Do You Need Hormone Balancing?

Would you benefit from taking hormones? Find out how they can help.

Lissa Rankin, MD
5-minute read

Do you feel tired 24/ 7? Are you so moody that your cocker spaniel is keeping his distance? Is your sex drive in the crapper?  Are you carrying extra weight you can’t seem to shed, no matter how much you diet? Does your energy level drag throughout the day? Are you mentally foggy?  Do you feel like you’ve lost your mojo and can’t get it back?

If you do, you may be tempted to think that the best part of your life is behind you, that growing older signals gradual and progressive decline, and that you have little control over how you feel.  But you are so not alone.

A Hormone-Balancing Case Study

Lanie felt the same way. In her thirties, Lanie was a firecracker who ran marathons, worked twelve hour days, needed no more than six hours of sleep to feel fabulous, enjoyed a rockin’ sex life, and felt at the top of her game. But gradually, things changed.

When her alarm clock went off in the morning, she hit the snooze button three times before dragging her butt out of bed.  After being promoted at forty to a senior executive position in a thriving business, she found herself unable to work more than seven hours--and then, only when she could sneak a little nap behind closed doors. Her normally lusty libido vanished, leaving her husband confused and feeling rejected.  She gained fifteen pounds over the course of four years, even though her diet and exercise regimen remained the same.

She didn’t feel as sharp at work, which affected her job performance, and she feared that she was losing her edge.  She thought maybe she was going through premature menopause, but her periods were like clockwork, and she wasn’t having the classic hot flashes and night sweats she associated with menopause.

We tend to think of hormones as something you don’t need until after menopause, but the truth is that many women’s hormones start to lag long before periods stop.

Lanie saw her primary care doctor, who ran a battery of tests, pronounced them normal, and diagnosed her “well.” She felt like she should have been relieved, but she wasn’t.  She was frustrated, disappointed, and feeling hopeless.  She showed up in my office, where I ordered a more complete battery of tests which revealed that Lanie’s thyroid gland was underactive, her adrenal glands were pooped out, and her sex hormones were lower than one might expect in a forty-four-year-old woman. I prescribed compounded thyroid hormone, supplements to support her adrenal glands, and small doses of bio-identical estrogen, progesterone, and testosterone. I also invited her to start a practice of journal writing, spend more time cycling, talk to a career counselor, and read a few of my favorite inspirational books.

How Hormone Balancing Works

Six weeks later, Lanie came in for a follow up appointment, and when she saw me, she burst into tears. I asked if she was okay, and she said, “I feel fabulous. I’m just mourning the fact that I’ve been living half a life for years and I wish I had done this four years ago.” Lanie tries to credit me with turning her life around, but I just helped Lanie rediscover the vitality that has been lying within her all along. Because I held up the mirror to show her the gorgeous, vibrant woman she is, Lanie was able to see what she needed to do to reclaim her vitality.

As a gynecologist, it breaks my heart to see how many women suffer this way when we have so many tools to help them. But they don’t teach you many of these tools in medical school.  Before I started practicing integrative medicine, I worked my butt off in a busy managed care practice where I was expected to see 40 patients/day.  Trained at high powered academic institutions, I was brainwashed to believe what I was taught and didn’t open my mind to alternatives until I ultimately quit my job because I intuitively knew there was more we could do for women than a traditional medical practice was allowing me to offer.