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What Is Carolina 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. Carolina Beach HRT replaces hormones your body no longer makes. It’s the most effective treatment for menopause symptoms.
The Difference Between HRT Therapy Side Effects And Risks
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.
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.
If you don't want to participate in hormone replacement therapy while going through menopause, there are some things that you can do to help alleviate some of the symptoms. First, change your diet and eliminate any processed foods. Eat lots of fresh fruits and vegetables. Hot flashes can be brought on by hot, spicy food so limiting these can definitely help. Limiting alcohol and caffeine will also help you sleep better and reduce hot flashes, insomnia, anxiety and mood swings. If you smoke, it may be time to consider stopping for a number of health reasons. Make sure to get plenty of rest and finally, exercise you be the most important thing you can do to help reduce or eliminate symptoms. Walking is great, so are running, golfing, swimming, biking, hiking and weight lifting. The more active you are, the easier it will be getting through menopause.
There are a number of menopause herbal supplements on the market that make big claims. Before taking anything, it is recommended you speak to your doctor to ensure they are right for you and won't cause other side effects.
Menopause And Bio-Identical Hormone Therapy
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.
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
Every Woman's Guide to Menopause and the Importance of Hormone Replacement Therapy (HRT)
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.