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    ERT FAQs

    What is estrogen?

    Estrogen hormones get your body ready for pregnancy and increase your desire for sex. They also help regulate your cholesterol levels and strengthen your bones. Although estrogen is usually produced by the ovaries, your fat tissue or adrenal glands can also produce estrogen. During perimenopause or menopause, your estrogen levels drop. For some women, this can lead to such uncomfortable symptoms as depression, fatigue, hot flashes and a low sex drive. You may also experience symptoms of low estrogen at other times in your life. We may be able to treat your low estrogen with bioidentical estrogen replacement therapy.

    How are low estrogen levels diagnosed?

    We'll discuss your symptoms and use a blood test to determine whether your estrogen levels are too low. When you start estrogen replacement therapy, we'll continue to monitor your levels to ensure that you are getting the right dosage and make adjustments as required.

    How do you treat low estrogen levels naturally?

    If we determine that you need estrogen replacement therapy, we'll use bioidentical estrogen. This offers natural estrogen replacement with estrogen derived from plants rather than made synthetically.

    Who should get estrogen replacement therapy?

    Women who suffer from a hormone imbalance may benefit from estrogen replacement therapy. After discussing your symptoms and health history and determining through a blood test that your estrogen levels are below the normal range, our medical provider will discuss if estrogen therapy is potentially right for you.

    What are the effects of estrogen replacement therapy?

    As is the case with all forms of hormone replacement therapy, it may take from a few weeks to several months to recognize improvements in some of your symptoms. Improvements potentially include more energy, fewer mood swings, and an improved libido. Estrogen replacement therapy has been shown to reduce migraines and night sweats in some patients. Prior to entering menopause, taking estrogen might also make your periods more regular.


    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.