Natural Hormone Balance

  Board certified in Family Practice, Dr. Talty is able to integrate her knowledge, experience and curious mind, that when faced with perplexing pain conditions can draw conclusions based solely on physiology.  She began noticing syndromes present in her patients, both male and female who had been experiencing severe chronic pain or illness.   That led her to investigate and further appreciate the powerful effect that pain and disease states have on the pituitary-adrenal axis system. This intricate feedback system controls all the hormones in the body. Learning from the experience of working with patients with severely disrupted adrenal and reproductive hormonal balance, she began using natural hormone replacement with her pain patients.  Treating the whole body and empowering its own healing abilities has led to amazing improvements in her patients symptoms and quality of life.  
            She now offers “Natural” or,  “Bio-Identical” hormone balancing for both men and women.  Natural or Bio-Identical hormones are the exact hormones that our body makes in the ovaries, testes and thyroid glands.  This term is not synonymous with what is commonly referred to as “Hormone Replacement Therapy,” or HRT, which specifically refers to the use of synthetic hormones from female horse urine (pregnant mares urine = pre-mar-in), or the modified form of progesterone called Provera (which can have some very nasty side effects in the body). Horses have nine estrogens and human women have three.  The other six that horses have can be very aggressive toward female human’s breast tissue thus increasing the risk for breast cancer.  Bio-Identical hormone replacement has never been shown to increase a woman’s risk of breast cancer.  Everything that has ever been published in peer review literature or referred to in studies and reported in the media refers to Premarin and Provera, two very different compounds than natural estradiol and progesterone.  Provera is not the same molecule as Progesterone.  It has been modified so that it could be patented by the pharmaceutical industry and sold for profit.  It binds to the progesterone receptor on the cell surface, but can cause it to be partially turned on or simply work differently than it was designed to.  Therefore it has side effects in the body that can put some woman’s heath at risk.
Women’s progesterone levels begin to decline in their middle 30’s and symptoms of that decline often begin to be felt in the early 40’s.  Often this first shows up as heavy and irregular periods, trunctal weight gain (belly fat) despite Herculean efforts to decrease calories and food intake and increase exercise. Other symptoms include new or worsening premenstrual syndrome (PMS), increased anxiety, inability to manage stressors of daily life, joint and muscle pain, headaches, brain fog, bloating and fatigue.  As the process of hormone decline progresses into the late 40’s and early 50’s the symptoms of estrogen decline appear, including increased insomnia, vaginal dryness, hot flashes and/or night sweats, added weight gain, dry skin and hair, wrinkles, sense of internal burning, emotional liability, loss of libido, depression, mood swings and short and long-term memory-loss. Symptoms aside, the most important reason to consider natural hormone replacement is the simple fact that everything we associate with aging; all be it physical, emotional or cognitive is a direct result of our hormones dwindling and then disappearing once we are past our reproductive years.  Biologic evolution has no more need for us once we can no longer reproduce. Therefore we slowly dwindle into failing health, pain, disability, walkers, wheel chairs and rest homes.  The fact is that we are now living well into our 80’s and 90’s and want to remain healthy and vital until our predetermined biologic clock runs out and we simply crump with the least fan-fair and intervention possible.
Just like women who go through peri-menopause and then menopause when progesterone and estrogen levels decline, men experience what is known as “andropause” when their testosterone levels decline in their later 40’s and early 50’s. In the 4th and 5th decade of life men’s testosterone level decrease, which can leave them depressed, short tempered, lacking of motivation, fatigued, increased tearing and emotionality, diminished sex drive and performance with declining muscle tone despite exercise. Besides the symptoms that men experience, low testosterone levels can lead to a higher rates of prostate cancer and higher levels of bad cholesterol and triglycerides thus leading to heart disease including myocardial infarction, atherosclerosis, peripheral vascular disease, stoke and osteoporosis.
All “disease” begins at cellular inflammation.  In a healthy balanced hormonal state our threshold for cellular inflammation is elevated as hormone balance keeps us in an anti-inflammatory state.  When the hormones decline and then go away that threshold is significantly decreased.  This then results higher levels of inflammation   Thus when the hormones have dwindled, “disease” states develop much sooner and more intensely with much less reserve to recover before we experience symptoms and eventual decline.