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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.
Menopause and Bladder Control, Kegel Exercises Used in Alternative HRT
The average age for menopause is 51.4 years. This age has changed very little over the years. However, there is a long period of time prior to the menopause, that lasts approximately 10 years, which is referred to as the climacteric or peri-menopause phase.
So how does a person know when she has completed menopause and transitions into post-menopause? Once you have gone without menstruating for a consecutive 12 month period, then you are considered to have completed the menopause.
Until 2002 hormone replacement therapy (HRT) was routinely used to treat menopausal symptoms and protect long term health. So what changed in 2002? Well, there was a large clinical trial called the Women's Health Initiative (WHI) that reported that HRT actually caused more health risks than benefits for the women in the trial. Doctors started to get very nervous about prescribing it to their patients and as a result, up to two-thirds of women discontinued its use, quite often without even discussing it with their physicians.
Even though there is still plenty of confusion surrounding HRT, it is still considered the most effective treatment for dealing with menopausal symptoms.
I agree with Dr. Christiane Northrup, a leading expert on women's health and wellness when she writes in her Nov 2009 Huffington Post Blog entry. Dr. Northrup posts: "I encourage every woman to learn about the hormone therapy options available today. They are vast, and there are many excellent choices made from bio-identical hormones. I also encourage every woman to look with a critical eye when reading the news about HRT. It's likely that there will continue to be controversial and conflicting information."
While my own personal preference is for all natural remedies, and I would not consider HRT, I do believe that we women deserve to have ALL of the information available to make an informed choice regarding our own health and wellness. Therefore, I am recommending that you ask your doctor for more information on bio-identical hormone replacement and do your research on the latest studies, as well as the many choices for all natural symptom relief like the tips and techniques that can be found here. Then you will have the information without the hype.
Best of Health,
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.
Bioidentical Hormones - The Truth About Using Them During Menopause
Hot flashes or flushes are described as a sudden feeling of warmth or heat within the body and often with associated sweating. A hot flash can be an intense feeling of heat usually in the upper half of the body but can be experienced in the lower half as well.
The exact cause of hot flashes isn't known but they do know that factors affecting the regulatory area of the brain, the hypothalamus, regulates body temperature. When the brain senses an increase in body temperature it will release chemicals which cause the blood vessels in the skin to dilate in an attempt to release the heat. It is said that estrogen and testosterone allow the body to tolerate changes in core body temperature, therefore, as these hormones decrease in peri-menopause and menopause so does your body's ability to tolerate increased heat.
In my opinion this is only part of the problem. I believe it is more of an imbalance in the hormone family than just a decrease in estrogen and testosterone. In some women, when estrogen is balanced with progesterone, hot flashes decrease or stop altogether. Knowing what is out of balance will help you determine why you have hot flashes in the first place. Hot flashes are not normal, they are one of your body's very intelligent ways of communicating a larger problem.
Lifestyle, stress and dietary habits play a huge role in the occurrence and frequency of hot flashes and night sweats. Known hot flash triggers are:
Physical, Emotional & Dietary Stress
Over the Counter Medications
Know what your triggers are and attempt to avoid them as much as possible. Avoid closed, hot rooms and lower the temperature in your surroundings. Dress in layers and do not wear synthetic clothing as they trap the sweat. Cotton clothing allows your skin to breath. Increase your exercise routine to 30 minutes per day and get sound, quality sleep. Decreasing stress is a no-brainer but not so easy to do. Practice stress reducing techniques and mindfulness. Absolutely avoid processed foods including; boxed and canned goods, fast foods, enriched breads, sugars, sodas, etc. These non-foods put undue stress on your digestive system and ultimately your endocrine system (hormones).
So what's the problem with (HRT) Hormone Replacement Therapy? Most of us have heard the stories, read the articles and have seen the warnings. The possible side-effects of HRT are just a bit too scary for me. Breast and/or uterine cancer, heart disease, blood clots, and stroke being the most prominent. Unfortunately, some of you have even experienced one of these yourself. And, watch out ladies, bio-identical hormone replacement therapy can be dangerous as well. Natural progesterone cream is sold over the counter and being used without knowing one's hormone levels. Hormone creams and gels must be used very carefully and monitored closely with appropriate testing. One of the many problems with using the transdermal creams and gels is that they are absorbed into the subcutaneous fat tissue where they build up and can eventually saturate the tissue and over time start to spill back into the system creating an overdose of the 'free fraction' of the hormone in the body. At this point your cells will down-regulate (not accept) the hormone and you will once again have the symptoms of deficiency while you actually have too much of the hormone in your system. Routine (serum bound) blood tests cannot accurately monitor the use of transdermal creams and gels. Testing must be performed in the free state, otherwise a person will be profoundly overdosed with 'free' hormone levels by the time the blood tests detect any significant changes. I have witnessed many a website advising the use of creams and gels without regard to the individual's symptoms, history or tested levels. This is totally irresponsible and a major problem for women looking for an end to the sometimes debilitating symptoms of menopause. When administering a hormone in a 'free' form you must test for and monitor the hormone in a 'free' form (saliva or serum free). Since hormones are interactive, the problem doesn't end here. Depending on the hormone being overdosed, multiple other imbalances will stream into the system. Hormones given in amounts that exceed normal physiologic needs will cause receptor cell down-regulation (the cells will not accept the hormone once the liver can no longer clear the excessive levels). In addition, Brain, HP (hypothalamus/pituitary) dysregulation is created and atrophy of the gland as well.
DHEA is also sold over the counter. You can literally go into a health food store and buy a bottle of 25 mg capsules of DHEA. Women should not take DHEA unless absolutely necessary. Women are especially sensitive to DHEA and will not tolerate DHEA if not needed, or if given in too large of an amount. In fact, the majority of men do not need 25 mg DHEA daily. What's the big deal? DHEA can boost estrogen levels or testosterone levels and for women that could mean facial hair, deeper voice, not to mention dys-regulating the steroid hormone family even more. Hormones are very powerful messengers in very tiny amounts. Start playing with the numbers and you could be creating some very serious health problems for yourself. This goes for the men as well. For men, when taking DHEA in higher than needed amounts it will convert to Estrogen.
OK, now that I've gone on and on what are some of the solutions? Medically, I've seen recommendations for prescription drugs such as Effexor, an anti-depressant which has been successful in relieving hot flashes in low doses. The two problems I see here is that #1, it is not solving the problem and #2, there are side-effects to every medication known. You're putting a band-aid on the problem and worse than that you will, in all probability, have a known or unknown side effect from the medication. They are now performing clinical trials on the drug Menerba. From what I can gather it is a plant based drug with 10 or 20 herbs, licorice being the major player. Hmmm, maybe I'll just try some licorice?
Let's look at some of the herbs that may be of value here:
Indicated for hormonal support. Tribulus is known to boost male and female fertility and libido, enhance athletic performance, stamina and endurance, restore and build vitality, relieve menopausal symptoms and is helpful in male menopause.
Black Cohosh -
Is specific for menopausal symptoms such as reproductive problems, especially when accompanied by pain: amenorrhea, dysmenorrhea, uterine pain, ovulatory pain, post-partum pain, testicular and prostatic pain, and menopausal symptomotology such as anxiety, depression and insomnia. It is mildly useful for hot flashes and is more effective when used with Chaste Tree, Motherwort, Licorice, and Dang Gui. Black Cohosh is contraindicated in pregnancy & low blood pressure.
This herb is getting a lot off attention for its' role in decreasing hot flashes. Although a cooling herb Sarsaparilla is more specific for inflammatory conditions of the skin, connective tissue, and bowels. That being said, it does clear blood heat and is used with other herbs to reducef hot flashes.
Red Clover -
The isolated isoflavones are being used to treat menopausal symptoms. Since it is a cooling herb it can help reduce hot flashes.
Licorice - Contains isoflavones and is used for menopausal symptoms such as hot flashes and vaginal dryness. More effective when used with Chastetree, Black Cohosh, Motherwort, and Sage. High doses of Licorice is contraindicated in people with high blood pressure.
Soy - I'm going to be very opinionated here. I don't believe soy is meant for human consumption, there is a tremendous amount of controversy about the efficacy of soy and about the fact that is does not digest in the human body. BTW, soy is not an herb.
Wild Yam - What can I say, some experts swear by it and others say that is has no real benefit for menopausal symptoms, including hot flashes.
When using herbs be sure to purchase your herbs from a known and reputable source. Do a bit of research to be sure the herb is not contraindicated with any medications and/or physical challenges you may have.
No matter how long you have been suffering with hot flashes and/or other symptoms of peri-menopause and menopause, it's not too late to stop hot flashes now. The good news is - You can begin by knowing your triggers and avoiding them. Eat a healthy well balanced diet. Find a qualified herbalist or hormone specialist and discover your hormonal levels so that you can begin the balancing act for a healthier and happier you.
Other improvements in the field of testosterone replacement therapy include different ways of administering testosterone. In the past, testosterone was taken in the form of pills. However, oral intake impacts the effectiveness of the therapy. Also, the medication has to be digested in the liver first before it is absorbed by the body. This dilutes the effect of the medicine and also puts the liver under tremendous stress. These days, testosterone is given through skin patches or injections so that absorption takes place transdermally.
Men undergoing testosterone replacement therapy are generally quite satisfied with the results they experience in terms of increased youthfulness, better muscle mass, lower body fat and of course, remarkable sex drive!
However, patients must be warned that they do not approach the therapy with unusually high expectations. The immediate effects of the therapy are quite intangible. Changes will be observed but these will be small changes only. Do not expect anything dramatic.
The Difference Between HRT Therapy Side Effects And Risks
Bioidentical hormones are often touted as the natural alternative to HRT (Hormone Replacement Therapy) which is the synthetic version of a female's hormones. Bioidentical refers to the progesterone and estrogen that is supposedly identical to the hormones a female's body produces. When a women enters menopause or experiences some other hormonal depletion, many doctors will prescribe hormone replacement therapy as a treatment to the varied symptoms that can accompany hormonal deficiencies.
Because of the dangers associated with HRT, many women have searched for an alternative, which to date, has been bioidentical hormones. This type of hormone compound is usually made in pharmacies that specialize in producing compounds that are regulated for each woman's identical hormone level. Pharmacies that process these compounds are not federal or state regulated so it's never certain as to the quality and consistency of dosages.
The baby boomer generation of women has been the biggest reason for the demand of a more natural way to replace depleting hormones at menopause. Also, this generation is more demanding of natural alternatives to synthetically derived treatments and want a more natural approach that may promise less side effects. The celebrity driven bioidentical conversation has also fueled the demand as many women see famous people who look 20 years younger than their real age.
Some issues to think about when considering the use of natural hormones is the fact that even though bioidenticals are naturally derived, they are still hormones that can affect the body in not only positive but negative ways as well. Also, for women who are impressed with various celebrities who recommend these treatments as a new fountain of youth, remember that celebrities have unlimited access to cosmetic surgeries and other physical assistance to help them achieve the illusion of looking younger.
It is true that natural hormones do not have the synthetic makeup of HRT compounds, but there are still risks as well as benefits associated with their use. Before making your decision about hormonal issues, it is wise to consult with one or more healthcare professionals who can provide a detailed plan for your best health.