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What Is LelandHormone 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. Leland HRT replaces hormones your body no longer makes. It’s the most effective treatment for menopause symptoms.
Natural Hormone Replacement Therapy - Does it Really Work?
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.
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.
The economics of bioidentical hormones
Why doesn't modern medicine use bioidentical hormones (hormones identical to what our body makes) to "replace" what is missing? It's sad to say, but the main reason is that there is no money in it.
Pharmaceutical companies can only patent what they invent in a laboratory. They are not able to patent what Nature makes. And its only through holding a patent on a drug that they can mark up the price enough to make a good profit.
(The mark up on drugs like Premarin and Prempro is very high, with mark up on many drugs upwards of 10,000%. Premarin is available in Europe for $8.95/100, in Canada for $22.46/100 in the United States for $55.42. Price variations for Prempro are $5.75/28 in Europe, $14.33/28 in Canada and $31.09/28 in the United States). These price variations begin to reveal the profit margins pharmaceutical companies have with these drugs. They are really a cash cow for these companies.
Hormone Therapy: What It Is and How It Can Help You
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.
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
Estrogen, Progesterone, And Cancer
Menopause occurs in middle age and brings along with it horrible symptoms such as hot flashes, difficulty sleeping, and a decreased sex drive. These symptoms vary a lot between women, but the driving force behind menopause is caused by an imbalance of hormones.
These hormones help maintain steady levels of chemicals in a woman's bloodstream. It used to be that hormone replacement therapy, or HRT, was the gold standard for hormone imbalance treatment. Research then started show that females utilizing HRT were at greater risk of stroke, heart disease, breast cancer.
Drs. and patients are now taking a closer look at bio identical hormones. These hormones are generated from plant compounds and are identical to the hormones that are found in the human body. Some studies are showing that BH RT, which is short for bio identical hormone replacement therapy, is good at alleviating the symptoms of menopause with a very low side effect profile.
Until a few years ago, it was very common for women experiencing menopause to utilize hormone replacement therapy. But HRT has been shown to lead to fluid retention, dizziness, and headaches. A recent study by the Women's Health Initiative looked at 16,000 women between ages of 50 to 79. Over the five-year study, females who were utilizing HRT had almost 30% higher risk of breast cancer, up 26% higher risk of heart disease, and the risk of stroke was 41% higher.
Hormones that are bio identical tend to help protect against breast cancer. They also help increase libido, vitality, stamina, mood and energy level along with helping with attention and memory. Women are often able to sleep better and have less anxiety when taking bio identical's.
BHRT is not without controversy. Large-scale studies need to be accomplished in order to decide whether it truly is more effective than traditional HRT.
It used to be thought that menopause was mostly due to estrogen deficiency, however those levels fall only 40 to 60% during menopause whereas the levels of progesterone can drop to virtually nothing. Low progesterone can lead to a higher risk of and or mutual cancer that potentially breast cancer as well.
Low progesterone can also lead to women gaining weight, low bone density, difficulty sleeping and stress. All of these are reasons to incorporate hormone replacement into a menopause regimen, the question remains is whether or not B HR 28 is in fact the best way to go. So far, it looks extremely promising.