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What Is WilmingtonHormone 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 HRT replaces hormones your body no longer makes. It’s the most effective treatment for menopause symptoms.
The Risks of Hormone Replacement Therapy for Women
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
Bioidentical hormones are often synthesized from plants, and processed to make them resemble, or become entirely identical to the hormones within our bodies. Bioidentical hormone preparations are often compounded by pharmacists, with respect to the quantity recommended by the doctor.
We have a conflict of interest here with the pharmaceutical industry, because they are unable to patent human hormones that are molecularly identical to actual substances in the body. Therefore everything that you hear about bioidentical hormones must be viewed with a skeptic eye, because of the pharmaceutical companies massive influence over the health industry.
These hormones are mainly used by females, to alleviate the signs and symptoms of menopause. A scientific study compared the usage of bioidentical progesterone cream to placebo, and learned that women using the cream experienced a massive decrease in symptoms, including hot flashes and night sweats. The cream had no effect on bone mineral density though.
Bioidentical hormones are generally prescribed as a healthier replacement for regular hormone replacement therapy, which has been proven to have serious adverse effects. Many people have voiced their criticism about this kind of treatment because it hasn't been analyzed extensively enough in clinical studies.
However, some scientific studies have demonstrated that these hormones are indeed healthier and also bring less risk of adverse effects than the synthetic versions. This includes significantly less risk of blood clots as well as cancer, the two primary issues concerning conventional hormone replacement therapy.
It's imperative that you realize that these types of hormones haven't been studied as extensively as the standard, artificial ones. This is very understandable because the main sources of research funds are the drug companies, and they have absolutely no interest in studying a substance that can not be patented or marketed for massive price tags.
Unfortunately, because scientific studies are missing, it is not easy to find details about the side effects of bioidentical hormones in the literature, but it appears obvious how the side effects tend to be less severe than with regular hormone replacement therapy.
I'm not really thrilled about individuals playing around with the hormones in their bodies, because this might have unpredictable consequences. If the symptoms of menopause are leading to big problems in that case bioidentical hormones can be a safe alternative to standard treatment.
I would personally also suggest using as little of them as possible, for as brief a time as possible. Menopause is really a natural occurrence that happens with getting older, and even though treatment methods are possible, doesn't mean they're always the right thing to do.
Make sure that if you are undergoing any kind of hormonal treatment, to do it under supervision by a physician who has knowledge of these matters, hormones are nothing to play around with.
A recent study published in the Journal of the American Medical Association about Hormone Replacement Therapy (HRT) stated, "Results of a new Women's Health Initiative (WHI) report show that hormone therapy is associated with an increased the risk of death from breast cancer, as well as an increased risk of developing invasive breast cancer in postmenopausal women."
The news media immediately raised an alarm with headlines shouting the dangers of HRT, but what the media failed to mention was that the particular hormone replacement therapy being tested was a synthetic drug called Prempro. Bio-identical hormone replacement therapy was not included in this study. The term bio-identical means it's a hormone from Mother Nature. Extracts from soybeans and yams are converted into a treatment that matches your own body's hormones exactly. Synthetic HRT is made from horse urine and therefore, not a natural hormone for humans. Well, now, all of the proponents of bio-identical HRT are shouting louder to be heard above the roar of controversy that this study caused, making things even more confusing than they already were.
Natural Hormonal Replacement Therapy
Menopause occurs in middle age and brings along with it horrible symptoms such as hot flashes, difficulty sleeping, and a decreased sex drive. These symptoms vary a lot between women, but the driving force behind menopause is caused by an imbalance of hormones.
These hormones help maintain steady levels of chemicals in a woman's bloodstream. It used to be that hormone replacement therapy, or HRT, was the gold standard for hormone imbalance treatment. Research then started show that females utilizing HRT were at greater risk of stroke, heart disease, breast cancer.
Drs. and patients are now taking a closer look at bio identical hormones. These hormones are generated from plant compounds and are identical to the hormones that are found in the human body. Some studies are showing that BH RT, which is short for bio identical hormone replacement therapy, is good at alleviating the symptoms of menopause with a very low side effect profile.
Until a few years ago, it was very common for women experiencing menopause to utilize hormone replacement therapy. But HRT has been shown to lead to fluid retention, dizziness, and headaches. A recent study by the Women's Health Initiative looked at 16,000 women between ages of 50 to 79. Over the five-year study, females who were utilizing HRT had almost 30% higher risk of breast cancer, up 26% higher risk of heart disease, and the risk of stroke was 41% higher.
Hormones that are bio identical tend to help protect against breast cancer. They also help increase libido, vitality, stamina, mood and energy level along with helping with attention and memory. Women are often able to sleep better and have less anxiety when taking bio identical's.
BHRT is not without controversy. Large-scale studies need to be accomplished in order to decide whether it truly is more effective than traditional HRT.
It used to be thought that menopause was mostly due to estrogen deficiency, however those levels fall only 40 to 60% during menopause whereas the levels of progesterone can drop to virtually nothing. Low progesterone can lead to a higher risk of and or mutual cancer that potentially breast cancer as well.
Low progesterone can also lead to women gaining weight, low bone density, difficulty sleeping and stress. All of these are reasons to incorporate hormone replacement into a menopause regimen, the question remains is whether or not B HR 28 is in fact the best way to go. So far, it looks extremely promising.
After just a few months into the treatment, many men prescribed with hormone replacement therapy methods complain of fluid retention. Swelling usually occurs in the ankles or legs. Most of the time, this is accompanied with high blood pressure or congestive heart failure.
Sleep apnea is a condition in which an individual stops breathing for a period of time while sleeping. There have been many reported cases of this condition of men who are under hormone replacement therapy. Interestingly, although the public has been warned of this possibility, drug companies have released several statements denying this fact. As per their conclusion, the studies conducted associating testosterone replacement therapy and sleep apnea are weak and require further investigation.
The production of sperm in all men is dependent on production of testosterone by the testes. When hormone replacement therapy is applied to men who are testosterone deficient, the testes begin to stop producing natural testosterones altogether. This condition may either be temporary or permanent. For this reason, most doctors prefer to apply this form of treatment to men who already have children. This risk is not only a possibility but has been proven to be absolute for all those under this form of medication.
Herbs and Supplements for Menopausal Symptoms - Is there Any Evidence of Benefit?
Tender breasts or enlargement of breasts:
Men have some testosterone that gets converted to estrogen but normally isn't enough to cause estrogenic side effects such as gynecomastia (breast enlargement) But when taking supplemental doses of testosterone, particularly through hormone replacement therapy, much of it is converted to estradiol. The result of which, is feminized characteristics in men such as enlarge breasts.
There have been no reports of liver toxicity from transdermal testosterone replacement. However, for those on oral testosterone replacement, there have been a significant number of men reported to have developed liver problems. Incidentally, this is also the reason why all manufacturers of hormone replacement medications are now mentioning the possibility of liver failure when using their products.
One of the most important side effects of testosterone replacement therapy is the increase in the red blood cell mass and hemoglobin levels (Polycythemia). This is particularly true of older men as the increase of blood cell mass may lead to the possibility of heart attacks, strokes or peripheral clotting in the veins.
Hormone replacement therapy for men can cause prostate growth. Prostate growth can cause problems with urination or at worse, may promote the growth of cancerous prostate cells. It is noteworthy to state that prostate cancer is a common cancer for older men and the second most common cause of cancer deaths.