Integrating BHRT with a Holistic Lifestyle: A Comprehensive Guide for Menopause

Are you looking for the most natural transition through menopause?

In my last blog, I explored the various aspects of Bioidentical Hormone Replacement Therapy (BHRT). Whether you're using BHRT or are on the fence and want to learn more, check out Bioidentical Hormone Replacement Therapy (BHRT) for Perimenopausal and Menopausal Women: A Holistic Approach to Longevity to get a better understanding of BHRT.

In this blog, I explore various natural approaches to menopause that can be used with or without BHRT to help you transcend to your next phase of life more gracefully.

For women who prioritize a holistic approach to health, BHRT can be integrated into a broader wellness plan that includes nutrition, exercise, stress management, and other lifestyle practices.

A holistic approach to BHRT ensures that hormone therapy is not used in isolation but is part of a comprehensive strategy to support overall health and well-being.

Nutrition

A healthy balanced diet is essential for supporting hormone health and overall well-being. Most important, is to eat real, whole organic foods, eliminating:

Processed foods
Seed oils
Sugar

For more details on cleaning up your diet, check out my free e-book, The Foundations of Eating for Health.

For many perimenopausal and menopausal women a modified ketogenic diet and intermittent fasting can be beneficial.

Specific nutrients play a crucial role in hormone production and balance, including:

Phytoestrogens: These are plant-based compounds that mimic the effects of estrogen in the body. Foods rich in phytoestrogens, such as flax seeds, legumes, fennel, rosemary, and alfalfa can support hormone balance during perimenopause and menopause. (1)

Omega-3 Fatty Acids: Found in fatty fish, flaxseeds, and walnuts, omega-3 fatty acids have anti-inflammatory properties and support heart and brain health. (2)

Antioxidants: A diet rich in antioxidants from fruits, vegetables, and nuts can protect against oxidative stress, which is associated with aging and age-related diseases. (3)

Vitamin D3/K2: These nutrients are essential for bone health. Vitamin D helps the body absorb calcium into the blood and K2 into the bone, which is necessary for maintaining strong bones. (4)

Magnesium: A “master mineral” essential for over 300 reactions in the body, plays an essential role in bone health, muscle relaxation, metabolic function, mental/emotional/cognitive health, and more. (5)

Zinc: Crucial for the synthesis of sex hormones like testosterone and estrogen, zinc deficiency can lead to hormonal imbalances that affect mood, energy levels, and reproductive health. (6)

Vitamin B6: This vitamin is essential for the production of neurotransmitters and the regulation of estrogen metabolism. B6 deficiency can contribute to symptoms of PMS, mood swings, and fatigue. (7)

Iodine: Necessary for thyroid hormone production, iodine deficiency can lead to hypothyroidism, resulting in symptoms like weight gain, fatigue, and depression.
Iodine's importance extends beyond the thyroid, with significant implications for breast tissue, especially in women. (8)

Retinoic Acid (Vitamin A): Retinoic acid is a critical cofactor for hormone receptors, ensuring that hormones like estrogen and progesterone can effectively bind and exert their effects on target tissues. A deficiency in vitamin A can reduce hormone receptor sensitivity, leading to diminished hormonal response. (9)

Adaptogens: Adaptogens like ginseng, gynostemma, astragalus, rhodiola, and ashwagandha play a role in hormone health. Adaptogens can play a role in improving sex hormone activity, cortisol balance, mitochondrial function, and thyroid health.
Ginseng, for example, has been shown to increase hormone receptor density, enhancing the body's responsiveness to hormonal signals. (10)
Your functional medicine doctor may be including adaptogens in your BHRT regimen which can help optimize hormone receptor function and improve overall hormonal balance.

It is always best to get micronutrient testing through your functional medicine doctor, so that you can take a targeted approach to nutrient supplementation.

Exercise

Regular physical activity is a cornerstone of a healthy lifestyle and complements the benefits of BHRT.

Exercise has numerous benefits for women going through perimenopause and menopause, including:

Maintaining Bone Density: Weight-bearing exercises such as walking, jogging, and resistance training can help maintain bone density and reduce the risk of osteoporosis.

Supporting Heart Health: Cardiovascular exercise, such as swimming, cycling, and aerobics, supports heart health by improving circulation, reducing blood pressure, and promoting healthy lipid levels.

Improving Mood and Mental Health: Exercise has been shown to improve mood, reduce anxiety, and enhance cognitive function by increasing the production of endorphins and promoting neuroplasticity.

Weight Management: Regular exercise, intermittent fasting, quality sleep, stress management, and a healthy diet are key factors to maintaining a healthy body weight, which is essential for metabolic health and reducing the risk of chronic diseases.

Stress Management

Stress can significantly impact hormone balance and overall health.

Chronic stress leads to the production of cortisol, a stress hormone that can disrupt the balance of other hormones, such as estrogen and progesterone.

Incorporating stress management techniques into your daily routine can help support hormonal balance and overall well-being.

Some effective stress management practices include:

Mindfulness and Meditation: These practices can help reduce stress, promote relaxation, and improve mental clarity.

Yoga and Tai Chi: These mind-body exercises combine physical movement with deep breathing and meditation, helping to reduce stress and improve flexibility and strength.

Deep Breathing Exercises: Simple deep breathing exercises can activate the body’s relaxation response, reducing stress and promoting a sense of calm.

Sleep Hygiene

Sleep is crucial for hormone balance and overall health. Many women experience sleep disturbances during perimenopause and menopause, which can exacerbate other symptoms.

Establishing good sleep hygiene can help improve sleep quality and support overall well-being.

Tips for better sleep include:

Establishing a Regular Sleep Schedule: Going to bed and waking up at the same time each day helps regulate the body’s internal clock.

Creating a Relaxing Bedtime Routine: Activities such as reading, taking a warm bath, or practicing relaxation techniques can help signal to your body that it’s time to wind down.

Optimizing Your Sleep Environment: Ensure your bedroom is conducive to sleep by keeping it cool, dark, and quiet. Consider using blackout curtains, earplugs, or a white noise machine if needed.

Limit Alcohol Consumption: Alcohol, along with various other negative effects, disrupts quality sleep by fragmenting sleep and blocks REM sleep. (11)

Acupuncture

Acupuncture has a proven effect on regulating the neuroendocrine system.

Studies demonstrated that acupuncture has a significant impact on menopausal symptoms from anxiety and sleep to hot flashes and cognitive function. (12,13)

Choosing the Right Healthcare Provider

If you’re considering guidance and support throughout your menopause journey, it’s essential to work with a healthcare provider who specializes in hormone health, understands the nuances of bioidentical hormone therapy, and holistic practices.

A hormone literate functional medicine practitioner and Doctor of Acupuncture and Chinese Medicine, like Dr. Martina Sturm, can help create a personalized treatment plan, integrating a holistic approach with your BHRT.

When choosing a healthcare provider for BHRT, consider the following factors:

Experience and Expertise: Look for a provider with specialized training in hormone health and BHRT. They should have a thorough understanding of the different types of hormones, their effects on the body, and how to customize treatment for each patient.

Personalized Approach: BHRT should not be a one-size-fits-all treatment. Your provider should take the time to understand your unique symptoms, health history, and goals to create a personalized treatment plan.

Monitoring and Adjustments: Hormone levels can fluctuate over time, so it’s essential to work with a provider who will monitor your progress and make adjustments to your treatment as needed.

Is a Holistic Approach with BHRT Right for Me?

Bioidentical hormone replacement therapy offers a promising solution for women navigating the challenges of perimenopause and menopause.

By restoring hormone levels to a more youthful state, BHRT can help alleviate symptoms, support longevity, and enhance overall well-being.

For women who prioritize a holistic approach to health, BHRT can be seamlessly integrated into a broader wellness plan that includes:

Nutrition
Exercise
Stress management
Sleep Support
Supplements
Detoxification
Acupuncture
Herbal Medicine

and other lifestyle practices.

Together, we can create a comprehensive, personalized approach to hormone health that goes beyond simply treating your symptoms.

This holistic approach ensures that your BHRT plan is tailored to your unique needs, leading to more effective and sustainable results.

If you’re considering BHRT, it’s crucial to work with a knowledgeable healthcare provider who can guide you through the process and ensure that your treatment is safe, effective, and tailored to your individual needs.

Request a free consultation with certified hormone literate practitioner, Dr. Martina Sturm at Denver Sports and Holistic Medicine, today.

Discover how BHRT, combined with a holistic approach, can help you thrive during perimenopause and beyond.

With the right support, you can navigate this life stage with confidence, vitality, and grace!

Resources

Martina SturmSeptember 29, 2024Denver Sports and Holistic Medicine