Antidepressant Gets FDA Approval for Hot Flashes

The FDA recently approved Brisdelle, the first non-hormonal medication for hot flashes associated with menopause. This may be exciting news for women wishing to avoid hormonal options for their hot flashes. But, before you take on a new medication, consider the side effects and other options (including bio-identical hormone replacement) to see if Brisdelle is … Continued

New Menopause Drug Comes with Side Effects

The FDA has approved a new drug to treat hot flashes in menopausal women called Brisdelle. It is a form of Paxil, an antidepressant. Antidepressants are not a new treatment for menopausal symptoms.  Medications such as Effexor, Paxil, and Prozac can decrease hot flashes and night sweats. They are not as effective as hormone therapy … Continued

DHEA in Females

A new study in Climacteric, the Journal of the International Menopause Society has found evidence that the hormone DHEA can help with menopausal symptoms and female sexual function. The study found both HRT (estradiol and a synthetic progesterone) and DHEA to be effective at improving symptoms. For those of us who recommend DHEA regularly this … Continued

What Does Progesterone Do? (part 2)

In “What Does Progesterone Do?, part1“, I discussed how progesterone works in concert with estrogen to orchestrate the monthly changes associated with a woman’s menstrual cycle and how progesterone balances the effects of estrogen to maintain a woman’s sexual health. However, progesterone does not only influence sexual organs and tissues. It has important functions in … Continued

What Does Progesterone Do? (part 1)

Progesterone is a steroid hormone that has many biological functions. It is one of the major sex hormones in women and is usually the first sex hormone to decline as a woman enters menopause. It’s also found in men, but at lower levels than in women. When I was in medical school, back in the … Continued

Estrogen metabolites

I have taken care of breast cancer patients as a surgeon for over 25 years. It is a devastating diagnosis because of the severity of the treatments and because it affects so many young women. As I treat women with hormonal imbalance now, I have a different understanding of the importance of using bioidentical hormones … Continued

How Long Do I Need To Take Hormones?

I often get asked this question by my patients, and I advise them to consider some important facts about hormone therapy. Most patients come to see me because they’re experiencing symptoms of hormone deficiencies and want to feel better. This is an important aspect of hormone therapy. We all want to feel better and have … Continued

A Patient’s Story

Recently, a patient of mine took the time to write a little about her experience using bioidentical hormones at my practice. I was so touched by her words of thanks that I had to share it with all of you! See what she has to say below: dear dr. landa……. i just wanted to thank … Continued

When Estrogen Dominates, Part 1

Hormones work to together in harmony to help regulate how our bodies function. In women, this is most evident with progesterone and estrogen. These two hormones work in tandem to orchestrate a woman’s monthly menstrual cycle to prepare her body for pregnancy. Balance between these two hormones is vital for numerous other functions. I often … Continued

Menopausal Madness

Are you a woman of middle age or maybe even older who feels like your health is just slipping away? If everything up north is now going south, and you have lost your overall vibrancy and spark of life, hormonal imbalance may be your problem. With all the conflicting reports regarding hormones and replacement, it … Continued