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What Is Wrightsville 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. Wrightsville Beach HRT replaces hormones your body no longer makes. It’s the most effective treatment for menopause symptoms.
Menopause and Bladder Control, Kegel Exercises Used in Alternative HRT
Many women who are entering their middle years and going into menopause, or perimenopause as it's called, are confused about the hype surrounding something called HRT. HRT is an acronym for Hormone Replacement Therapy, and it's a therapy intended to treat or ease the annoying side effects of menopause by replacing the lost hormones, i.e. estrogen and progesterone, and occasionally even, testosterone. Confused yet? Good. But keep reading, anyway, it will get better... hopefully.
A lot of the confusion has to do with the usage of words such as "Natural," "Synthetic" and "Bioidentical." We all think we know the meaning of natural and synthetic - natural is good, synthetic is bad and bioidentical just sounds scary.
"Natural" hormones are created within a biological organism, be it human, animal or plant matter. To be considered "natural," a hormone must share the same characteristics as its real-body counterpart, in terms of its make-up, shape and structure. But bear this in mind; a popularly prescribed hormone called "Premarin" is a natural estrogen hormone, because it's made from a biological organism. Unfortunately, that organism happens to be a horse. Now, it's been quite a while since Biology 101 class, but I don't recall that humans and equines share any biological qualities that are interchangeable.
"Bioidentical" hormones are made entirely in the lab, but they are identical or a clone to the hormones you produce naturally in your body, and they do the same thing. Now, the compounds could come from any source, but the bottom line is, when they enter your body, they do exactly what your body would have done, no more and no less.
A "synthetic" hormone in produced or made in the laboratory by means of a process known as synthesis. But, just because a hormone is synthetic doesn't mean that it's bad, provided that it does exactly what it's supposed to do, in the same way that the body does it. Because it does exactly what it's supposed to, it's actually quite "natural."
The real concern is the clever advertising directing you to choose one hormone over another. "Natural" implies better for you than "synthetic" or "bioidentical," but that may not be the case.
All of that didn't help much, did it? Good, because you should be ever cautious about what you put into your mouth in the form of a pill, or slap onto your body via a patch. Hormone replacement therapy can and does work, but don't let the media or the marketers influence your decision.
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.
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
Hormone Replacement Therapy Risks
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.
The existing methods of delivery currently include injection, pills, patches, or gel.
Of the injection method, normally it is done either weekly or fortnightly - but the concern is that there will be peaks and troughs of testosterone levels between the last and next injection. These rises and falls of testosterone level can mean high energy and motivation immediately following the injection, gradually waning to lethargy and perhaps even depression leading up to the next injection.
The pills method also has its problems, because the digestive process. Taking pills causes a mass flood of testosterone to be sent to the liver, which is not about it and metabolizes it into estrogen which defeats the whole purpose. The bottom-line is that you are swallowing a lot more testosterone than ever enters your bloodstream.
Patches do provide a regular supply of testosterone directly into your bloodstream via the skin, the only real down-side with them is skin irritation caused by the patches. Rotating to new sites every day can reduce this.
If you truly must have replacement therapy, then without doubt gel is the best of all options. If provides a steady release every day of the hormone into your blood through the skin, and it has no skin irritation side effects.
Better still would be to consider boosting your own production of testosterone using dietary supplements.
Hormone Replacement Therapy - What Are the Benefits?
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.