HORMONE REPLACEMENT THERAPY (HRT): A HOLISTIC APPROACH

Hormone Replacement Therapy (HRT) is a key option for many women to address the changes and challenges of menopause and other hormonal imbalances.

Hormonal health is closely linked to overall well-being and quality of life. Fluctuations or deficiencies, particularly during menopause, often result in symptoms such as sleep disturbances, hot flashes, mood swings, and vaginal dryness. Additionally, an estrogen deficiency can increase the risk of cardiovascular disease and osteoporosis.

“At Lanserhof, we dedicate ourselves with great passion and expertise to hormonal health, offering detailed consultations and holistic medical approaches.” (Dr. Katharina Sandtner)

Menopause typically begins between the ages of 45 and 55, often accompanied by significant fluctuations in estradiol levels. During this phase, symptoms such as hot flashes, sleep disturbances, and mood swings are common. However, the preceding phase, perimenopause, often starts as early as the late 30s or early 40s and is characterized by a drop in progesterone levels. Symptoms during this phase may include cycle irregularities, sleep disturbances, and weight gain.

HRT provides a personalized approach to alleviating symptoms and proactively reducing the risk of osteoporosis or heart disease. At Lanserhof, special emphasis is placed on combining HRT with natural and holistic methods. The foundation is gut cleansing, which supports hormonal balance and promotes the detoxification of the body to improve hormone receptor binding. The decision to initiate HRT is always made individually and under close monitoring.

“Our first goal is to restore the body’s natural balance. The foundation of our therapy always begins with gut cleansing, as the microbiome is key to hormonal balance.” (Dr. Katharina Sandtner)

A frequently debated topic is whether estrogen therapy increases cancer risk. Dr. Sandtner emphasizes that the risk depends on genetic and familial factors. During HRT, certain hormone metabolites can accumulate, potentially increasing risk. Regular lab tests and liver metabolism monitoring are therefore essential to detect potential risks early and adjust the therapy if needed.

“With hormone replacement therapy, lab tests can measure whether potentially harmful hormone metabolites are accumulating. If this occurs, we can counteract it with plant-based remedies or by adjusting the HRT dosage.” (Dr. Katharina Sandtner)

A progesterone deficiency during the second phase of the menstrual cycle, particularly before menstruation, can cause symptoms such as mood swings, headaches, and sleep disturbances. Depending on the symptoms, progesterone therapy can be administered in various forms, such as a cream to alleviate breast tenderness or orally to improve sleep. The dosage is always tailored individually and monitored by a physician.

Lanserhof also supports couples facing challenges with conception. A foundational approach is the Lanserhof Cure, which focuses on detoxifying and deacidifying the body to optimize hormone receptor function. Along with gut cleansing, regulatory methods such as neural therapy and cupping therapy are employed to promote hormonal balance. If these methods prove insufficient, hormone therapy (e.g., with progesterone) and further gynecological evaluations in collaboration with international specialists may be considered.

PCOS is a common cause of menstrual irregularities and infertility in young women. The syndrome is often associated with insulin resistance and elevated production of androgens (male hormones). Lifestyle changes, particularly weight reduction and a low-carbohydrate diet, are crucial for treatment. These adjustments can help restore hormonal balance and promote ovulation.

“Even a 5% weight loss in cases of overweight can make a significant difference in promoting ovulation.” (Dr. Katharina Sandtner)

At Lanserhof, the individual care of each woman is the top priority. Treatment is based not only on lab results but also on the personal medical history and life story of each patient. Lanserhof’s physicians combine classical hormone therapies with energetic and psychological support measures to ensure holistic care.

“The most important aspect of hormonal consultation is listening carefully to women. Their life stories, social environments, and symptoms provide more valuable insights than any lab result.” (Dr. Katharina Sandtner)

When should hormone replacement therapy be considered?
HRT is recommended based on the severity of symptoms and the individual’s level of discomfort. It is considered for menopausal symptoms such as hot flashes, sleep disturbances, vaginal dryness, and urogenital complaints, particularly if these significantly impact quality of life. Osteoporosis prevention is only indicated in the presence of specific risk factors. HRT also plays an important role in anti-aging medicine.

Can menopausal symptoms be treated without hormone therapy?
Yes, many symptoms can be alleviated through lifestyle adjustments, including regular exercise, a healthy diet, relaxation techniques, and specific exercises like pelvic floor training for bladder issues. Herbal remedies and phytotherapy are additional options, although their efficacy is not fully scientifically established.

Is hormone replacement therapy suitable for disease prevention?
HRT is not primarily recommended for disease prevention. However, in cases of high osteoporosis risk and intolerance to other preventive medications, it may be used to prevent fractures.

How long should hormone replacement therapy last?
The recommended duration depends on symptoms and individual risk factors. On average, discontinuation is aimed for after 3 to 5 years, with doses gradually tapered over several months. Whether to continue therapy lifelong is a decision made jointly between the patient and her doctor.

What forms of hormone replacement therapy are available?
HRT can be administered as tablets, patches, gels, creams, and vaginal rings. For isolated urogenital symptoms like vaginal dryness, localized treatments targeting the affected area are recommended.

What role does lifestyle play in alleviating menopausal symptoms?
A healthy lifestyle helps many women manage menopausal symptoms. This includes a balanced diet, regular exercise, sufficient sleep, and avoiding alcohol, caffeine, and nicotine. Switching to a wholesome diet with reduced sugar and fat can also help prevent weight gain.

How can hot flashes and night sweats be alleviated?
Wearing layered, breathable clothing and carrying a fan can help manage hot flashes. At night, use lightweight bedding and functional sleepwear. Running cold water over your wrists can also reduce hot flashes.

How can depressive moods during menopause be treated?
HRT can be effective for severe mood swings. For serious depression, psychotherapy is also recommended. Regular physical activity, time spent in nature, relaxation techniques, and maintaining social connections can help stabilize mood.

What can help with bladder weakness and vaginal dryness during menopause?
Regular pelvic floor exercises can strengthen the bladder and improve urinary control. Vaginal dryness and mucosal health can be alleviated with moisturizing creams, lubricants, and estriol treatments.

Is hormone replacement therapy suitable for every woman?
HRT is not recommended for women with certain pre-existing conditions, such as breast cancer or an increased risk of thrombosis. The decision to undergo HRT is made individually following a thorough risk-benefit assessment and comprehensive medical consultation.