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What Is HarnettHormone 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. Harnett HRT replaces hormones your body no longer makes. It’s the most effective treatment for menopause symptoms.
Hormone Therapy: What It Is and How It Can Help You
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.
Exercises include the tensing of the muscles of the pelvic floor that not only improves bladder control, but also increases sexual functioning. They involve tensing and relaxing the muscles around the area of the urethra, vagina and anus.
To understand how these muscle work you can use the following techniques:
- Begin to urinate and then stop. The same muscle you use to control urination is the muscle that is used during the Kegel exercises.
- Insert a tampon and squeeze around it; these are the muscles being strengthened.
Kegel exercises can be added into any part of a daily routine-like when you are on the elevator, driving, talking on the phone, or while taking a shower. Repetition is very important and many women have found that these exercises have had a positive impact on their sex life.
When concerned about menopause and bladder control, Kegel exercise is an excellent alternative HRT. Doing your Kegels faithfully can strengthen your pelvic floor muscles enough that a sneeze or heavy lifting be a cause for loss of bladder control.
A key point to this training is that it IS part of an alternative hormone replacement therapy approach, which does not include drugs.
There is also medical evidence proving that hormone replacement therapy reduces the risk of developing cancer of the rectum or colon also known as colorectal cancer. The risk of coronary heart disease is also reduced when estrogen replacements are taken soon after menopause occurs. Maintaining normal levels of estrogen hormone reduces the risks of heart disease in these women. A combined prescription of both progestin and estrogen hormones is needed to avoid the risk of cancer of the uterus which may increase with the use of estrogen hormones alone. Replacement hormones are indeed the most widely used treatments used for symptoms associated with menopause.
Replacement hormone therapies not only help to solve problems related to menopause but they also facilitate graceful aging in women. Most of the ingredients which make these hormones are extracted from plants and are 100 percent identical to the hormones produced by the human body. It is important for women to have balanced hormone levels after menopause to avoid the aforementioned nagging symptoms. The replacement hormones come in different forms such as pills, creams, and oral supplements. Proper tests should however be done first to determine one's specific needs and thus help to identify an appropriate replacement therapy approach. Really this is a very interesting topic.
A Natural Alternative to Hormone Replacement Therapy (HRT)
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.
The essence of science based hormonal therapy is not to treat sickness but to maintain wellness. This is a dramatic change from the historical methodologies of health care in the U.S. Our nation's traditional measure of health care is actually "sick care". We wait until sickness before requesting medical interventions. The ideal way to address is health care is to prevent sickness rather than treat sickness. This new approach is what has inspired the new "hormone replacement clinics" as a standard of health and prevention.
Women often seek hormone replacement therapy from their physician for reasons related to menopausal symptoms. The object is not to prevent a natural process but to minimize the symptoms associated with menopause. Hormonal therapy helps restore hormones to eliminate or decrease the symptoms. Hormone therapy is not the use of a pharmaceutical to treat symptoms but assisting the body with additional natural hormones that are present but not in the quantity needed.
The hormonal therapy is not intended to enhance or exceed what our body normally produces but to supplement our body's ability to produce what once came naturally.
The Difference Between HRT Therapy Side Effects And Risks
Other placebo controlled trials did not find any efficacy of soy extract for hot flashes. Therefore I do not recommend use of soy extract for hot flashes. However there are no major safety issues with soy so if you want to try it that is fine. Placebo controlled trials have not shown Dong Quai or Evening Primrose Oil to be effective in the treatment of hot flashes.
Alternative medicines that are commonly promoted for symptoms related to menopause include St. John's wort, flaxseed oil, fish oil, omega-3 fatty acids, red clover, ginseng, rice bran oil, wild yam, calcium, gotu kola, licorice root, sage, sarsaparilla, passion flower, chaste berry, ginkgo, and valerian root. None of these have been studied with controlled trials. However since they do not have major health risks associated with them it is OK to try them.
Heidi Nelson, M.D., a Professor of Medicine at Oregon Health Sciences University in Portland, Oregon, and colleagues recently reviewed the literature for nonhormonal therapies for hot flashes, looking at the reduction in the number of hot flashes per day with different treatments. They found that hot flashes were reduced with SSRIs by 1.3 per day, with clonidine by -.95 per day, and gabapentine -2.5 per day (all statistically significant). By comparison, HRT reduces hot flashes by 2.5-3 per day. There was no effect of red clover extract, and results were mixed for soy. Other natural remedies for hot flashes were found to lack sufficient controlled trials to make a determination.