through perimenopause, there are irregular drops in estrogen, causing a hormonal imbalance. This imbalance only worsens as you go enter menopause, and it can trigger some uncomfortable side effects.

When Do I Need Hormone Replacement Therapy?

The symptoms of menopause may begin during perimenopause, and it’s often these symptoms that trigger the need for female hormone therapy. You haven’t really entered full menopause until you’ve been without a period for a whole year. Once you’ve gone 12 months with no spotting or blood release of any kind, you’ve made it to menopause.

You may have symptoms before you reach perimenopause or menopause. Svetlana can treat you with female hormone replacement therapy for other reasons, such as to:

Who Benefits from a PRP Vampire Facial?

If your face or neck are showing signs of aging, you may benefit from a Vampire Facial. The exciting process, when performed expertly at Vitality NP NYC, stimulates healing your skin, as well as regenerating new skin. The benefits of a PRP facial are particularly effective if you have:

  • Make up for removed ovaries or an estrogen deficiency before age 40
  • Treat early menopause, before age 45
  • Avoid or delay osteoporosis, the medical condition that causes your bones to degrade
  • Provide support during a transgender process, in combination with a transgender hormonal transition optimization

Why Would I Start Hormone Replacement Therapy?
What’s Involved in Female Hormone Therapy?
How Can I Reduce My Risks from Female Hormone Replacement Therapy?
Why Would I Start Hormone Replacement Therapy?
Dropping estrogen levels lead to menopause symptoms. Female hormone therapy treats those symptoms. If you had your ovaries removed, you likely have low estrogen, as your ovaries produce that hormone. If you have only one ovary, though, it may produce enough estrogen to keep your body moving naturally towards menopause at a normal age.
If you experience menopause early, no matter the reason, that’s another reason the symptoms may affect you. Once the hormonal imbalance of menopause hits you, you’ll probably begin experiencing traditional menopausal symptoms, such as:

  • Hot flashes
  • Night sweats
  • Difficulty sleeping
  • Mood swings
  • Vaginal dryness and painful intercourse
  • An increase in urinary tract infections (UTIs)

To relieve your symptoms, Svetlana may suggest female hormone replacement therapy. This form of treatment always includes estrogen, but it can also include the hormone progestin in the form of progesterone. Between these two hormones, Svetlana can regulate your hormonal imbalance.
What’s Involved in Female Hormone Therapy?
As a nurse practitioner with more than 30 years of experience, Svetlana Pyatigorskaya at Vitality NP NYC in Lower Manhattan has a plan for you if you’re experiencing a hormonal imbalance. While she tailors your treatment to your specific needs, your options include:

  • Topical creams

used primarily for vaginal dryness

  • Compounded pills

selected especially for your situation

  • Bioidentical hormone replacement treatment

(BHRT), used to get your hormones up to the same levels as a patient who’s 25 to 30 years old
All treatments have their pros and cons, and BHRT is no exception. While the process of releasing less estrogen over time makes sense as you pass out of child-bearing age, the ride can be bumpy. On the other hand, if you continue to take estrogen past the time your body actively uses it, you could increase your risks of:

  • Osteoporosis
  • Stroke
  • Heart disease
  • Dementia, for women 65 and older
  • Blood clots
  • Breast cancer
  • Cancer of the lining of the uterus
  • Endometrial cancer

Your risks for these side effects depend on factors that include your age, your personal and family health history and whether your uterus and ovaries are intact. Svetlana reviews all the benefits and risks of your treatment before you begin so you can determine the best next step.
How Can I Reduce My Risks from Female Hormone Replacement Therapy?
Most nurse practitioners, like Svetlana, recommend female hormone therapy only when absolutely needed. Even then, she starts you off on the smallest possible dose of hormones to alleviate your symptoms. If the dosage is insufficient, she increases it gradually until it’s effective. Relief involves:

  • A reduction or elimination of hot flashes
  • Comfortable sleeping and sleeping through the night
  • No more mood swings
  • A return to normal sexual relations
  • Fewer UTIs

Hormone replacement therapy is not a long-term solution. Think of it as a temporary treatment to get you past your menopause symptoms. While using hormone replacement therapy, you’ll have regular follow-up visits with your nurse practitioner at Vitality NP NYC.

Am I a Good Candidate for Female Hormone Therapy?

If your symptoms from menopause are interfering with your quality of life, female hormone replacement therapy may be a good choice. Before you start, talk to your nurse practitioner about making lifestyle changes to help your body get through menopause more comfortably. Non-invasive alternative treatments like lifestyle changes are easier on your body than hormonal treatments.
To discuss your options and have your symptoms addresses, contact Svetlana Pyatigorskaya at Vitality NP NYC in Downtown NYC. She listens to your concerns and then shares her experienced opinion about the best course of action for you.

  • Make up for removed ovaries or an estrogen deficiency before age 40
  • Treat early menopause, before age 45
  • Avoid or delay osteoporosis, the medical condition that causes your bones to degrade
  • Provide support during a transgender process, in combination with a transgender hormonal transition optimization

Book Your Appointment Today!

Svetlana Pyatigorskaya is a Board Certified Family Nurse Practitioner and American Board Anti Aging Health Practitioner. She lives and practicing in New York .

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