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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.
What You Should Know About Menopause and Bioidentical Hormones
With publicity about the dangers of hormone replacement therapy (HRT) getting so much publicity, a lot of women are turning to herbs and supplements for hot flashes and other symptoms associated with menopause. Soy, black cohosh, Dong Quai root, and Evening primrose oil have all been promoted for hot flashes and other menopausal symptoms. But do they really work? An initial study of 104 postmenopausal women randomized to 40 g daily of soy or a placebo showed a statistically significant reduction in number of hot flashes that was greater for soy (45%) that was greater than the reduction obtained with placebo (30%). Another study of 351 women age 45-55 with two or more hot flash symptoms per day were randomly assigned to black cohosh, multibotanicals, multibotanicals plus dietary soy counseling, placebo or hormone therapy for one year. Only hormone therapy was associated with significant reductions in hot flashes. Taking dietary soy actually turned out to be less effective at stopping hot flashes than taking a placebo for one year.
You've probably heard such terms as perimenopause and postmenopause floated around. These are menopausal terms that refer to the transition into, and out of menopause. It's a normal part of life, one experienced by every woman, at some point. Menopause is characterized by cessation of hormone production of the hormones involved with the regulating of a woman's menses. With the resulting changes in the levels of estrogen and progesterone there are usually changes in a woman's body. There are certain common symptoms; hot flashes, depression and being short tempered. But the level and degree of the various symptoms vary on a case-by-case basis, and may not occur in some women at all.
Peri-menopause lays the groundwork for menopause. The symptoms here may begin years before you experience your last menstrual period and may last up to a year after that. Post-menopause is what you go through after a year without your period-and lasts for the rest of your life. The average age is still an object of debate, some women tend to go well past their 50's, while some barely get to their 40's before it starts. It all varies based on lifestyle choices, genetics and habits among other influencing factors. Some women may have needed to get their 'tubes tied' or their uterus removed but even this does not guarantee a free pass. The ovaries still produce hormones, and they may eventually still experience these symptoms.
The debate as to whether bio-identical hormone therapy trumps other forms of hormone therapies that seek to reverse the effects of menopause is still a raging one. The key here is to find out if the risks outweigh the benefits, or vise versa. The hormones in bio-identical therapy are chemically identical to your body's hormones. Although estrogen and progesterone from this therapy are not known to increase the risk of breast cancer, other constituent components, the likes of synthetic progestins; medroxyprogesterone acetate heighten that risk.
Although hormone therapy is a delicate balance, bio-identical therapy does have its benefits. It is known to result in lesser bleeding, but, like any hormone therapy; they don't have this same effect on everyone. A history in cancer, blood clots and other conditions are usually red flags for people considering bio-identical therapy. Some women tend not to respond to the therapy, as they should, laying testament to the fact that hormone therapy is far from an exact science.
Lifestyle is another key aspect of hormonal therapy that is perennially downplayed. In the same way that pathological smoking and alcohol consumption may speed up your transition to menopause, these habits could as well cause an adverse reaction to any type of hormonal therapy. Note that there are many variables here, ergo; one should consult a physician or pharmacist specialist before taking any steps. The efficacy of bio-identical therapy could be highly dependent on slight lifestyle changes that may make all the difference. Finally, bio-identical components are run through a rigorous quality assurance process, plant synthesized, and are fitted to suit individual hormonal needs.
7 Ways on How to Avoid the Risks Associated with HRT
As a woman ages, it is a given fact that she will be hitting her menopause some time in her mid forties. It is also a given that a number of physical and psychological changes accompany this event. Thinning hair, dry skin and wrinkles are some of the effects of menopause. But, what about men? Do they experience something similar?
According to many doctors, many men experience a number of symptoms that are directly associated with their age. As a practicing doctor in Dublin, Ireland put it, men too suffer from a list of problems peculiar to aging. This includes:
* Flailing energy levels
* Depleting sex drive
* Erectile dysfunction
* Increased fat in the midriff area
* Decreased muscle mass
* Falling strength
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.
Male Hormone Replacement Therapy: Andropause
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