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What Is Wilmington 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. Wilmington Beach HRT replaces hormones your body no longer makes. It’s the most effective treatment for menopause symptoms.
Testosterone Replacement Therapy - Do You Need It?
As a woman ages, it is a given fact that she will be hitting her menopause some time in her mid forties. It is also a given that a number of physical and psychological changes accompany this event. Thinning hair, dry skin and wrinkles are some of the effects of menopause. But, what about men? Do they experience something similar?
According to many doctors, many men experience a number of symptoms that are directly associated with their age. As a practicing doctor in Dublin, Ireland put it, men too suffer from a list of problems peculiar to aging. This includes:
* Flailing energy levels
* Depleting sex drive
* Erectile dysfunction
* Increased fat in the midriff area
* Decreased muscle mass
* Falling strength
The essence of science based hormonal therapy is not to treat sickness but to maintain wellness. This is a dramatic change from the historical methodologies of health care in the U.S. Our nation's traditional measure of health care is actually "sick care". We wait until sickness before requesting medical interventions. The ideal way to address is health care is to prevent sickness rather than treat sickness. This new approach is what has inspired the new "hormone replacement clinics" as a standard of health and prevention.
Women often seek hormone replacement therapy from their physician for reasons related to menopausal symptoms. The object is not to prevent a natural process but to minimize the symptoms associated with menopause. Hormonal therapy helps restore hormones to eliminate or decrease the symptoms. Hormone therapy is not the use of a pharmaceutical to treat symptoms but assisting the body with additional natural hormones that are present but not in the quantity needed.
The hormonal therapy is not intended to enhance or exceed what our body normally produces but to supplement our body's ability to produce what once came naturally.
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.
Natural Hormonal Replacement Therapy
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.
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
Testosterone Replacement Therapy - What Is The Process?
Other placebo controlled trials did not find any efficacy of soy extract for hot flashes. Therefore I do not recommend use of soy extract for hot flashes. However there are no major safety issues with soy so if you want to try it that is fine. Placebo controlled trials have not shown Dong Quai or Evening Primrose Oil to be effective in the treatment of hot flashes.
Alternative medicines that are commonly promoted for symptoms related to menopause include St. John's wort, flaxseed oil, fish oil, omega-3 fatty acids, red clover, ginseng, rice bran oil, wild yam, calcium, gotu kola, licorice root, sage, sarsaparilla, passion flower, chaste berry, ginkgo, and valerian root. None of these have been studied with controlled trials. However since they do not have major health risks associated with them it is OK to try them.
Heidi Nelson, M.D., a Professor of Medicine at Oregon Health Sciences University in Portland, Oregon, and colleagues recently reviewed the literature for nonhormonal therapies for hot flashes, looking at the reduction in the number of hot flashes per day with different treatments. They found that hot flashes were reduced with SSRIs by 1.3 per day, with clonidine by -.95 per day, and gabapentine -2.5 per day (all statistically significant). By comparison, HRT reduces hot flashes by 2.5-3 per day. There was no effect of red clover extract, and results were mixed for soy. Other natural remedies for hot flashes were found to lack sufficient controlled trials to make a determination.