Today at Doctor’s Choice Pharmacy, a patient came in holding a prescription for bioidentical hormone replacement therapy (BHRT). She looked concerned and asked, “Rania, my doctor mentioned balancing estrogen and progesterone — why is that so important?”

I smiled. “That’s a great question. Let’s break it down.” I explained, “Estrogen and progesterone are the two main female sex hormones. They work together to regulate your menstrual cycle, fertility, mood, sleep, and even bone health.”

She looked relieved to be getting a straightforward explanation. “So, what does each one do exactly?” she asked.

I continued, “Estrogen is responsible for developing and maintaining your reproductive system. It’s what gives you breast development, regulates your periods, and keeps your bones strong. It also plays a big role in your skin health, mood, and even cognitive function. When estrogen levels drop during menopause, symptoms like hot flashes, vaginal dryness, and mood swings can appear.”

She nodded thoughtfully. “That explains a lot. And progesterone?”

I explained, “Progesterone is like estrogen’s calming counterpart. It helps prepare the uterus for pregnancy and balances the stimulating effects of estrogen. It’s known for its soothing, stabilizing properties — it helps with sleep, anxiety, and mood. During menopause, progesterone can help protect the uterus from overstimulation by estrogen, and support a more balanced, stable hormonal environment.”

She sighed, “No wonder my doctor said they need to be balanced. I didn’t realize they worked so closely together.”

I added, “Exactly! When estrogen is too high relative to progesterone, it can lead to symptoms like heavy periods, bloating, breast tenderness, anxiety, and mood swings — what’s often called ‘estrogen dominance.’ When both hormones are low, like during menopause, patients may experience hot flashes, sleep issues, and even weight gain. That’s why balancing them is key for feeling your best.”

She asked, “Can you help with that?”

I smiled. “That’s what we specialize in! At Doctor’s Choice Pharmacy, we custom-compound bioidentical estrogen and progesterone in the exact doses your provider recommends. We can make creams, capsules, troches, or even suppositories to fit your needs.” I added proudly, “And with our hazardous compounding lab now fully operational, we can handle even the most specialized hormone therapies with the highest standards of safety and precision.”

Her face lit up. “That’s amazing! And I heard you’re adding saliva testing soon?”

“Absolutely,” I confirmed. “We’re working on offering HRT saliva testing here at the pharmacy soon. That way, you and your provider can monitor hormone levels throughout the day and personalize your therapy even more.”

She left feeling empowered, and I felt so grateful to be part of her journey toward better health.

Until tomorrow,
Rania – Your Friendly Pharmacist at Doctor’s Choice Pharmacy

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