Your Durham ME Menopause Specialist

IHAC is your regional expert for testosterone and bioidentical hormone replacement therapy for women and men via a convenient telehealth platform

Your Durham ME Menopause Specialist

IHAC is your regional expert for testosterone and bioidentical hormone replacement therapy for women and men via a convenient telehealth platform

Women of Durham Maine, The Days of Searching for a “Menopause Specialist Near me” on Google are Over

Women in Durham ME are googling “menopause specialist near me in Durham ME” constantly because they are tired of being ignored by their PCPs when it comes to menopause treatment and a referral to a menopause specialist near them in Durham ME, we can help

It’s true, you will never have to search online for a “menopause specialist near me in Durham ME” again. Why, because at IHAC we hear you, listen to you, understand you, and are a woman centered healthcare center specializing in BHRT including your new secret weapon, testosterone. Our programs are successful in not only mitigating the symptoms of menopause and allowing you to live your best life, but they in fact also help you feel better than you ever thought you could. There are many benefits to maturity, but suffering isn’t one of them. Let us help you enjoy this time in your life without the negative symptoms, and stigma that far too often accompanies menopause, so you achieve new heights in health beyond just mitigating the negative effects of menopause. You have searched for a menopause specialist near me in Durham Maine and found IHAC, now it’s time to get started!

"My life has changed since I started taking bioidentical hormone therapy. At 60 and post menopausal for many years, I wasn’t sure how I would benefit from treatment, but I’ve been pleasantly surprised by how my body responded."

Tracey O

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“I’m a very active and happy person but as 50 approached I realized I was becoming more moody, struggling with brain clarity, and my energy was depleted. I figured it must’ve been my hormones. I started on bioidentical hormone therapy at Integrated Health Alliance and found so much relief! I have noticed a huge difference in my mood, I’m way happier, and I started to feel like I did when I was much younger!

Oh, and my sex drive…I was never the initiator but now I find myself initiating more and my husband is very happy about it. Haha. Having an active healthy libido is really important to me and has absolutely been one of the best parts of this therapy!!

Cheryl L

Cheryl never has to google for a “menopause specialist near me” ever again! Well done!

Tired of Searching for a Menopause Specialist Near Me in Durham ME and Getting Nowhere?

It’s not surprising that you are having a hard time getting your primary care physician to listen to you, nor is it surprising that you can’t find a good answer to your search query “menopause specialist near me in Durham ME” because there simply aren’t enough menopause specialists near you no matter where you live or work. Being a menopause specialist takes time and dedication to the science, and you just don’t find that at many medical offices these days because menopause isn’t being taken seriously. Even when you can get them to listen to you, their standard approach is to prescribe estrogen and be done with it. That simply isn’t enough, and you women out there that have tried that and seen little proof it helps with your symptoms, know exactly what I am talking about. It’s not enough, and we all know it.

When you went searching for a menopause specialist near me on google you expected to see lots of results displaying menopause specialists near you, or at least near you where you live or work, but you pretty much got more of the same. Menopause clinics and doctors that are all selling the same services and products, estrogen. We are here to tell you it isn’t enough, but we do know what is. At IHAC we are hormone specialists, not just for men, but for women as well, in fact, even more so, we are menopause specialists and we are always near you because of our state of the art Telehealth services!

“My life has changed since I started taking bioidentical hormone therapy. At 60 and post menopausal for many years, I wasn’t sure how I would benefit from treatment, but I’ve been pleasantly surprised by how my body responded. I now have more energy, more brain clarity, and a zest for life I haven’t had in years! The clinic gives me a lot of time and support to help me navigate this process. Naomi has been a huge help to teach me nutrition that supports my hormones. It’s been a very rewarding process and I’m absolutely thrilled with the outcome!”

Tracey O

Tracey never has to google for a “menopause specialist near me” ever again! Well done!

Stop Searching for “Menopause Specialists Near Me” and Call IHAC, we are Near you Wherever you are, via Convenient, Secure, and Private, Telehealth Services 

We know having your healthcare providers close by seems to make sense, but does it really? We know you need the best care. You need the “best menopause specialist near me” you can find, but what are the chances the best one just so happens to be near you in Durham Maine? Not likely.  The one thing we learned over the last 5 years was that healthcare can be delivered effectively and remotely via secure telehealth, even PCPs are offering appointments online via secure telehealth portals these days. Focus on finding the best menopause specialist near you and let telehealth services handle the rest. Labs are easy to handle as there are lab locations virtually everywhere these days (we have a lab location resource setup for you), and that’s all you, and we need, to get started. Ongoing, there is a simple, occasional online visit or patient phone call to make sure follow up is on a responsible schedule ensuring you are receiving the best care possible.

“In the past year my life has changed for the better. After years of suffering from menopausal symptoms like night sweats, always on an emotional rollercoaster, feeling exhausted and of course those awful night sweats, I had enough! So I decided to seek out hormone therapy. I started bioidentical hormone therapy and began to feel so much better! I have a lot more energy, feel more connected in my body, and am much more optimistic for this phase of my life! The hormone nutrition and lifestyle counseling that integrated health offers was a very important part to me, it really helped bring it all together!

Tammy S

Like so many of our patients, Tammy doesn’t have to google for a “menopause specialist near me” ever again! Well done!

From the Desk of Naomi Major

Why would you search online for a “menopause specialist near me” when this is the current state of affairs. You should simply search for the best menopause specialist, period.

“You cannot outrun. You cannot out-earn. You cannot out-exercise. You cannot out-yoga. You cannot out-fox the Big M. You cannot. The menopause train is coming no matter what.”

- Oprah Winfrey

Every single woman, 49.5% of the world’s population, will inevitably go through menopause. And yet, an egregious lack of information and treatment options persist.

(United Nations Department of Economic and Social Affairs, Population Division (2022). World Population Prospects 2022: Summary of Results. UN DESA/POP/2022/TR/NO. 3.)

Susan Dominus, NY Times writer, in a recent interview about her article “You’ve Been Lied to About Menopause”, recounts her own experience,

“There were plenty of doctors who just were like, yeah, you’ve reached menopause. Nothing we can do about it. I do think that there was a lot of casual “suck it up” tone that took over.”

(Stevis-Gridneff, M., & Dominus, S. The Daily – Menopause is Having a Moment. broadcast. Retrieved from https://www.nytimes.com/2023/07/28/podcasts/the-daily/menopause-symptoms-treatment.html.)
Dr. Abudulmaged Traish, Editor in Chief for the Journal of Andrology writes about this problem, “Health care providers (HCPs) may avoid initiating conversations on sexual health because of a lack of confidence, personal discomfort, or a sense of discomfort on the part of the patient, and the lack of education in this area compounds the problem. In addition, HCPs may assume women’s sexual function is less relevant after the reproductive years.”
(Traish, A. (2023, February). History of Testosterone Therapy in Women. Harvard Medical School Continuing Education. Orlando; Florida.)

This lack of access to needed treatments for menopause is baffling at best, and cruel at worst. What are the reasons for this disparity?

Although there are numerous contributing factors, here are the top causes:

  • The field of women’s sexual health is rarely included in many medical schools across the USA. A 2019 Mayo Clinic survey reports that less than 7% of general practitioners are equipped to handle matters of hormone health. Needed conversations are not happening in the doctor’s office.
  • The 2002 Women’s Health Study started a media frenzy reporting harms of hormonal therapy, despite failing to display clinically significant findings, and since has been recounted and challenged by numerous researchers. The damage was done.

That to-date, FDA has failed to take any action on approving even one testosterone formulation for women, despite research since the 1930’s showing it as an effective treatment for women suffering from perimenopause and menopause. In 1947 researcher Carter et al writes, “In the intervening decade they (androgen therapy) have been widely used in the management of a variety of derangements of female sex physiology and more recently for numerous metabolic disorders. The literature which has accumulated is now sufficiently extensive to permit a tentative evaluation of the present status of androgens as therapeutic agents in women”.

Bias persists. Women’s hormonal health, and certainly their sexual health, is considered less relevant after a woman’s reproductive years have passed, regardless of her experience and symptoms.

(Traish, A. M., & Morgentaler, A. (2022). Androgen therapy in women with testosterone insufficiency: Looking back and looking ahead. Androgens: Clinical Research and Therapeutics, 3(1), 2–13. https://doi.org/10.1089/andro.2021.0030)

Enough. This needs to change immediately.

At IHAC, this change starts with us. We are on a mission to provide women with education and access to treatment options for menopause.

But first, what is menopause?

The conventional definition for menopause is one year without menstruation. Although this is accurate, this is about all women are told about menopause.

(U.S. Department of Health and Human Services. (n.d.). What is menopause? National Institute on Aging. https://www.nia.nih.gov/health/what-
Menopause)

Maybe a better question is, what does menopause MEAN?

As women age, their ovaries slow down production of sex hormones until it comes to a complete halt. When these hormones cease, the body no longer ovulates, and menses is shut-off.

So, we know this lack of hormones causes the end of menstruation, but what else does it do to a woman’s body?

Women’s sexual health advocate and urologist, Dr. Rachel Rubin, has been researching this very question. She noticed that many of the symptoms menopausal women suffer from are the same symptoms that men with testosterone deficiency suffer with. She describes menopause as being an “androgen deficiency syndrome”.

That is, a decline in estrogen AND testosterone.

(Rubin, R. (2023, February). How to diagnose testosterone deficiency in women. Testosterone Therapy and Sexual Dysfunction – Harvard Medical School Continuing Education. Orlando Fl.)

Ahh, well that is certainly something women aren’t told, now, is it?

And what does this mean for conventional treatment?

The North American Society of Menopause 2022 Position Statement on Hormone Therapy, “Hormone therapy remains the most effective treatment for vasomotor symptoms (VMS) and the genitourinary syndrome of menopause and has been shown to prevent bone loss and fracture.” Vasomotor symptoms include hot flashes, night sweats, sleep disturbances, irritability, difficulty concentrating and reduced quality of life. This position statement signals important progress in the treatment of menopause, empowering patients, and clinicians alike.

(The 2022 hormone therapy position statement of the North American Menopause Society. (2022). Menopause, 29(7), 767–794.
https://doi.org/10.1097/gme.0000000000002028)

For those HCPs who are participating in hormonal therapy for the treatment of menopause, they are primarily prescribing estrogen therapy only. In menopause, estrogen has a sudden and drastic drop-off, contributing to many unwanted symptoms including hot flashes, moodiness, weight gain and sleep problems. If the woman has an intact uterus, progesterone should also be prescribed along with estrogen, for its uterine protection affect.

Menopausal women can experience needed relief from estrogen therapy. Hormonal therapy should be individualized, and guidelines recommend periodically reevaluating the appropriateness of continued therapy.

But this myopic approach fails to address the other deficient androgen hormone, testosterone.

What you won’t find online when searching for a menopause specialist near me online is anyone talking about testosterone. Only true menopause specialists understand the positive implications of testosterone in menopause treatment.

So what about the 10 years (or so) before menopause arrives, known as perimenopause, where hormone fluctuations occur causing a variety of unwanted symptoms? Is there treatment for that?=

Let’s talk testosterone.

Testosterone is an essential hormone for both males and females. It is a human hormone. Did you know that women have 10x more testosterone than estrogen? Testosterone is the hormone of creation and vitality for both men and women, yes women.

(Traish, A. M., & Morgentaler, A. (2022). Androgen therapy in women with testosterone insufficiency: Looking back and looking ahead. Androgens: Clinical Research and Therapeutics, 3(1), 2–13. https://doi.org/10.1089/andro.2021.0030)

We know that testosterone shows significant improvement for the treatment of vasomotor symptoms over estrogen alone, or placebo.

Drs. Traish and Morgentaler cite the work done by Sherwin and Gelfand, in which they reported that menopausal women who received androgens alone after hysterectomy and bilateral salpingo-oophorectomy reported fewer somatic and psychological symptoms than those who received estrogen alone or placebo and demonstrated that patients treated with combined androgen-estrogen or androgen alone had increased energy levels, well-being, and appetite compared with those who received estrogen alone or placebo.

(Sherwin BB, Gelfand MM. Sex steroids and affect in the surgical menopause: A double-blind, cross-over study: Psychoneuroendocrinology, 1985;10(3):325-335.)

Researcher Rebecca Goldstat demonstrated, “Testosterone therapy improves well-being, mood, and sexual function in pre-menopausal women with low libido and low testosterone”.

(Goldstat, R., Briganti, E., Tran, J., Wolfe, R., & Davis, S. R. (2003). Transdermal testosterone therapy improves well-being, mood, and sexual function in premenopausal women. Menopause, 10(5), 390–398. https://doi.org/10.1097/01.gme.0000060256.03945.20)

In her interview, Dominus describes an exchange she had with her doctor regarding her menopause symptoms, “But when I mentioned them to her, I remember she said, we only treat significant symptoms. And I definitely felt a little ashamed that I had dared to complain about these issues. And I just was wondering to myself, well, all right. Were they significant? What does significant mean, exactly? They were significant enough to me that I brought them up, that they were on my mind”.

At IHAC, all your symptoms are significant to us. Even though menopause is primarily a “natural process” women can suffer a wide range of symptoms to varying degrees of severity. Women deserve access to compassionate care and treatment options. Furthermore, due to the onslaught of factors such as environmental chemicals, chronic stress, and medication, women are experiencing more hormonal irregularities quicker and earlier in life. Not taking these factors into consideration has been a huge disservice to womankind.

Additionally, we believe women have an innate right to live a robust life, with vigor for healthy and satisfying sex all throughout the transitions of her life. She deserves a strong body to ensure metabolic health and quality of years. Women should be supported to live a life full of vitality, just the same as men.

This is why we are particularly passionate about testosterone as a therapeutic agent for women in the treatment of menopausal and perimenopausal symptoms.

Testosterone improves libido, including vaginal moisture, arousal, and satisfaction. Testosterone improves body composition, increasing muscle mass and reducing fat. Testosterone improves metabolic health, anemia, and bone density. Testosterone is beneficial for mental and emotional health, energy, and stamina. Testosterone has demonstrated cardio and breast protective benefits. Testosterone makes effort feel good, and when that feels good, everything you do feels better.

(Traish, A. (2023, February). Testosterone Deficiency (Hypogonadism) and Its Negative Impact on Human Health. Testosterone Therapy and Sexual Dysfunction. Orlando FL.)

Morgentaler et al writes, “Despite research in the 1940s establishing the physiological role of testosterone in women’s health and the substantial benefits of T therapy (TTh) in women, the use of TTh in women today is rare, with little awareness of its value and safety within the medical community.

Well consider our clinic a rare gem. Our approach to treating symptoms of menopause is superior. We are proud to offer testosterone therapy to women, and we do it best.

In addition to providing estrogen therapy when appropriate, at IHAC, we also help women replenish their testosterone levels with a low-dose bioidentical cream. We source our therapeutics from a local trusted compounding pharmacy that prides itself in going the extra mile for safety and efficacy. And we screen women for other syndromes of menopause including Hypoactive Sexual Desire Disorder (HSDD) and Genitourinary Syndrome of Menopause (GSM), both of which are well-addressed with TRT and a dab of localized estrogen cream. Despite the prevalence of these conditions, most women are never checked. At IHAC incorporating these thorough screens is our standard of care.

And since you likely have more than one hormonal issue going on, IHAC offers hormone integrative care. We care about you, all of you, so we will address it all. From managing estrogen dominance, to chronic stress and environment induced imbalances, our team will work together to make sure your whole health is being cared for. Whether it’s nutritional or lifestyle adjustments, additional hormone therapies or medications, we’ve got you covered. This is a unique benefit included in your IHAC membership. We wouldn’t want to care for you any other way.

Drs. Traish and Morgentaler write, “Looking forward, we envision the possibility within the near future of symptomatic women with T insufficiency finding sympathetic health care providers who will recognize and appropriately treat their condition without negative judgment, allowing these women to experience the health and well-being associated with robust T levels.”

At IHAC the future is now and it doesn’t require a google search for “menopause specialist near me” in [City Maine.

If you were going to search for a “menopause specialist near me”, stop, if anything, you should search for the best menopause specialist near me, and at IHAC you have found just that. A hormone therapy clinic that specializes in just that, hormone therapy for women, and beyond that, we specialize in menopause treatment utilizing proven protocols that have been studied for years, but unfortunately shelved in favor of our male counterpart’s treatment, not any longer.

Sign up today and let us help you get the relief and renewed vitality back in your life you desperately need and deserve.

If you are looking for Menopause Treatment in Durham ME, we have included some lab locations nearest you for convenient lab results – If you are currently enrolled In our Menopause Treatment Program in ME or other more remote areas of Durham ME, and there isn’t a lab noted close to your location, please call us for options near you, we are more than happy to provide that information

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