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What Is Wilmington BeachHormone Replacement Therapy?
HRT (also known as hormone therapy, menopausal hormone therapy, and estrogen replacement therapy) uses female hormones — estrogen and progesterone — to treat common symptoms of menopause and aging. Doctors can prescribe it during or after menopause.
After your period stops, your hormone levels fall, causing uncomfortable symptoms like hot flashes and vaginal dryness, and sometimes conditions like osteoporosis. Wilmington Beach HRT replaces hormones your body no longer makes. It’s the most effective treatment for menopause symptoms.
The Dangers of Hormone Replacement Therapy
Most women experience the onset of the menopause at an average age of about 50, but it can start anytime from the early forties to the late fifties. Symptoms can vary: some women sail through but others suffer the miseries of lack of energy, hot flashes, depression, night sweats, and loss of libido.
The usual remedy prescribed by doctors is hormone replacement therapy (HRT), and tranquillizers and anti-depressants to which you can become addicted. Before embarking on such treatment, investigate the natural alternative.
HRT is prescribed to counter balance the reduced production by your body of estrogen which can lead to increased risk of osteoporosis and weakened bones leading to fractures. However, two large clinical trials have shown that HRT does not, in fact, significantly reduce the incidence of bone fractures, and there is an increased risk of heart disease, gallstones, and breast and endometrial cancer.
Many menopausal symptoms are less to do with a shortage of hormones and more to do with imbalances. By eating a healthy diet, taking regular exercise and natural supplements, you can boost the health of your bones, and balance sugar levels and your hormones.
It is well known that people in some parts of the world (for example Japan and the Mediterranean countries) rarely suffer from heart disease due to their different national diets. It is less well known that women in the Andes region of Peru do not suffer menopausal symptoms. Peruvian women take Maca, a tuberous plant related to the potato. As well as the beneficial effect on menopausal symptoms, Maca boosts energy and libido. Maca is also known as "Peruvian Ginseng" and "Peruvian Viagra".
The Incas once inhabited this area and, in order to boost their energy, their warriors used to take Maca before going into battle. When the Spanish conquered the area they found that their horses suffered from the high altitude. The locals advised them to feed Maca to the horses and the animals immediately experienced an increase in energy levels. The Spanish found that what was good for their horses would also benefit humans, so payment for the taxes levied on the locals was taken in Maca.
There are three phases of menopause: the peri-menopause or the period leading up to the menopause. During this time a low dose of 1500mg is recommended to counteract the slow down in the production by your body of hormones. During the actual menopause, increase the dose to around 4000mg each day for a period of 2-3 months, and then reduce the dose to 2000mg. In the post menopause phase, reduce your daily intake of Maca to 1500mg. It is during the menopause and post menopause phases that the risk of osteoporosis increases and you are advised to also supplement Maca with Forever Freedom, a drinking gel that contains aloe vera, Glucosamine, MSM, Chondroitin and vitamin C.
It wasn't until 2002 that the true health risks of hormone replacement therapy were discovered and communicated openly. Up until that time, doctors routinely prescribed HRT to women who were experiencing any sort of menopause symptoms. The most common symptoms where HRT was used were for severe hot flashes and vaginal discomfort. Hot flashes for some women can be extreme where visible sweating occurs while the body attempts to cool it self off. Hot flashes tend to be most severe during the late evening and early in the morning. There are often accompanied by night sweats.
Before women agree to hormone replacement therapy, they need to be fully aware of the health risks associated with this treatment. The combination of estrogen and progestin, a popular HRT, can result in heart disease, blood clots, strokes, breast cancer and dementia. In fact, if you are a breast cancer survivor, any sort of hormone replacement therapy is discouraged strongly even if you suffer from severe menopause symptoms.
HRT is effective at reducing the severity of menopause symptoms as well as decreasing the risk of hip fractures from osteoporosis and colorectal cancer. If you opt to participate in HRT treatment, it is recommended that you go for the smallest dosage possible for the shortest length of time to reduce your risk of the above side effects.
Testosterone is a major player in the complex mielu of hormones (cellular messengers) that direct our bodies to function. In men who are over the age of 40, there is a significant drop in this level of this hormone. Until recently it was considered taboo to replace this important hormone. But today forward thinking anti-aging specialists realize what scientific studies over the past decade have taught us.
As with women who have gone through the change of life, replacement of their sexual hormones (estrogen, progesterone and testosterone) enact major health benefits such as osteoporosis prevention, heart disease prevention and increases in cognitive function. Likewise for older male subjects the benefits of the addition of testosterone under careful physician management is a crucial aspect of maintaining good health. I wish in this article to dispel some misconceptions about Testosterone Replacement Therapy and provide a list to readers of the benefits of this simple and safe treatment.
First of all there is overwhelming evidence in the scientific literature that testosterone does not cause prostate cancer. In actuality it is the unbalanced estrogen excess in man that is implicated in prostate cancer.
The caveat here is that once there is prostate cancer, testosterone which is an anabolic (building) hormone can promote cancer growth, but contrary to the popular belief, even within the medical field, it does not cause cancer. With advancing age Testosterone levels drop while estrogen levels rise and compete for binding sites on the prostate gland as well as other cells in the body causing a hormonal havoc.
Such problems as an increase in adipose tissue with midsection obesity, a decrease in muscle mass, generalized hormonal imbalances (growth hormone, estrogen, thyroid), depression, increased cholesterol and lipid dysfunction, glucose and insulin imbalance, decreased coronary artery elasticity, elevated blood pressure and loss of a feeling of well being result from low testosterone levels. Supplementing Testosterone in the appropriate candidates reverses these unwanted outcomes, but it is not as simple as taking a pill. There are enzymes in our body that can change exogenous testosterone into other undesirable hormones such as Estrodiol and DHT. Therefore, a physician that understands the balancing act and has the ability to monitor these other hormones is best to treat such a disorder.
Along with the correct replacement modality (cream, gel or patch) there are other considerations which halt the trend of testosterone conversion and these are usually supplemented along with testosterone. Such supplements are Saw palmetto, Zinc and Nettle extract to name a few. In a recent study of the Androderm patch after a 12-month period a depression score dropped by nearly one half with testosterone replacement alone. Again men with complaints of fatigue receiving testosterone in one study had symptoms of fatigue drop for 79% to 10%. A Medline medical literature search reveals many more positive outcomes of testosterone replacement. For those interested in finding out more about their bodies, there is a non-invasive home testing kit available at the Saleeby Longevity Institute which allows men to evaluate the levels of testosterone in circulation.
Andropause the male menopause
by J.P. Saleeby, MD
Hormone Replacement Therapy Risks
A point of confusion for some people is the difference between side effects and risks when taking a prescriptive drug. This is certainly true when it comes to hormone replacement therapy or HRT. HRT refers to synthetic hormones prescribed primarily to relieve menopause related complaints such as hot flashes, night sweats, erratic periods, excessive bleeding during perimenopause, etc.
Risks associated with HRT
There are long term risks associated with taking prescriptive hormones as part of replacement therapy. You may have taken prescriptive hormones for years with no side effects whatsoever, and they may have dramatically relieved your menopausal hot flashes, sweats and other complaints. Yet you are now at greater risk for a variety of serious illnesses including breast cancer, uterine cancer, stroke and heart attack to name a few. These are the risks associated with HRT. Research studies have found so many serious risks associated with hormone replacement therapy that most medical doctors are unwilling to routinely prescribe hormone replacement for relief of menopause related complaints. Rightly so, they don't want to put their patient's at risk for life threatening conditions.
Let's look more closely at the risks associated with replacement therapy. Much of our knowledge of these risks comes from the Women's Health Initiative, a study that tracked the health of thousands of women, some taking hrt and others not. The study was eventually stopped as it became clear that there was a dramatically increased risk of breast cancer among the women undergoing HRT. Because of the complex nature of the study, the results are difficult to summarize succinctly. Numerous other studies have also clarified the risks and benefits associated with hormone replacement. Here is a broad picture of the level of risk associated with hormone replacement, followed by the benefits.
Hormone replacement therapy risks
- Breast cancer risk increased by 24 percent with combined estrogen / progestin HRT
- Risk of ischemic stroke increased by 41 percent with medium to high dose HRT, but much less risk with ultra low dose hormone replacement
- Heart attack risk increases by 29 percent for those taking HRT
- Slightly increased risk of ovarian cancer when only estrogen is taken for more than 10 years
- Twenty-one percent increased risk of kidney stones
- Higher risk of developing gall stones
Hormone replacement benefits
- Relief of menopause related complaints
- Increases bone density
- Reduces risk for colon-rectal cancer
- Decreases risk of macular (eye) degeneration and loss of vision associated with aging
The side effects of HRT
Side effects are generally considered to be any temporary complaints that are experienced while taking a drug. Side effects often resolve soon after stopping the medication. Using this description, the side effects of hormone replacement are not well known. These side effects vary depending on which combination of hormones one is taking and the specific synthetic forms used. Some of the more common side effects of prescriptive forms of estrogen, progesterone and combinations of both are as follows.
- Breast pain, enlargement and tenderness is associated with the stimulatory effect of estrogen
- Nausea and vomiting with the use of estrogen HRT taken by mouth
- Vaginal bleeding can occur in association with oral estrogen
- Darkened skin spots tend to occur on the face
- Headaches of a migraine type are associated with taking synthetic progesterone or progestins
- Depression is a common complaint that is found to be a result of taking progestins
- Greasy skin and acne are also associated with progestin use
Women are wisely looking for alternatives to hormone replacement. Fearing the risks associated with it, added to the side effects of prescriptive hormones, they are not too excited by it. Researchers and academics argue for and against hormone replacement.
The author's of a 2008 study titled the Women's International Study of Long-Duration Oestrogen after the Menopausesuggested that their study demonstrated such significant benefits for relief of menopause complaints that HRTshould be reconsidered by many women.
One of their colleagues (not an author of the study) reviewed the results of their study and came up with the opposite conclusion. Underscoring her concerns regarding the risks of hormone replacement therapy, Professor Anne Kavanagh of the University of Melbourne recently countered their claims as to the benefits of hormone replacement therapy. Professor Kavanagh points out that the study did not show and overall improvement in the "quality of life" for women in the study.
* A tendency to fall asleep during the day
This is called andropause.
Fall in the production of testosterone contributes to these problems in a big way. This is when doctors recommend testosterone replacement therapy. The average age of men seeking relief from these symptoms ranges from forty to seventy five, which only goes to prove how popular these therapies are.
Although testosterone replacement therapy is quite old, there have been significant changes in the therapy in the last decade. In the past, a patient seeking this therapy had to undergo a battery of tests. Not only were these tests expensive but at times, they were also unreliable because testosterone level indicated in the blood is difficult to interpret. That is why there are different methods to evaluate and assess the need for this therapy in men. These days, a more pragmatic approach is used to assess the need for therapy. This includes a questionnaire where the patient has to write answers for the purpose of evaluation.
Hormone Replacement Therapy - What Are the Benefits?
The economics of bioidentical hormones
Why doesn't modern medicine use bioidentical hormones (hormones identical to what our body makes) to "replace" what is missing? It's sad to say, but the main reason is that there is no money in it.
Pharmaceutical companies can only patent what they invent in a laboratory. They are not able to patent what Nature makes. And its only through holding a patent on a drug that they can mark up the price enough to make a good profit.
(The mark up on drugs like Premarin and Prempro is very high, with mark up on many drugs upwards of 10,000%. Premarin is available in Europe for $8.95/100, in Canada for $22.46/100 in the United States for $55.42. Price variations for Prempro are $5.75/28 in Europe, $14.33/28 in Canada and $31.09/28 in the United States). These price variations begin to reveal the profit margins pharmaceutical companies have with these drugs. They are really a cash cow for these companies.