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What Is Silver LakeHormone 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. Silver Lake HRT replaces hormones your body no longer makes. It’s the most effective treatment for menopause symptoms.
Bioidentical Hormones - The Truth About Using Them During Menopause
The average age for menopause is 51.4 years. This age has changed very little over the years. However, there is a long period of time prior to the menopause, that lasts approximately 10 years, which is referred to as the climacteric or peri-menopause phase.
So how does a person know when she has completed menopause and transitions into post-menopause? Once you have gone without menstruating for a consecutive 12 month period, then you are considered to have completed the menopause.
Until 2002 hormone replacement therapy (HRT) was routinely used to treat menopausal symptoms and protect long term health. So what changed in 2002? Well, there was a large clinical trial called the Women's Health Initiative (WHI) that reported that HRT actually caused more health risks than benefits for the women in the trial. Doctors started to get very nervous about prescribing it to their patients and as a result, up to two-thirds of women discontinued its use, quite often without even discussing it with their physicians.
Even though there is still plenty of confusion surrounding HRT, it is still considered the most effective treatment for dealing with menopausal symptoms.
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.
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
The Dangers of Hormone Replacement Therapy
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.
A follow up study to the Women's Health Initiative showed that not only did it increase the risk of breast cancer, but that the type of breast cancer was more deadly. Other studies show that HRT also increases risk for gall stones, kidney stones, uterine cancer, ovarian cancer and uterine bleeding.
Side effects of HRT
While the press has spoken more about the risks of HRT recently, one doesn't hear much about side effects. Shorter term complaints or side effects that women have with HRT include nausea and vomiting, breast tenderness, vaginal bleeding, skin discoloration (particularly patches on the face), headaches, depression, anxiety, nervousness and irritability, fluid retention and bloating, acne and greasy skin.
It's not a very rosy picture. The majority of women are now deciding against hormone replacement therapy for relief of menopausal complaints. Instead they are turning to natural approaches such as herbs that contain estrogen like molecules, and estrogen rich foods.
What You Should Know About Menopause and Bioidentical Hormones
* A tendency to fall asleep during the day
This is called andropause.
Fall in the production of testosterone contributes to these problems in a big way. This is when doctors recommend testosterone replacement therapy. The average age of men seeking relief from these symptoms ranges from forty to seventy five, which only goes to prove how popular these therapies are.
Although testosterone replacement therapy is quite old, there have been significant changes in the therapy in the last decade. In the past, a patient seeking this therapy had to undergo a battery of tests. Not only were these tests expensive but at times, they were also unreliable because testosterone level indicated in the blood is difficult to interpret. That is why there are different methods to evaluate and assess the need for this therapy in men. These days, a more pragmatic approach is used to assess the need for therapy. This includes a questionnaire where the patient has to write answers for the purpose of evaluation.