Many menopausal women wonder whether they should get treated for menopause even if they have no symptoms. They are generally healthy, eat right, exercise, take supplements, and don’t have any night sweats or hot flashes…so why should they worry about taking hormones?  

The problem is that these menopausal women probably are having symptoms, they just don’t realize (with all do respect) that these symptoms are due to menopause. For example, itching, headaches, urine leakage, and dry skin are some of the more subtle symptoms felt by menopausal women and attributed to “just aging” as opposed to menopause. Then there is the fatigue, brain fog, vaginal dryness, loss of libido, depression, anxiety, weight gain, insomnia, and accelerated skin wrinkling that may occur. And finally, even if a menopausal woman doesn’t feel anything, menopause causes dangerous bone loss and increases the risk of subclinical atherosclerosis and dementia.

My view is that there is actually no such thing as having no signs or symptoms of menopause. This is because, by definition, menopause causes permanent estrogen and progesterone deficiencies which have ongoing negative systemic consequences unless bioidentical hormone replacement therapy is instituted.

Shira Miller, M.D.

P.S. I have started scheduling a limited number of new patients from my waitlist for appointments in mid-July. Just email me to request to get on the list.

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