my promise to you
I provide women like you with a safe place to discuss women’s health issues such as PCOS, hormone imbalance, and fertility struggles. Come in for a consultation, let me answer all of your questions, and then make informed choices about your treatment that address your needs.
What Real Patients are Saying About Dr. Shannon Hirst
Make A Lifestyle Change
It's time to take that leap and make some adjustments. We can help individualize a plan for you to make positive steps in stress management, exercise, and diet.
The Menopause HRT Program
Here’s what it means if you choose to participate in my comprehensive treatment program:
Treatment is a minimum of 3 visits
We baseline your current health at the time of your first visit, and make sure that all the relevant preventive testing and blood work are in place
I assess any risk factors in your medical history to see if hormone therapy is safe for you
We see how well you tolerate hormone replacement therapy treatment, and adjust dosage and strength as needed
Benefits of Hormone Replacement Therapy
The majority of information out there about hormone replacement therapy (HRT) centers on the risks of taking hormones. What people may not know is that the risks have been reduced because there are now better options available. Studies that have looked specifically at bioidentical progesterone and estrogen in breast cancer risk indicate there is no additional risk above baseline for most women.
So the risk of hormone therapy isn’t as high as it used to be, but does starting hormone therapy have any actual benefits?
The good news is that yes, there are some significant benefits to starting hormones. In a majority of women who start therapy at the onset of menopause (around your final period), bioidentical HRT can achieve the following results:
Significant cardiovascular benefits
Help in preventing bone loss (osteoporosis and osteopenia)
Improve quality of life
May aid in preservation of lean muscle mass (jury is still out but there is evidence it does)
What is Hormone Replacement Therapy?
Hot flashes, insomnia, fatigue, and brain fog--do these symptoms sound familiar? If your doctor has confirmed your experience is the result of menopause, then you already know that menopause can be quite an uncomfortable and frustrating experience. There are many treatments for these symptoms including hormone replacement therapy (also known as menopausal hormone therapy or postmenopausal hormone therapy).
Menopause happens when the ovaries decrease production of estrogen and progesterone, usually around the age of 49 or 50. However, many women start to feel symptoms much earlier- this is called perimenopause. Hormone replacement therapy (HRT) works to re-balance hormone levels during menopause by replacing the hormones that your body has stopped producing. Some HRT treatments can include estrogen and progesterone/progestin if a woman still has her uterus, while estrogen alone can be used for women without a uterus.