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What Is BelvilleHormone 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. Belville HRT replaces hormones your body no longer makes. It’s the most effective treatment for menopause symptoms.
Male Hormone Replacement Therapy: Andropause
Before starting upon testosterone replacement therapy, men need to have their prostate examined. This particular examination, typically conducted by urologists is to understand the condition of the prostate gland which is prone to cancer. Whilst cancer of the prostate is very common and usually harmless, any kind of irregularities, hypertrophy, or even urinary complaints must be identified and dealt with prior to beginning testosterone treatment.
Specifically, men need a PSA (prostate gland specific antigen) blood-work test. If the test's values are found to be raised, then a PSA-2 test may be ordered that may determine prostatic hypertrophy. Androgenic hormone not an option in men diagnosed with prostate cancer because testosterone may well aggravate the condition.
Men should continue doing this prostate and PSA testing every 6 months after the commencement of Testosterone Replacement Therapy or as directed by their doctor.
Androgenic hormone or testosterone is secreted by the testes the entire day and is metabolized by heavy physical work and stress. It is therefore normal for doctors to order the blood be drawn in the morning when life's demands have not yet affected the body's level. Further, it is normal for the doctor to do 2 blood tests over a period of time to take an average reading.
Once it has been determined that a testosterone deficiency does in fact exist, and that there are no prostate cancer risks preventing replacement therapy, decisions can be made about what is the best way to administer the treatment.
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.
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.
7 Ways on How to Avoid the Risks Associated with HRT
* 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.
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 Replacement Therapy - What Are the Benefits?
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,