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What Is Kure 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. Kure Beach HRT replaces hormones your body no longer makes. It’s the most effective treatment for menopause symptoms.
Bioidentical Hormone Therapy - An Innovative Approach to Hormone Therapy
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 side effects of hormone replacement therapy (HRT) fall into two categories. First are the immediate side effects, such as headaches, nausea and vomiting and many others. Not all women will experience such side effects, and generally speaking these side effects resolve themselves once the HRT is stopped. Then there are long term risks such as increased risk of breast cancer (and other risks too). These longer term consequences of HRT are not reversible and in some cases are lethal. We'll start by answering the question "What is hormone replacement therapy?" Then we'll look at the advantages of bioidentical hormones, and finally at the side effects and risks associated with hormone replacement therapy.
Hormone Replacement Therapy
Now let's look at hormone replacement therapy (HRT). Actually HRT is no longer routinely recommended for relief of menopausal complaints. It's too risky.
For a long time, doctor's thought that HRT was a cure all. Then some major studies, particularly the Women's Health Initiative revealed the risks associated with HRT. But before looking at the risks of HRT, let's make sure that we understand what it is.
The name "hormone replacement therapy" implies that HRT is replacing the estrogen and progesterone lost. It is, but not with the same hormones that our body makes. So its not replacing apples with apples. It's more like replacing apples with watermelons, and that's the main reason for the risks associated with HRT.
As opposed to many hormone therapies, bioidentical hormone therapy actually uses natural hormones that are found in the human body. Other therapies may use similar, synthetic hormones to perform treatment. Hormone therapies have helped many men and women replenish hormone levels that may be diminished thanks to certain medical conditions such as menopause or andropause.
Bioidentical hormone therapy has been beneficial to women going through menopause or early menopause. This therapy has helped treat the symptoms of menopause including hot flashes, night sweats, memory loss, mood swings, weight gain and decreased libido. This treatment helps to replace the natural hormones that may be at decreased levels during this time.
Men may also be candidates for this therapy as well. Andropause has been described as the male menopause and is described as the gradual reduction of androgens in the body. Symptoms of this condition may include weight gain, decreased libido, fatigue, stress and energy loss. Through this treatment, many men have successfully replaced their natural hormones and have found relief from these symptoms.
A Natural Alternative to Hormone Replacement Therapy (HRT)
Sally, one of my senior colleagues was in her mid forties when she experienced night sweat for the first time in her life. It was cold inside, yet she was all covered up with sweat. The story does not end there; she shares with us more of her experiences like depression, anxiety, hot flash, vaginal dryness, low sex drive and few more. Well, sally was going through the symptoms of menopause. It literally meant a sudden 'change of life' for her. She suddenly started look different and started talking about strange things like 'getting everything in order'. Any way, the cheery, confident Sally was gone and as if a different person came to work with us. It was evident that Sally failed to accept this natural transition of life with grace. It was then somebody broached the topic of hormone therapy to Sally. After a brief phase of indecision, sally decided in favor of hormone replacement therapy and today she is her active, enterprising self again and most importantly finally she came to realize that menopause meant only the end of reproductive life of a woman; it is not the end of life.
So what does a hormone therapy mean that brought about such a positive change in the life of Sally and why only Sally? Millions of women all across the USA, every year take recourse to the hormone replacement therapy to live a life happier and healthier in their post menopausal days.
No matter by what name you call it-- Hormone therapy or hormone replacement therapy or ovarian hormone therapy, it is a treatment involving the use of estrogen and progesterone to supplement the declining levels of these hormones in female body during the days of menopause. The modern medical sciences are of the opinion that the term , "hormone replacement therapy" is contradictory to the very spirit of the treatment as the name suggests that menopause is a disease caused by hormone deficiency. But menopause is just a natural phase of a woman's reproductive life and the entire life cycle as puberty is. So the term "hormone therapy" has become more popular over time.
Menopause is natural, but it is not that easy to deal with its symptoms. So it is no wonder that more and more American women are considering a hormone treatment as they reach the menopausal period in their 40's and 50's. But giving a consideration and taking the actual decision are not same and so there are considerable dilemma between the thinking and ultimately taking the decision. Most of the women swing between the question: to do or not to do? They can not be blamed for this indecision for making an informed decision about hormone therapy is difficult. One comes to read about so many benefits of this therapy only to be contradicted by a sea of risk factors written in another book or magazine or website. So before taking the decision you have to weigh carefully the pros and cons of this treatment.
However, there are some women who are not considered ideal candidate for hormone therapy. They include the Women with certain conditions should not take hormone therapy. These include the women diagnosed with breast cancer, active liver disease, a history of blood clots or vaginal bleeding without any apparent reason.
Any decision regarding hormone therapy must be taken after through discussion with your physician who will decide after taking into consideration such factors as your age, medical history, overall health and Current symptoms.
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.
Every Woman's Guide to Menopause and the Importance of Hormone Replacement Therapy (HRT)
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