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Over the last decade Hormone replacement has been one of the most dynamic, exciting, and controversial areas of medicine.  Several large scale randomized studies including the HERS trial and WHI (Women’s Health Initiative) have greatly expanded our knowledge of the benefits and long term effects of hormone replacement therapy.  The initial finding from the WHI indicated that there were some previously unrecognized rare side effects.  Unfortunately, the national popular media misrepresented the overall safety of hormone therapy based on these extremely uncommon complications.  Consequently many physicians abandoned the use of hormone therapy in their practices, and many women were left to suffer through menopause without any effective treatment.

Symptoms of the menopausal transition may include the following:

  • Menstrual irregularity
  • Mood changes, mood swings and irritability
  • Hot flashes
  • Night sweats
  • Vaginal dryness
  • Urinary incontinence
  • Bone loss
  • Changes in sexual function and loss of sex drive

Dozens of sub-analyses of the WHI data have subsequently been performed, and have demonstrated that in most circumstance, hormone replacement is safe and effective with minimal or no risk of major complications.  Also many physicians and their patients are now seeking alternatives to traditional hormone replacement therapy including natural supplements and bio-identical hormone therapy.  Although there are limited data regarding the safety and efficacy of these new treatment options, they represent a very promising and active area of research.

Our Services

Dr. Farnam is a strong advocate for women’s health education and autonomy.   At Texas Gynecology and Laser Surgery Center we provide comprehensive counseling and education on the most up-to-date information in menopausal medicine and hormone therapy.

We offer all of the following:

  • Hormone testing
  • Traditional hormone therapy
  • Bio-identical hormone treatment
  • Natural alternatives
  • Other medical therapies

Additionally we offer evaluation and treatment for osteoporosis, breast disease, and thyroid dysfunction.  We provide screening for breast cancer, colon cancer, malignancy of the female reproductive tract, cardiovascular health, and endocrine disorders.


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