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Why Bio-Identical Hormone Replacement Might Be Your New BFF in Perimenopause

You know that moment when you’re standing in the kitchen, fridge wide open, and you have no earthly idea why you’re there? And then later, you burst into tears because your partner forgot to buy oat milk, followed by lying awake at 3am wondering if you should start an alpaca farm?
Yeah. Welcome to perimenopause.

Perimenopause is like that one friend who “just drops by” and overstays her welcome. She shows up anywhere from your late 30s to your mid-50s, rearranges your hormones without asking, and leaves you wondering if you’re losing your mind, your metabolism, and your ability to sleep — all at once.

The Symptom Parade 🎪

Here’s just a taste of what she brings to the party:

• Hot flashes that make you want to stick your head in the freezer
  
  

• Mood swings that rival a telenovela plotline
  
  

• Weight gain that laughs in the face of your kale smoothies
  
  

• Brain fog that makes you forget your kids’ names (briefly… probably)
  
  

• Night sweats that require middle-of-the-night sheet changes
  
  

• Vaginal dryness (oh yes, we’re going there)
  
  

• Insomnia, low libido, and the sudden urge to throat punch people for chewing too loudly
  

But here’s the kicker…

These symptoms aren’t just annoying. They’re signs that your estrogen, progesterone, and testosterone are doing a slow-motion conga line out the door — and that’s not just bad for your mood, it’s bad for your long-term health.

Estrogen, for example, is like the Beyoncé of your hormones — she’s involved in bone health, heart health, brain function, skin elasticity, and yes, vaginal lubrication. Lose too much of her too quickly and you’re at higher risk for osteoporosis, heart disease, and cognitive decline. Add to that the fact that your brain is so dependant on estrogen that it will actually make you pack fat (estrogen stores in fat) onto your waistline to feed it like that carnivorous plant from little shop of horrors.

Why Bio-Identical Hormones are the Upgrade You Deserve

Bio-identical hormones are molecularly identical to the hormones your body naturally makes — which means your body recognizes them as “self,” not as some weird synthetic imposter trying to crash the party.

The big perks:

• Better symptom relief without the side effects some women get from synthetics
  
  

• Support for bone density so you’re less likely to snap a hip trying to roller skate at your granddaughter’s birthday party
  
  

• Brain protection — estrogen is neuroprotective, meaning it helps keep your memory sharp and your mood stable
  
  

• Cardiovascular health — helps maintain healthy cholesterol and arterial flexibility and aids in weight loss.
  
  

• Better sleep, skin, and sex (you’re welcome)
  

The Myth Busting Section 🕵️‍♀️

Myth #1: “Hormones cause cancer.”
The Women’s Health Initiative study that freaked everyone out? It was based on synthetic hormones from pregnant horses (yes, really) combined with synthetic progestins — not bio-identical hormones. Later research shows bio-identicals do not carry the same risks and, in many cases, are safer.

Myth #2: “I’m not menopausal yet, so I don’t need hormones.”
Perimenopause can last 4–10 years. Waiting until you’re officially menopausal is like waiting to water your plants until they’re crispy.

How We Figure Out Your Hormone Story

Here’s where we ditch the “one size fits all” approach. At my clinic, I use saliva and urine testing through ZRT and DUTCH labs to get a complete picture of your hormone patterns — not just estrogen and progesterone, but cortisol rhythms, testosterone levels, and how your body is actually metabolizing these hormones.

From there, we work through a whole-body approach:

1. Support the HPA axis — Using targeted supplements and Chinese herbs to restore balance between your hypothalamus, pituitary, and adrenals (because stress is often the puppet master behind hormone chaos).
   
   

2. Nourish and detox — Making sure your liver pathways and hormone receptors are open so you can process hormones safely. Ensure that your microbiome is a happy little ecosystem.
   
   

3. Compounded hormone options — If needed, I can connect you with a compounding pharmacy for personalized progesterone and testosterone prescriptions in the exact dose and form your body needs.
   
   

4. Lifestyle shifts — Because no hormone works in a vacuum. Sleep, nutrition, movement, and stress management all play a starring role.
   
   Bottom Line

Perimenopause doesn’t have to be a slow, sweaty, brain-fogged slide into the abyss. Bio-identical hormone replacement — combined with smart testing, HPA axis support, and targeted herbal/supplement therapy — can smooth the ride, protect your long-term health, and make you feel like you again.

If you’re tired of feeling like a hormonal crime scene, let’s test your levels and create a plan that has you sleeping, smiling, and remembering why you walked into the kitchen.

Call the clinic at 970-442-0284 or click “Schedule Now” — because you deserve to feel amazing in this next chapter.

I first experienced anxiety while pregnant with my second daughter when 20 minutes of Cormac Mcarthy’s post apocalyptic movie version of “The Road” threw me into a month long panic attack.  20 minutes of a movie was all it took to trigger my prenatal hormone frazzled amygdala into full blown cortisol driven alarm mode. This Anxiety ruined any semblance of sleep I was able to catch with a 2 year old in the house and sent me on a high tech home security search that became an obsession. As if the only thing standing between my family and a post-apocalyptic mob of cannibalists was an alarm system.  I knew I was being ridiculous, but my nervous system was beyond reason. Fortunately my initial glimpse into the discomfort of anxiety was short lived as a few weeks of hormone regulating Acupuncture (and perhaps a few glasses of wine) was all it took for me to get back my calm. For many though, Anxiety is a constant and relentless companion and something which I treat every day at Durango Acupuncture Clinic.

Introducing the Amygdala and Hippocampus and their role in Anxiety

The amygdala is like a family dog who spends his days in a kind of obsessive vigilance at the window just waiting to alert you and your brain to the presence of impending doom and danger, usually in the form of a UPS man.  This normally serves to keep us out of harm's way, but hormonal fluctuations, extreme trauma and stress can throw our amygdala’s off, resulting in everything suddenly becoming a major threat.

The hippocampus is a lot like your mother, in that it takes certain scary or threatening events (like that time you thought it would be fun to ride your bike with no hands and ended up in a cast for the summer) and never, ever lets you forget about them.  The hippocampus stores these frightening events in fragmented flashbacks in the brain to remind you to stay away from dangers in the future, but when your brain is imbalanced by severe trauma, these memories can lead to PTSD.

These two parts of the brain can act like sugar crazed kids at a slumber party who just had a seance and are freaking out!  They can trigger the increase of neurotransmitters like norepinephrine (which increases heart rate and blood pressure) and dopamine (which can increase feelings of dread) and decrease GABA and 5HTP, your body's go-to transmitters for inducing a state of calm and happiness.    

These brain centers and neurotransmitters are designed to make us safe and keep us out of harm's way, but when stress, trauma, thyroid issues, or hormone fluctuations come into play, they can lead to neurological imbalances and anxiety disorders.  

Fortunately, there are effective ways to reduce anxiety:

1. Get  Acupuncture: which has been shown in studies to reduce anxiety by altering the functional release of neurotransmitters to stop the autonomic response.  Which is like giving your amygdala a bone to gnaw on and your worried mother-like hippocampus a cocktail. It can also affect the sympathetic and parasympathetic nervous systems by reducing cortisol and adrenaline and increasing serotonin levels.  There's a reason why you always seem to float out the Acupuncture room. Anxiety is something that I work with everyday at Durang Acupuncture Clinic and Acupuncture is completely safe for those currently taking anti-anxiety or SSRI medications.

2. Practice mindfulness through yoga and meditation.  Yoga is a wonderful way to soothe the nervous system through movement, you can join Michelle Lawrence and I at Yogadurango November 11th for a workshop of heart opening yoga followed by Acupuncture and guided meditation specifically geared toward treating anxiety.  This workshop sold out last year and we are so excited to offer it again!

3. Give your brain the building blocks for GABA and 5HTP:  Sometimes your brain needs a little help and there are a number of powerful herbal supplements that can give your body the building blocks it needs to create this vital neurotransmitters.  I carry a number of supplements by the brand Neuroscience, which are carefully designed to recalibrate your neurology in a way that is safe and incredibly effective. I love helping patients find the right one for them.

4. Get on the Adaptogen bandwagon:  Adaptogens are getting a lot of buzz lately and it's easy to see why.  Adaptogenic herbs like Ashwagandha, ginseng and Astragalus are herbal pharmaceuticals that work to counteract the effects of stress on the body.  They regulate a stable balance in the hypothalamic, pituitary and adrenal glands to essentially hack the stress response.. Reducing fatigue, depression and calming the central nervous system.  

Sciatica, it’s more than just a pain in the butt in Durango and Acupuncture can help.

While it’s physical manifestations may be confined to the buttocks or leg on one side, Sciatica, piriformis syndrome and herniated disks can create some serious limitations when it comes to doing the activities you love.  When an injury or condition keeps you off your bike, out of the gym, away from your yoga, running or hiking practice, the emotional pain of vulnerability and depression can be far worse than the original issue. Here are some of the common complaints I hear from my sciatic patients at Durango Acupuncture Clinic.

1. Pain in the butt that is worse with sitting, hello desk job!

2. Numbness or burning pain that radiates down the leg.

3. Pain worsened by exercise, and generally everything fun.

Causes:

Structural impingement or compression of the sciatic nerve, which runs through the buttocks and branches down the leg to the calf and toes is the underlying culprit.  While those with ultra tight hamstrings and back myofascial lines like couch potato’s, desk jockeys, car commuters and gym junkies compose the majority of the afflicted, yoginis aren’t in the clear either.  Hyperflexibility is often a liability when it comes to the health of your joints, fascia and tendons, landing a number of cirque de soleil style yogis in my office with butt pain in Durango.

Why Acupuncture is the bomb when it comes to pain relief

It stimulates the nervous system which then tells the brain to:

1. Increase blood flow to the area of pain.

2. Reduce inflammation and reduce muscle contraction.

3. Release a cascade of your body's natural painkillers like endorphins, serotonin and enkephalins.  Say goodbye to that pain in the tush!

How your MD treats Sciatica: Surgery, steroid injections, pain medications, hot and cold therapy and a surprising number of especially cool Doctors and PA’s are also referring their patients to Acupuncturists as well. :)

How I treat sciatica:  After a thorough intake where I gather as much information about you, your symptoms, and their physical and emotional impact on your life, I’ll check your pulse and tongue and begin to make a  Traditional Chinese Medicine diagnosis.

You’ll be invited to undress and slip under the warmed flannel sheets and blankets of my treatment table.  Using oil massage techniques, I’ll begin to examine your back, detecting adhesions and trigger points along the length of the back and glutes.  Once I find these active points, tiny needles are painlessly inserted. While your needles do their thing, you’ll be coaxed into deep relaxation through a short guided meditation after which you’ll be left for a few minutes of nap time with soothing music in the background.

These treatments also involve one or more adjunct therapies, including cupping, essential oils, moxibusition (heat therapy), myofascial release techniques, e-stim, guasha ( a deep tissue form of body work) or homeopathic traumeel injections.  Traumeel injections are an effective, safe, natural and practically painless alternative to steroid injections and can be added to your treatment for a small additional fee.

Your treatment will likely conclude with a brief and minimal front  treatment where distal points are used to increase circulation, blood flow and your body’s ability to heal itself.  Prepare to be nurtured, and to leave feeling incredibly relaxed!

Typical treatment plan

I like to get you back on your bike, hiking trails or couch as quickly as possible.  Often this requires twice weekly treatments for the first week or two. In this way, we’re able to ride the wave of progress we create together.  Notice that I say we, because you’ll be expected to take an active role in your healing, I may recommend specific therapeutic yoga poses, exercises, supplements, foods or rest to ensure that you get the most efficient and dramatic results possible.  Most patients experience significant results in these first few weeks and then gradually reduce their visits until they no longer need help or just come in occasionally for maintenance.