Hot flashes? Night sweats? Feel like smacking your honey one minute and the next minute smacking him even harder?
If so, you're living in the "House of Hormones"- that sometimes scary, always weary place that sooner or later every woman passes through on her way to menopause.
But late last month, the news was good: The hormone treatments that can help speed you through the process, may not be as dangerous as once thought.
Indeed, two brand new studies found that if started within no more than 4 years after your last menstrual cycle, hormone therapy may not have the negative impact on the heart as previously shown in the large Women's Health Initiative trials of 2002. In fact, it may even improve your heart health.
"These new findings suggest the possibility that if a woman starts hormone therapy soon rather than later, perhaps we will see some of the protective effects on the heart that natural estrogen provides - or at least it won't increase the risk of cardiovascular related harm," says Dr. Nanette Santoro, Professor and director of division of reproductive endocrinology at Montefiore Medical Center in the Bronx.
But as encouraging as these results are, many experts continue to approach HRT with some caution.
" This new studies hint at the idea that women who want to use short term hormone therapy to control symptoms may no longer have to choose between hot flashes and heart disease - but we still need more studies to know for sure," says Dr. Steve Goldstein, professor of OB/GYN at NYU Medical Center in New York City.
To this end, several new clinical trials -including the KEEP trial in New York City - are attempting to answer these questions. But that will take upwards of four years.
In the meantime, however, many women are opting for a different approach, turning instead to "bio identical hormones" - a combination of several weaker forms of estrogen, and natural progesterone to quell their symptoms. Frequently endorsed by celebrities such as Suzanne Somers and women's health specialist Dr.Nisha Jackson, they are garnering lots of attention.
"Natural hormones are hormones in their purest form- bio identical in molecular structure to those made by the human body," says Jackson, in her book The Hormone Survival Guide for Perimenopause.
Usually made from plants- either wild yam or soy - Jackson says the natural compounds work exactly the same as the hormones produced by a woman's body - unlike HRT, she says, which only mimics what happens in the body. And therein, she says, lies the difference.
"It is safe to say that the cascade of effects brought about by the release of estrogen into the body is not quite the same when [that] estrogen is synthetically altered, "says Jackson.