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    Low Estrogen Can Increase Your Risk for High Blood Pressure

    Low Estrogen Can Increase Your Risk for High Blood Pressure

    After age 45, women become much more susceptible to developing high blood pressure. This is directly linked to reduced levels of estrogen during perimenopause. Estrogen helps promote blood flow through your body by keeping blood vessels open, so when your estrogen decreases, your blood vessels can constrict. Because your veins and arteries are now narrowed, your heart is forced to pump your blood with more effort than normal. Hormone replacement therapy (HRT) can help.

    Not only does raising your estrogen levels lower your risk of hypertension, but you can also benefit from the many other effects of balanced estrogen, like sleeping better and improving weight loss. It is quite common for hormones to become imbalanced, especially before menopause. This imbalance can be caused by even very small changes in how many hormones your body produces.

    If you’re struggling with high blood pressure along with other menopause symptoms, get in touch with our team to schedule an appointment. We can help you treat your symptoms and get back to normal as soon as possible.

    Estrogen Plays a Key Role in Your Body

    Estrogen has a vital role in women’s bodies. As a primary sex hormone, one of its main jobs is to regulate the reproductive system. But its role doesn’t stop there. Normal levels of estrogen help to:

    • Control cholesterol levels
    • Maintain bone density
    • Boost mood
    • Reduce blood vessel inflammation
    • Protect urinary tract
    • Sustain cognitive function
    • Preserve youthful skin and hair

    Low levels of estrogen can lead to various health issues, including osteoporosis, mood swings, and hot flashes. Our team of healthcare providers can help manage these risks and symptoms through women’s hormone care. We will work with you to determine the optimal treatment options for your individual needs.

    Estrogen Helps Keep Blood Pressure Low

    Woman looking out the window after receiving hormone replacement therapy for low estrogen

    Hormone replacement therapy helps offset decreased estrogen, helping to lower blood pressure and the risk of developing hypertension.

    Estrogen has a vasodilative effect, meaning it helps keep the blood vessels open. This effect is particularly important for cardiovascular health. Lower blood pressure means a healthier heart and a reduced risk of heart disease. Research shows that complications from heart disease are the leading cause of death in women in the United States. These findings underscore the importance of a healthy hormonal balance in maintaining overall cardiovascular health.

    By age 65 or 70, more women have high blood pressure than men. Women experiencing a decrease in estrogen production may not realize the potential corresponding rise in blood pressure and risk of developing hypertension. Some of the possible negative outcomes of hypertension could include:

    • Heart attack and stroke. Deposits of plaque can narrow or block your arteries and could lead to blood clots. Blood clots can flow to your heart or brain, resulting in a heart attack or stroke. One study showed that a woman’s risk of having a heart attack is five times higher after menopause than before. 
    • Heart failure. Your heart has to work harder to circulate your blood, causing your heart to become larger and fail to supply your organs with blood.
    • Hypertensive crisis. This is a medical emergency that causes your blood pressure to rapidly rise above 180/120.
    • Chest pain. This happens when the heart doesn’t get the blood it needs. When people with high blood pressure walk uphill or exercise, angina can cause pressure or pain in the chest.
    • Kidney damage. Your kidneys help your body dispose of toxins and regulate many complex functions in the body. When they get damaged by high blood pressure, it reduces their efficiency and could lead to kidney failure.
    • Vision problems. Because your eyes are full of small blood vessels, they can be strained by high blood pressure. If left untreated, it can cause permanent vision loss.

    By keeping track of your blood pressure and taking steps to manage it, you can decrease your risk of hypertension and keep your heart healthy. It’s important to stay on top of your health and make sure you’re informed on all the changes that happen during menopause.

    Lifestyle Tips for Healthy Blood Pressure 

    Maintaining healthy blood pressure is crucial for women, especially as estrogen levels start to drop due to menopause. Women experiencing high blood pressure should take this condition seriously. Lifestyle changes can help. These tips can help reduce blood pressure levels and lower the risk of serious health conditions. 

    First, eating a well-balanced diet is essential. Incorporate foods that are low in sodium and high in potassium. Make time for low-impact, regular exercise such as walking, swimming, or cycling. Yoga or meditation can be great stress relievers, which can help keep your blood pressure down. Additionally, getting regular check-ups from your healthcare provider and taking any prescribed medication as directed is key. This may include HRT to help you take control of your blood pressure and overall health.

    Hormone Replacement Therapy to Restore Estrogen Levels

    HRT is a safe and effective option for many women experiencing symptoms of menopause. Our providers prescribe FDA-approved bioidentical hormone therapy rather than synthetic hormones, as they’re identical to the type of hormones your body produces. We may recommend estrogen replacement therapy, with or without progesterone. 

    If you’ve had a hysterectomy and no longer have a uterus, then we may prescribe estrogen-only hormone replacement therapy. This can treat your symptoms with few side effects and health risks. 

    If you still have your uterus, then you will receive combination therapy. This means the hormone imbalance treatment includes both estrogen and progesterone. Progesterone is necessary to keep endometrium (the lining of the uterus) growth in check to reduce the risk of uterine cancer. 

    Your Hormone Replacement Options with HerKare

    HerKare is here to provide personalized women’s hormone care. We offer an effective and safe way to support you with hormone replacement therapy. Reach out today and talk to a provider about how we can help with your hormonal care!

    Hormones and Weight Loss After Menopause

    Hormones and Weight Loss After Menopause

    For many women, menopause slows down your metabolism, making it difficult to lose extra weight. Perhaps you’re feeling frustrated because your weight isn’t budging, even though you feel like you’re doing all the right things. Weight loss for women after menopause is possible, but it requires learning a new way to approach losing weight. 

    By learning about how your hormones affect postmenopausal weight loss, you can better understand what changes may be happening inside your body – which gives you the power to take control of your health and make informed decisions that are tailored to meet your specific needs.

    Because hormonal change is such a significant factor in postmenopausal weight management, hormone replacement therapy (HRT) may be a highly effective option for you to successfully achieve a healthy bodyweight. Contact us to book an appointment to find out how we can help find the right weight loss solution for you.

    The Role of Hormones in Weight Gain After Menopause

    Postmenopausal woman smiling after receiving HRT to help with weight loss for women

    Weight loss for women is more difficult after menopause due to hormonal changes and can be improved with hormone replacement therapy.

    Menopausal women often experience weight gain due to fluctuating hormones. As estrogen levels decrease during menopause, the body’s fat distribution changes. You begin to gain more fat in the abdomen and around your internal organs. This is called visceral fat, and can actively increase the risk of other serious health problems, such as:

    • High Blood Pressure
    • Stroke
    • Heart Disease
    • Type 2 Diabetes

    Other hormones like cortisol and insulin also change during menopause and can negatively impact your metabolism. Going through menopause can cause stress levels to rise, meaning a higher level of cortisol will be present in your body. High cortisol levels can cause you to crave sugary and fatty foods. Meanwhile, your reduced estrogen can also make you more sensitive to insulin, which raises your blood sugar levels. High blood sugar causes your body to store fat more quickly.

    Understanding these hormonal changes is the first step toward maintaining a healthy weight and reducing the chance of other health risks after menopause.

    Hormone Replacement Therapy Boosts Weight Loss and Improves Well-Being

    HRT provides relief for many of the uncomfortable symptoms associated with menopause, such as hot flashes and sleep issues. When administered under the care of our qualified providers, hormone replacement can be a safe and natural option for postmenopausal women who want to improve their health. 

    For postmenopausal women struggling with stubborn weight gain, hormone replacement is also an effective method to help promote weight loss. By replenishing your depleted estrogen and progesterone hormones, metabolism is supported so your body is able to more efficiently utilize fat stores for energy. 

    With HRT, not only can you start regaining control over your weight, but you can have more energy and an improved sense of well-being. When combined with practical lifestyle changes like a healthy diet, good sleep, and reduced stress, you can start to feel like yourself again.

    Consume a Balanced Diet to Lose Weight After Menopause

    For postmenopausal women looking to lose weight, consuming a balanced diet with the right nutrients is key to managing hormone changes. Eating the right amount of calories your body needs each day not only provides energy but gives you the right amount of nutrition to fuel your body. Although every woman’s specific nutritional needs are slightly different, general nutrition guidelines after menopause include:

    • Fewer calories
    • Less iron
    • Lower fiber
    • More calcium
    • Higher Vitamin D and B-6

    A diet that is high in lean protein and healthy fats, and low in sugar and processed carbs, can help maintain your metabolism and keep blood sugar steady. Leafy greens, nuts, seeds, berries, and beans are excellent choices that provide nutrients to support bone and heart health too. 

    Focusing on a nutritious diet and lifestyle is key to supporting hormonal balance and weight management during and after menopause.

    Get Enough Sleep and Reduce Stress to Support Healthy Weight Loss After Menopause

    Getting adequate sleep and managing stress are critical to help your body’s systems function at their optimal levels. Sleep helps regulate the hormones that control hunger and appetite, including the stress hormone cortisol and the appetite-suppressing hormone leptin. During menopause, fluctuating hormone levels can disrupt sleep, making weight gain more likely. Aim for 7 to 8 hours of quality sleep per night to allow leptin levels to increase and cortisol levels to decrease, which helps curb appetite and prevent overeating. To offset stress, try relaxation techniques like meditation or yoga to help reduce the stress hormones that increase cravings and fat storage. 

    Exercise Regularly to Combat Weight Gain After Menopause

    Exercise is critical for maintaining a healthy weight during and after menopause. As estrogen drops, the body holds onto fat and muscle mass decreases, slowing metabolism. Regular exercise helps boost metabolism, build muscle, and burn fat. Even light activity like walking, yoga, or gardening for 30 minutes a day five times a week can have significant benefits for postmenopausal women. 

    Strength or resistance training is also important to maintain bone density and muscle mass. Staying active and exercising regularly can help menopausal women feel better, improve sleep and mood, and reduce health risks, all while combating the effects of shifting hormones on your weight. Making physical activity a daily habit is key to long term success.

    Feel Your Best After Menopause with HerKare

    Menopause should not stop you from achieving your health goals and feeling your best. You can still lose weight after menopause with the right combination of weight loss solutions, including HRT, diet, exercise, sleep and stress management. Our team of healthcare professionals is here to support you through the transitions around menopause. 

    Learn more about how HRT might be beneficial for supporting healthy weight loss for women after menopause. Contact us to book an appointment today.

    Hormonal Imbalance in Younger Women is More Common Than You Think

    Hormonal Imbalance in Younger Women is More Common Than You Think

    Difficulty sleeping, irregular periods, mood swings, unexpected weight gain—if this sounds like you, it could be a hormonal imbalance. It might seem unlikely, but hormonal imbalance among young women is actually fairly common. Studies show that up to 80% of women experience hormonal imbalance in their lifetime. Because many of these imbalances are undiagnosed, some women may go through years of suffering symptoms without knowing why.

    In this article, we’ll discuss the symptoms of a hormone imbalance, reasons why it might be happening to you, and how to get your balance back.

    Many of us associate hormone imbalances with menopause, but it can actually happen at any time in your life. Hormone imbalances as a young woman can be confusing and frustrating, but we’re here to help you find answers. Make an appointment now to speak with our team about hormone replacement therapy options.

    Hormonal Imbalance in Young Women

    Young woman in 20s or 30s experiencing symptoms of hormonal imbalance

    Women in their 20s or 30s may experience hormonal imbalance long before menopause.

    Early menopause is when a woman experiences menopause before age 45 and is one possible reason why you might suffer from hormone imbalance symptoms in your 20s and 30s. Early menopause only occurs in about 5% of women. However, younger women can still experience hormonal imbalance outside of the context of menopause.

    Hormonal imbalance refers to the disruption of the normal balance of hormones in your body. One of the most common imbalances for women is when estrogen and progesterone are not balanced properly.

    Progesterone and estrogen work together and are very important for your body. Estrogen affects mood, sleep, and libido, and also helps maintain bone density and healthy skin. Progesterone helps regulate the effects of estrogen on your body and regulates your period.

    As a woman, you should always listen to your body. Get help if you notice any changes in your menstrual cycle or start to experience more symptoms of hormonal imbalance. If left untreated, hormonal imbalances can lead to more serious health issues such as polycystic ovary syndrome (PCOS) or endometriosis.

    Balancing your hormones may sound complicated, but we’re here to help you find the right treatment so you can feel more like yourself again.

    Common Symptoms of Hormonal Imbalance

    When hormone levels are not balanced, it can lead to a multitude of symptoms that can negatively impact your quality of life. Even small changes in your hormone levels can have a significant impact on your physical and mental well-being.

    Some common symptoms of hormonal imbalance include:

    • Mood swings: Mood swings happen when serotonin levels rise and fall rapidly. Estrogen and progesterone control serotonin production levels, so when they are off balance, your serotonin levels will be, too.
    • Fatigue: If you frequently feel more tired than usual, despite getting good sleep at night and eating well, it could be due to a hormonal imbalance.
    • Difficulty sleeping: Imbalanced hormones can cause insomnia, and sleep deprivation can affect hormone levels, creating an ongoing cycle of sleepless nights.
    • Acne: Hormonal fluctuations can cause breakouts, often on the lower part of the face like the jawline, chin and bottom of the cheeks.
    • Weight gain: Because hormones play a major role in controlling your appetite, metabolism, and body fat distribution, a change in their normal level can lead to excess weight gain.
    • Irregular, heavy, or painful periods: A hormone imbalance can change the regularity of your cycle and can cause your body to make the uterine lining too thick, leading to heavy menstrual bleeding.

    Keep in mind that these symptoms can also be impacted by other life factors, including stress, poor diet, lack of exercise, and genetics, so it’s important to get a proper assessment of your hormone levels to determine if they are the key contributing factor.

    Causes of Hormonal Imbalance in your 20s and 30s

    A hormonal imbalance has a domino effect in your body that can lead to a wide range of long-term health problems, such as greater risk of heart disease, metabolic syndrome, and osteoporosis. Unbalanced hormone levels are also the number one cause of infertility in women.

    There are several factors that can trigger hormonal imbalance such as stress, poor diet, and certain medications. Hormonal imbalances also often occur during natural cycles in your life like puberty, pregnancy, and menopause.

    Another cause of hormonal imbalance is endocrine disorders such as PCOS. This disorder causes cysts to grow on your ovaries because your adrenal glands are producing more testosterone than normal. Typical symptoms include irregular periods, thinning hair, oily skin, and infertility.

    Low thyroid is a common reason for hormone imbalance in women. When you have an underactive thyroid, your metabolism slows down and you feel more tired than usual. Hormone replacement is usually used to treat low thyroid. Without treatment, low thyroid can lead to complications such as heart disease or pregnancy problems.

    Treating Hormonal Imbalance with Hormone Replacement Therapy or Other Medication

    Hormone replacement therapy gives you relief from symptoms caused by imbalanced hormones. When you take them regularly, they help replenish your body’s natural hormone levels so you feel more like yourself again.

    Depending on what your body needs, you can take bioidentical hormones to help your body stabilize its estrogen, progesterone, testosterone, or thyroid levels. The hormones we administer are all-natural, so you don’t have to worry about filling your body with synthetic hormones.

    Birth control medication is a common option for women who want to keep hormonal symptoms from fluctuating month to month, such as those who have been diagnosed with PCOS. However, this type of medication may not be an option for some women due to their individual needs. That’s why it’s important to learn all the options to find the right treatment for you.

    Help Balance Your Hormones with Healthy Lifestyle Changes

    Maintaining hormonal balance is crucial for overall well-being. Hormones play a vital role in your body, from sleep cycles to metabolism. However, factors such as stress, poor diet, and lack of exercise can upset your balance, leading to a range of health issues.

    Implementing healthy lifestyle changes can be immensely beneficial. Some of the ways you can promote healthy hormone balance include:

    • Eating a nutrient-rich diet
    • Engaging in regular physical activity
    • Reducing stress levels
    • Getting adequate sleep
    • Practicing self-care

    By making these small yet impactful changes, you’re not only helping to improve your hormonal balance, but your overall quality of life, too. We can help you identify what changes or support you need for your overall wellness.

    We’re Here to Help You Find Answers and Feel Better

    You might have a hormonal imbalance if you’re experiencing symptoms such as mood swings, fatigue, acne, or weight gain. Our team understands the importance of balancing your hormones. We can help you identify the root cause of your symptoms and develop a personalized treatment plan tailored to your needs.

    We know it can be exasperating to have hormone issues when you are in your 20s and 30s. That’s why we’re here to help. Our approach involves a thorough assessment of what your body needs, and the best treatment options to help get your balance back.

    Don’t hesitate to reach out to talk to our team about your hormonal imbalance concerns. Contact us today to schedule a consultation and learn more about how we can help you.

    Estrogen Replacement Therapy: Injections vs. Vaginal Creams

    Estrogen Replacement Therapy: Injections vs. Vaginal Creams

    Are you a woman in the midst of menopause? If so, you may be considering estrogen replacement therapy to help alleviate symptoms. These medicines can help you enjoy life again and relieve uncomfortable menopause symptoms like hot flashes, weight gain, low sex drive, and vaginal dryness. However, it’s important to know that there are different delivery methods to choose from. If you’re not sure which is right for you, our team is here to help. Two of the most popular types of estrogen replacement therapy during menopause are injections and vaginal creams. In this article, we’ll discuss the difference between these types of hormone replacement therapy and their pros and cons so you can make an informed decision on the best course of treatment for you.

    Don’t struggle through life with menopause symptoms, reach out to our team for help. We offer customized treatment plans that include hormone therapy and lifestyle changes to help you feel better. Schedule an appointment today at one of our convenient locations!

    Why Estrogen Is Important for Women’s Health

    Menopausal age women enjoying time together thanks to estrogen replacement therapy

    Estrogen replacement therapy can relieve menopausal symptoms and help you feel like yourself again.

    Estrogen is a hormone that plays a crucial role in women’s health. It helps regulate the menstrual cycle, strengthen bones, and promote healthy skin and hair. However, when estrogen levels become imbalanced, it can lead to a range of health problems, such as irregular periods, hot flashes, mood swings, and even painful sex. As we age, estrogen levels naturally decline, eventually leading to menopause. This can cause a variety of symptoms that might be disruptive to everyday life. Fortunately, there are ways to keep estrogen levels stable and healthy even during menopause to alleviate your symptoms. Taking care of your hormonal health can seriously improve your overall well-being and quality of life, especially during menopause. 

    Estrogen Replacement Therapy Can Help Relieve Menopause Symptoms

    Menopause can be a challenging time for many women. The uncomfortable hot flashes, mood changes, and vaginal dryness can significantly affect your daily life. Luckily, hormone replacement therapy with estrogen can help alleviate many of these symptoms. By increasing estrogen during menopause, it can prevent a lot of the negative aspects of menopause, like the life-altering symptoms. It may also reduce the risk of certain health conditions during menopause, like osteoporosis, as estrogen helps keep your bones strong. So, if you’re struggling with menopause symptoms, get in touch with our healthcare providers to determine if estrogen replacement therapy is the right option for you. 

    Benefits and Risks of Estrogen Replacement Therapy

    If you’re experiencing menopause symptoms, estrogen replacement therapy is a commonly prescribed medicine to help you feel better. It offers many benefits for women suffering with symptoms like hot flashes and vaginal dryness. It may also come with some added health benefits like keeping your bones strong or reducing your risk for heart disease. However, like all medications, it also comes with some potential risks. For instance, estrogen replacement therapy may increase your risk for certain conditions like blood clots, breast cancer, and uterine cancer. 

    It’s important to talk to our providers about the benefits and risks of HRT for your individual circumstances. We help you weigh the pros and cons and determine what’s right for you. Just keep in mind that for most women who suffer from menopause symptoms and are otherwise healthy, usually the benefits outweigh the risks for estrogen replacement therapy. 

    Types of Estrogen Replacement Therapy: Injections and Vaginal Creams

    Estrogen replacement therapy can be a lifesaver for women experiencing symptoms of menopause. It can really improve your life during menopause. Our providers will work with you to find the right options for your needs. If HRT is right for you, this means finding not only the right dose, but the right methods for hormone replacement therapy.

    There are different types of estrogen replacement therapy, with injections and vaginal creams being two options. Injections provide a steady dose of estrogen throughout the body, while vaginal creams are applied directly to the affected area for localized relief. It’s important to consult with our healthcare providers to determine which option is best for you based on your symptoms, medical history, and individual needs.

    Pros and Cons of Injectable Estrogen Replacement Therapy

    One option for estrogen replacement therapy is regular estrogen injections. These injections provide bioidentical estrogen directly into the bloodstream to supplement your body’s estrogen levels. This is a convenient and effective option if you’re struggling with menopause symptoms. 

    Among the biggest benefits of estrogen replacement therapy injections is that they can treat a wide range of menopause symptoms. Since they go through the body systemically, you can get relief from a variety of symptoms like:

    • Hot flashes
    • Night sweats
    • Sleep disturbances
    • Mood changes
    • Vaginal dryness

    Treatment with injectable estrogen replacement therapy involves getting regular estrogen shots, combined with progesterone medications if you still have your uterus. This provides a steady dose of estrogen right in your blood so it can travel to various tissues in your body. 

    However, injections aren’t right for everyone. Compared to vaginal estrogen creams, estrogen shots typically provide a higher dose of estrogen in the bloodstream. This might lead to side effects as well as risks for things like blood clots for some women. Our team can help you determine if estrogen injections are the right choice for you. Remember, every person is unique, and what might work for one person may not work for another.

    Pros and Cons of Vaginal Estrogen

    Vaginal creams for estrogen replacement therapy can be a useful option for many women during menopause as well. These are often used as an alternative to injectable estrogen replacement therapy. These creams work by delivering estrogen directly to the vaginal tissues, helping to restore moisture and elasticity. 

    Since vaginal estrogen creams are used topically, they offer a lower dose of estrogen compared to many other delivery methods, including estrogen injections. While your body will likely absorb some of the medicine into the bloodstream, most of the estrogen stays in the tissues of the vagina and vulva. This often means that there are fewer risks and side effects for this type of treatment. 

    However, there is a big downside to using vaginal estrogen instead of systemic estrogen like injections. Because it doesn’t go throughout the body, vaginal cream does not usually improve symptoms like hot flashes, sleep issues, and other menopause symptoms. Instead, it generally only helps symptoms localized to the genital area, like vaginal dryness, burning, or irritation. In some cases, it may also help with urinary urgency and painful sex. However, it’s a really limited treatment option. So, if you’re struggling with other menopause symptoms, it likely won’t be an effective treatment for you. Additionally, keep in mind that because it’s a cream, you can transfer it to sexual partners, which can cause side effects and health concerns, so you’ll need to make sure you avoid sex right after applying the creams. Our team can help you decide whether vaginal estrogen creams are a good choice based on your individual needs.

    Considerations for The Type of Hormone Replacement Therapy You Take

    When it comes to choosing a preferred method of estrogen replacement therapy, there are several factors to take into consideration. Firstly, it’s important to consider the severity and duration of menopausal symptoms, as this will help determine whether a systemic or localized approach is necessary. Other factors to consider include personal preferences and lifestyle habits, such as convenience and schedule flexibility. Additionally, medical history and current health status should also be taken into account, as certain health conditions may influence the choice of estrogen replacement therapy. As always, it’s important to consult with our healthcare professionals to determine the most appropriate course of action and ensure safe and effective treatment. Remember, choosing the right method of estrogen replacement therapy can help provide relief and improve quality of life during menopause.

    Personalized Care from HerKare

    It’s clear that estrogen replacement therapy can have many significant health benefits, while also coming with potential risks. When considering the best treatment option, it is important to weigh hormone levels alongside lifestyle factors and overall health goals. No matter which type of estrogen replacement therapy you choose, our team is here to provide personalized care that fits you and your lifestyle. We are a women’s health clinic dedicated to helping you feel your best. Our providers are here to help you make important decisions for your healthcare. Prioritize self-care by reaching out to our team to talk about your symptoms. Make an appointment today to get started.


    It is with heavy hearts that we announce that Dr. Sridevi Panchamukhi will be discontinuing her affiliation with HerKare. Dr. Panchamoukhi’s last day with HerKare was Monday, March 27, 2023. As a patient you may obtain copies of your medical records or arrange transfer of your medical records to another physician. HerKare Physician Group, PLLC will continue to maintain your medical records. You may reach out to to obtain copies of your records. We wish Dr. Panchamoukhi the very best.