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What Is MurraysvilleHormone 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. Murraysville HRT replaces hormones your body no longer makes. It’s the most effective treatment for menopause symptoms.
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
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.
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.
A Natural Alternative to Hormone Replacement Therapy (HRT)
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.
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.
Hormone Therapy: What It Is and How It Can Help You
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.