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What Is Wilmington 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. Wilmington Beach HRT replaces hormones your body no longer makes. It’s the most effective treatment for menopause symptoms.
A Natural Alternative to Hormone Replacement Therapy (HRT)
Before starting upon testosterone replacement therapy, men need to have their prostate examined. This particular examination, typically conducted by urologists is to understand the condition of the prostate gland which is prone to cancer. Whilst cancer of the prostate is very common and usually harmless, any kind of irregularities, hypertrophy, or even urinary complaints must be identified and dealt with prior to beginning testosterone treatment.
Specifically, men need a PSA (prostate gland specific antigen) blood-work test. If the test's values are found to be raised, then a PSA-2 test may be ordered that may determine prostatic hypertrophy. Androgenic hormone not an option in men diagnosed with prostate cancer because testosterone may well aggravate the condition.
Men should continue doing this prostate and PSA testing every 6 months after the commencement of Testosterone Replacement Therapy or as directed by their doctor.
Androgenic hormone or testosterone is secreted by the testes the entire day and is metabolized by heavy physical work and stress. It is therefore normal for doctors to order the blood be drawn in the morning when life's demands have not yet affected the body's level. Further, it is normal for the doctor to do 2 blood tests over a period of time to take an average reading.
Once it has been determined that a testosterone deficiency does in fact exist, and that there are no prostate cancer risks preventing replacement therapy, decisions can be made about what is the best way to administer the treatment.
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 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.
Every Woman's Guide to Menopause and the Importance of Hormone Replacement Therapy (HRT)
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.
Often a clinic that specializes in "Hormone Replacement Therapy" is immediately regarded as an "estrogen" or "testosterone" clinic implying the patients are there for "sexual dysfunction". That simply is not the case if one is going to a "hormonal wellness clinic" or "science based HRT clinic". The reason for the reference by many to the sexual side is much of the discussion centers on what is known as male or female hormones related to sexual functions and sexual male/female characteristics. There are many more hormones than those two, and even those two may require the use of other hormones, specifically DHEA, to effectively assimilate those two hormones into our system properly.
My personal experience has been I go to my medical doctor, actually his experience/training is as an emergency room doctor, and Dr. Hummel analyzes a vast array of hormones and other chemicals to assess whether my body is meeting the minimum demands for hormones for me to live healthy. He looks at the typical blood pressure, cholesterol, triglycerides, testosterone, thyroid function and many more. A baseline is established so the results of hormonal supplements, if needed, can be monitored and measured. If hormones or other medications, such as statins, is warranted then those are prescribed. Several weeks/months later new blood work is ordered to verify the underlying unhealthy pathologies are reversing and improving.
Testosterone Replacement Therapy - What Are the Benefits?
Exercises include the tensing of the muscles of the pelvic floor that not only improves bladder control, but also increases sexual functioning. They involve tensing and relaxing the muscles around the area of the urethra, vagina and anus.
To understand how these muscle work you can use the following techniques:
- Begin to urinate and then stop. The same muscle you use to control urination is the muscle that is used during the Kegel exercises.
- Insert a tampon and squeeze around it; these are the muscles being strengthened.
Kegel exercises can be added into any part of a daily routine-like when you are on the elevator, driving, talking on the phone, or while taking a shower. Repetition is very important and many women have found that these exercises have had a positive impact on their sex life.
When concerned about menopause and bladder control, Kegel exercise is an excellent alternative HRT. Doing your Kegels faithfully can strengthen your pelvic floor muscles enough that a sneeze or heavy lifting be a cause for loss of bladder control.
A key point to this training is that it IS part of an alternative hormone replacement therapy approach, which does not include drugs.