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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.
A Natural Alternative to Hormone Replacement Therapy (HRT)
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.
I agree with Dr. Christiane Northrup, a leading expert on women's health and wellness when she writes in her Nov 2009 Huffington Post Blog entry. Dr. Northrup posts: "I encourage every woman to learn about the hormone therapy options available today. They are vast, and there are many excellent choices made from bio-identical hormones. I also encourage every woman to look with a critical eye when reading the news about HRT. It's likely that there will continue to be controversial and conflicting information."
While my own personal preference is for all natural remedies, and I would not consider HRT, I do believe that we women deserve to have ALL of the information available to make an informed choice regarding our own health and wellness. Therefore, I am recommending that you ask your doctor for more information on bio-identical hormone replacement and do your research on the latest studies, as well as the many choices for all natural symptom relief like the tips and techniques that can be found here. Then you will have the information without the hype.
Best of Health,
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.
HRT Vs Natural - And the Winner Is?
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.
Many women who are entering their middle years and going into menopause, or perimenopause as it's called, are confused about the hype surrounding something called HRT. HRT is an acronym for Hormone Replacement Therapy, and it's a therapy intended to treat or ease the annoying side effects of menopause by replacing the lost hormones, i.e. estrogen and progesterone, and occasionally even, testosterone. Confused yet? Good. But keep reading, anyway, it will get better... hopefully.
A lot of the confusion has to do with the usage of words such as "Natural," "Synthetic" and "Bioidentical." We all think we know the meaning of natural and synthetic - natural is good, synthetic is bad and bioidentical just sounds scary.
"Natural" hormones are created within a biological organism, be it human, animal or plant matter. To be considered "natural," a hormone must share the same characteristics as its real-body counterpart, in terms of its make-up, shape and structure. But bear this in mind; a popularly prescribed hormone called "Premarin" is a natural estrogen hormone, because it's made from a biological organism. Unfortunately, that organism happens to be a horse. Now, it's been quite a while since Biology 101 class, but I don't recall that humans and equines share any biological qualities that are interchangeable.
"Bioidentical" hormones are made entirely in the lab, but they are identical or a clone to the hormones you produce naturally in your body, and they do the same thing. Now, the compounds could come from any source, but the bottom line is, when they enter your body, they do exactly what your body would have done, no more and no less.
A "synthetic" hormone in produced or made in the laboratory by means of a process known as synthesis. But, just because a hormone is synthetic doesn't mean that it's bad, provided that it does exactly what it's supposed to do, in the same way that the body does it. Because it does exactly what it's supposed to, it's actually quite "natural."
The real concern is the clever advertising directing you to choose one hormone over another. "Natural" implies better for you than "synthetic" or "bioidentical," but that may not be the case.
All of that didn't help much, did it? Good, because you should be ever cautious about what you put into your mouth in the form of a pill, or slap onto your body via a patch. Hormone replacement therapy can and does work, but don't let the media or the marketers influence your decision.
Every Woman's Guide to Menopause and the Importance of Hormone Replacement Therapy (HRT)
Other improvements in the field of testosterone replacement therapy include different ways of administering testosterone. In the past, testosterone was taken in the form of pills. However, oral intake impacts the effectiveness of the therapy. Also, the medication has to be digested in the liver first before it is absorbed by the body. This dilutes the effect of the medicine and also puts the liver under tremendous stress. These days, testosterone is given through skin patches or injections so that absorption takes place transdermally.
Men undergoing testosterone replacement therapy are generally quite satisfied with the results they experience in terms of increased youthfulness, better muscle mass, lower body fat and of course, remarkable sex drive!
However, patients must be warned that they do not approach the therapy with unusually high expectations. The immediate effects of the therapy are quite intangible. Changes will be observed but these will be small changes only. Do not expect anything dramatic.