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What Is BayshoreHormone 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. Bayshore HRT replaces hormones your body no longer makes. It’s the most effective treatment for menopause symptoms.
7 Ways on How to Avoid the Risks Associated with HRT
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.
So the medical profession insists on using what it is familiar with, and that is drugs. Bioidentical hormones are becoming more familiar to doctors, and more and more doctors are willing to prescribe them. But its far from the majority--many will not.
Why bother with bioidentical hormones? Wouldn't they have the same side effects as what doctors now prescribe. Doctors who use them say no, that they do not have the side effects and risks of drug HRT. While most women are already aware of the risks associated with hormone replacement therapy, it may be helpful to look at the issue quickly.
Risks of HRT
Many studies have underscored the risks of HRT. The biggest is The Women's Health Initiative. The study followed 160,000 women between 1993 and 1998. It compared the health of women on different combinations of HRT with women who were not.
The study reported that the women on HRT had greater risk for a variety of health problems. The study showed that the women on HRT had a significantly increased risk for breast cancer, heart attack, stroke and blood clots. The study showed that HRT benefited some conditions, decreasing the risk of colorectal cancer and of hip fractures due to osteoporosis.
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.
Natural Hormonal Replacement Therapy
* 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.
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.
Estrogen, Progesterone, And Cancer
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.