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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.
Menopause and Bladder Control, Kegel Exercises Used in Alternative HRT
Many doctors and patients have been concerned about reports that estrogen replacement raises the risk of cancer, but is not be the case, if done properly.
When progesterone is given along with estrogen for ten or more days per cycle, it not only eliminates the risk of this cancer but may actually reduce it beyond that which occurs spontaneously. Researchers suggest that the progestin was the good guy in combination of estrogen in hormone replacement therapy, first stimulating mitosis, or breast cell division, followed by the reverse, apoptosis. They speculate that a combined continuous regimen of estrogen and progestin could counteract the cell division needed to produce a cancer.
Women on estrogen therapy have a lower risk of dying from breast cancer than those who do not take hormones.
Estrogen alone has been shown to protect against coronary heart disease, lower cholesterol, and preserve brain function. Estrogen replacement not only sharpens memory and lifts the spirit, but it helps protect against Alzheimer's and shows promise as a treatment for the disease. Estrogen and progesterone work in tandem in the body premenopausally and, increasingly, physicians believe that both hormones should be replaced postmenopausally.
Progesterone alone breaks down fat, increases energy through fat loss, protects against endometrial and breast cancer, improves mood and sexual function, and normalizes the levels of blood sugar, zinc, and copper.
The overall beneficial effects of combined estrogen-progesterone replacement make a good case for multihormonal replacement therapy.
By combining these hormones with DHEA and melatonin, both of which have an anti-cancer effect, and growth hormone that stimulates the natural killer cells that fight cancer, you may be able to enjoy all the health-giving, age-reversing benefits of female sex hormone replacement while lowering the risk of cancer. It is important to see a physician regarding this to make sure it is medically monitored and done properly.
Tender breasts or enlargement of breasts:
Men have some testosterone that gets converted to estrogen but normally isn't enough to cause estrogenic side effects such as gynecomastia (breast enlargement) But when taking supplemental doses of testosterone, particularly through hormone replacement therapy, much of it is converted to estradiol. The result of which, is feminized characteristics in men such as enlarge breasts.
There have been no reports of liver toxicity from transdermal testosterone replacement. However, for those on oral testosterone replacement, there have been a significant number of men reported to have developed liver problems. Incidentally, this is also the reason why all manufacturers of hormone replacement medications are now mentioning the possibility of liver failure when using their products.
One of the most important side effects of testosterone replacement therapy is the increase in the red blood cell mass and hemoglobin levels (Polycythemia). This is particularly true of older men as the increase of blood cell mass may lead to the possibility of heart attacks, strokes or peripheral clotting in the veins.
Hormone replacement therapy for men can cause prostate growth. Prostate growth can cause problems with urination or at worse, may promote the growth of cancerous prostate cells. It is noteworthy to state that prostate cancer is a common cancer for older men and the second most common cause of cancer deaths.
Depression is mainly attributed to hormonal imbalance. During depression, serotonin, a chemical that is responsible for a person's mood, tends to drop. Low level of serotonin makes a person feel sad. On the other hand, high level of this chemical makes a person feel happy. The change in serotonin level is determined by estrogen hormones. Thus when estrogen level tends to decline, so does the production of serotonin. This hormonal imbalance is the reason behind depression. Managing depression means handling hormonal imbalance. This further means that Hormone Replacement Therapy can help people get out of their depression.
Doctors use synthetic hormones in Hormone Replacement Therapy. Synthetic hormones are created in laboratories rather than by the body. However, synthetic hormones used in Hormone Replacement Therapy act like natural hormones once inside the body. To treat depression, estrogen is restored by using synthetic estrogen. The synthetic estrogen will act like a natural one. The aim of Hormone Replacement Therapy is to replenish the level of estrogen in the body so that the level of serotonin will also increase. Once this is achieved, depression will not be an issue. As long as the level of estrogen is high, the person will not feel symptoms of depression.
Hormone Replacement Therapy: What Is It?
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.
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.
Testosterone Replacement Therapy - What Is The Process?
Patients interested in bioidentical hormone therapy are encouraged to speak with a medical professional regarding its benefits over traditional hormone replacement therapy techniques. Many clinics offer their patients a consultation in which they will discuss the treatment and will customize a treatment plan for each patient.
In conjunction with this therapy, a medical professional may recommend certain exercise and dietary programs to improve the symptoms of menopause or andropause. It is important that patients work with their physician in creating a specialized therapy program and develop healthy lifestyle practices that will be medically beneficial.
There has been a good deal of confusion and controversy surrounding this treatment in recent years and interested patients are encouraged to discuss the possible risks, benefits and alternatives associated with any treatment or procedure.