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What Is WilmingtonHormone 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. Wilmington HRT replaces hormones your body no longer makes. It’s the most effective treatment for menopause symptoms.
Hormone Therapy: What It Is and How It Can Help You
Hormone replacement therapy is a popular form of medication which is used to reduce the discomforts of menopause in women. When women reach menopause the production of estrogen and progesterone hormones by the ovaries is greatly reduced. They hence experience lots of changes in their bodies and exhibit symptoms which vary from time to time.
Replacement therapies are recommended so as to help ease these symptoms and most women experience a sense of well being after using these therapies for several weeks. There a number of known long-term and short-term benefits associated with the use of replacement hormones.
Replacement hormones reduce stress attacks, headaches, night sweating, and migraines. Women using these hormones also have a reduced chance of succumbing to muscular degeneration and Alzheimer's disease. Estrogen replacement hormones effectively treat symptoms experienced during menopause such as hot flushes and mood swings, vaginal dryness, and burning sensations and loss of vaginal elasticity. Studies also indicate that osteoporosis, a condition associated with the loss of bone density, can be avoided with the use of replacement hormones. This greatly reduces the risk of bone fractures as a result of weakened bones and joints.
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.
Sally, one of my senior colleagues was in her mid forties when she experienced night sweat for the first time in her life. It was cold inside, yet she was all covered up with sweat. The story does not end there; she shares with us more of her experiences like depression, anxiety, hot flash, vaginal dryness, low sex drive and few more. Well, sally was going through the symptoms of menopause. It literally meant a sudden 'change of life' for her. She suddenly started look different and started talking about strange things like 'getting everything in order'. Any way, the cheery, confident Sally was gone and as if a different person came to work with us. It was evident that Sally failed to accept this natural transition of life with grace. It was then somebody broached the topic of hormone therapy to Sally. After a brief phase of indecision, sally decided in favor of hormone replacement therapy and today she is her active, enterprising self again and most importantly finally she came to realize that menopause meant only the end of reproductive life of a woman; it is not the end of life.
So what does a hormone therapy mean that brought about such a positive change in the life of Sally and why only Sally? Millions of women all across the USA, every year take recourse to the hormone replacement therapy to live a life happier and healthier in their post menopausal days.
No matter by what name you call it-- Hormone therapy or hormone replacement therapy or ovarian hormone therapy, it is a treatment involving the use of estrogen and progesterone to supplement the declining levels of these hormones in female body during the days of menopause. The modern medical sciences are of the opinion that the term , "hormone replacement therapy" is contradictory to the very spirit of the treatment as the name suggests that menopause is a disease caused by hormone deficiency. But menopause is just a natural phase of a woman's reproductive life and the entire life cycle as puberty is. So the term "hormone therapy" has become more popular over time.
Menopause is natural, but it is not that easy to deal with its symptoms. So it is no wonder that more and more American women are considering a hormone treatment as they reach the menopausal period in their 40's and 50's. But giving a consideration and taking the actual decision are not same and so there are considerable dilemma between the thinking and ultimately taking the decision. Most of the women swing between the question: to do or not to do? They can not be blamed for this indecision for making an informed decision about hormone therapy is difficult. One comes to read about so many benefits of this therapy only to be contradicted by a sea of risk factors written in another book or magazine or website. So before taking the decision you have to weigh carefully the pros and cons of this treatment.
However, there are some women who are not considered ideal candidate for hormone therapy. They include the Women with certain conditions should not take hormone therapy. These include the women diagnosed with breast cancer, active liver disease, a history of blood clots or vaginal bleeding without any apparent reason.
Any decision regarding hormone therapy must be taken after through discussion with your physician who will decide after taking into consideration such factors as your age, medical history, overall health and Current symptoms.
Hormone Replacement Therapy Risks
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.
Although menopause is just one of the phases of life, its symptoms often prove to be detrimental to a normal and active lifestyle of a career woman of today. So most of the women today undergo hormone therapy to get rid of these symptoms like hot flash, moderate to severe vaginal dryness and related discomforts. There are cases where even the younger women take the help of hormone therapy to treat the conditions in which ovaries do not produce sufficient estrogens naturally.
In its more advanced stage, hormone therapy is also being recommended for reducing the risk of heart disease and the debilitating disease of osteoporosis.
In order to alley the risks as far as possible, doctors suggest a continued treatment for 10 to 20 years or even throughout one's lifetime.
Hormone therapy is a procedure for receiving additional estrogen and progesterone in the body and there are several ways to take these hormones into your body. You can pop hormone pills. You can use them as topical medicines for your vaginal treatments. They can also get inside your body as implants or you can take the hormones through injections.
The normal women who have their uterus have to take a combination of estrogen and progesterone. This is because estrogen alone greatly increases a woman's risk of uterine cancer. The progesterone neutralizes this risk factor. The women who have had their uterus removed however are prescribed estrogen alone. This is known as "estrogen replacement therapy" (ERT).
There are many women who experience menopause before they are forty. Sometimes this happens naturally. Sometimes it is the result of surgery to remove the ovaries. Radiation or chemotherapy are also sometimes responsible for advancing menopause in the lives of certain women. Whatever may be the cause, in these cases of early menopause hormone or estrogen therapy becomes particularly essential to counter the effects of a premature drop in estrogen levels.
Menopause and Bladder Control, Kegel Exercises Used in Alternative HRT
Most women experience the onset of the menopause at an average age of about 50, but it can start anytime from the early forties to the late fifties. Symptoms can vary: some women sail through but others suffer the miseries of lack of energy, hot flashes, depression, night sweats, and loss of libido.
The usual remedy prescribed by doctors is hormone replacement therapy (HRT), and tranquillizers and anti-depressants to which you can become addicted. Before embarking on such treatment, investigate the natural alternative.
HRT is prescribed to counter balance the reduced production by your body of estrogen which can lead to increased risk of osteoporosis and weakened bones leading to fractures. However, two large clinical trials have shown that HRT does not, in fact, significantly reduce the incidence of bone fractures, and there is an increased risk of heart disease, gallstones, and breast and endometrial cancer.
Many menopausal symptoms are less to do with a shortage of hormones and more to do with imbalances. By eating a healthy diet, taking regular exercise and natural supplements, you can boost the health of your bones, and balance sugar levels and your hormones.
It is well known that people in some parts of the world (for example Japan and the Mediterranean countries) rarely suffer from heart disease due to their different national diets. It is less well known that women in the Andes region of Peru do not suffer menopausal symptoms. Peruvian women take Maca, a tuberous plant related to the potato. As well as the beneficial effect on menopausal symptoms, Maca boosts energy and libido. Maca is also known as "Peruvian Ginseng" and "Peruvian Viagra".
The Incas once inhabited this area and, in order to boost their energy, their warriors used to take Maca before going into battle. When the Spanish conquered the area they found that their horses suffered from the high altitude. The locals advised them to feed Maca to the horses and the animals immediately experienced an increase in energy levels. The Spanish found that what was good for their horses would also benefit humans, so payment for the taxes levied on the locals was taken in Maca.
There are three phases of menopause: the peri-menopause or the period leading up to the menopause. During this time a low dose of 1500mg is recommended to counteract the slow down in the production by your body of hormones. During the actual menopause, increase the dose to around 4000mg each day for a period of 2-3 months, and then reduce the dose to 2000mg. In the post menopause phase, reduce your daily intake of Maca to 1500mg. It is during the menopause and post menopause phases that the risk of osteoporosis increases and you are advised to also supplement Maca with Forever Freedom, a drinking gel that contains aloe vera, Glucosamine, MSM, Chondroitin and vitamin C.