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What Is SeagateHormone 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. Seagate 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
With publicity about the dangers of hormone replacement therapy (HRT) getting so much publicity, a lot of women are turning to herbs and supplements for hot flashes and other symptoms associated with menopause. Soy, black cohosh, Dong Quai root, and Evening primrose oil have all been promoted for hot flashes and other menopausal symptoms. But do they really work? An initial study of 104 postmenopausal women randomized to 40 g daily of soy or a placebo showed a statistically significant reduction in number of hot flashes that was greater for soy (45%) that was greater than the reduction obtained with placebo (30%). Another study of 351 women age 45-55 with two or more hot flash symptoms per day were randomly assigned to black cohosh, multibotanicals, multibotanicals plus dietary soy counseling, placebo or hormone therapy for one year. Only hormone therapy was associated with significant reductions in hot flashes. Taking dietary soy actually turned out to be less effective at stopping hot flashes than taking a placebo for one year.
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.
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.
Bioidentical Hormones - What Are They?
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.
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
Natural Hormone Replacement Therapy - Does it Really Work?
Many women tend to experience the hormonal imbalance and it causes a greater degree of inconvenience. The pain can be really discomforting for a lady and it can make her anxious or irritating. This suffering is caused by conditions, such as PMS, stress, menopause, perimenopause and more. Experienced physicians will assure the patient receives apt treatment to get rid of the uneasiness in a short span of time. Many women in their perimenopause stage can suffer from the hormonal imbalance. This is may be due to improper diet or not getting the vital vitamins.
The most common symptoms are pain in breast, depression, insomnia, weight gain and more. The patient has to undergo several tests such blood, saliva and urine test in the clinic. After going through the reports, the physician will go ahead with bio-identical hormone therapy. With this treatment, the body will receive the necessary powerful estrogen and progesterone hormones. The insufficient production will lead to such symptoms. The physician uses the appropriate medications to artificially boost the hormone level in the body. This therapy has medically proven to be safe and effective.
This therapy has helped many men to come out strong from the problem of andropause. Over 35, there is a decline in the natural testosterone level and it can lead to lost libido, fatigue, weight gain, stress, low energy and more. This procedure can help to get rid of andropause and attain the right hormonal balance and metabolic activity. Consult an experienced physician for more information.