Human identical hormones: real people, real problems, real solutions.

Increasing numbers of women are seeking alternative treatments for menopause and other hormone-related gynecologic disorders. Standard agents may provide symptomatic relief but are linked to high side-effect profiles, decreased compliance, and reduced client satisfaction. They also may contribute to other health issues. This report proposes the use of human identical hormones or natural hormone replacement therapy as a holistic alternative to standard therapy. Guidelines for prescribing and client monitoring are presented. It is critical for nurse practitioners to be aware of alternative treatments as they strive to meet client requests in an ever-changing climate in women's health care.