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Hormone Replacement Therapy (hrt) And The Menopausal Hormone Print E-mail


Hormone replacement therapy often referred to, as HRT or Postmenopausal hormone use is the topic of this particular article. Here we will discuss the process and treatment option, dealing with symptoms, the effects, impact, and consequences of menopause, and taking estrogen either alone or in combination with progesterone.

Some of the common symptoms on menopause include: hot flashes, night sweats, vaginal dryness, and an inability to sleep. Estrogen is the generally recommended treatment for treatment of these symptoms. Taking this drug can help menopause sufferers achieve a much better quality of life while going through the change. It is important however to remember that this is a natural process of aging and not a disease that simply must be treated. There are however, preventative therapies and products that help manage some of the more severe symptoms while protecting the body from the bone loss that sometimes occurs as a result of the lack of estrogen after menopause.

Quick facts about HRT and Menopause

The symptoms of menopause are actually the coping mechanism that your body creates in order to deal with the hormonal and chemical changes taking place.

1) Estrogen use whether with or without progesterone serves to double the estrogen levels of menopausal women.

2) While hormone treatments are effective, they rarely return the levels to those of pre menopausal women. They are not designed to completely replace original hormone levels.

The hormone use is actually intended to ease the discomfort of some of the symptoms that are often associated with menopause such as vaginal dryness, hot flashes, night sweats, and the inability to sleep. These same hormones are also used to prevent certain medical conditions and diseases that are common for postmenopausal women. These diseases include: heart disease, osteoporosis, and some cancers.

There is a great deal of ongoing research concerning menopause, dealing effectively with the symptoms of menopause, HRT, and alternative therapies. These studies include clinical trials as well as in depth and wide ranging observational studies. Participants of these studies are sometimes given placebos instead of the hormones they think they are receiving and studied over time to see how they react to the hormones, if their symptoms subside, and to see if other diseases or conditions arise consistently. Typically there are no intervention only comparisons between those who take the hormones and those who do not.

Many of these studies concluded that the long-term health risks of HRT far outweighed the short-term benefits. If you are considering this type of treatment it is vitally important that you seriously discuss with your doctor whether or not this is the right treatment option for you, what the risks are, and if there are other options available to you that might be just as effective without the high risks. Some of the risks include risks of breast cancer, heart disease, stroke, and blood clots. On the other hand there were fewer hip fractures and instances of colon cancer among HRT patients so there are some benefits as well.

Eclectic sampling of findings

1) Women over the age of 65 using estrogen and progestin had double risks of developing dementia as well as a negative impact on cognitive function.

2) Women aged 50-79 experienced no significant change in vitality, mental health, general health, or sexual satisfaction as the result of using estrogen plus progestin.

3) The use of estrogen alone presents even less clear and conclusive results. As a result of the lack of clarity, studies and trials are ongoing.

4) There are indications that hormone replacement therapy increases not only the risk of cancer of the lining of the uterus but also endometrial cancer, and bleeding of the uterine. These side effects lead to the more frequent biopsies and ultrasounds for women who underwent HRT than those using placebos.

5) Increased risk of breast cancer.

6) HRT is a very effective treatment for the short-term symptoms of menopause.

7) Gal bladder disease and strokes are also more common among patients receiving HRT type treatment.

Ultimately, the choice of whether or not the short-term benefits are worth the long-term risks associated with HRT is yours. Regardless of what you decide, it is always a good idea to run your thoughts and concerns by your doctor and listen to the advice and caution he provides.

By: Rob Buenaventura
Article Directory: http://www.articledashboard.com

Rob Buenaventura is a successful webmaster and publisher of MenopauseTime. He provides a website on menopause symptoms and related questions on menopause heath. For additional information on menopause diet pills and how it can help reduce menopause symptoms, check out www.menopausetime.com

Hormone Replacement Therapy

Hrt, Breast Cancer, And Bioidentical Hormones


The symptoms of menopause are akin to labor pains in that they feel like they will go on forever, yet they herald the birth of new life. In fact, whilst perimenopause lasts a lot longer - from 5 to 10, or up to 13 years, it is not an indicator of how 'life will be'. Menopause is a time of growth and adaptation, and our bodies are an intimate part of the journey. The symptoms associated with menopause intimately reflect the flux of the body's hormonal systems.

Menopause can be extremely disruptive, however. Whether it's sleeplessness, menopause related depression, hot flushes, vaginal dryness, or emotional swings, the good news is that these symptoms can be alleviated. A good menopause treatment will help many seemingly diverse symptoms, as they are all related to the root hormonal flux in the body.

HRT is one choice, popular with doctors, and one that many women have found extremely useful. But what is often not understood, is that there are different types of hormone replacement therapy, even amongst those prescribed by doctors.

Premarin is one of the best well know, and oldest, types of hormone treatment. Premarin is made from the urine of pregnant horses, and is an estrogen only hormonal pill. It was advocated as being beneficial for, amongst other things:

* thickening vaginal tissue
* helping depression
* stopping hot flushes
* preventing heart disease, osteoporosis, and alzheimers

However, research has also found a link between estrogen-only supplementation and breast cancer. The cells in the breasts and the uterus are responsive to estrogen. So to add estrogen in, without the checks and balances intrinsic to our normal hormonal system, can stimulate the growth of this tissue.

What many believed was a mitigating factor in premarin's favor was the belief that it helped prevent heart disease. This presumption was based on the fact that premarin lowered LDL cholesterol. High levels of LDL cholesterol had earlier been identified as a risk in developing heart disease. However, this belief has been found to be unsupported in several large clinical trials. In one involving women who had heart disease, those taking premarin (in combination with a synthetic form of progesterone which was given with premarin to prevent endometrial cancer), these women actually significantly increased their risk of having another heart attack in the first year of use. This risk leveled off after that, but it didn't provide any heart protective effects. In a study with healthy women, hormone replacement with premarin, with or without a synthetic progesterone supplement, did not decrease the risk of heart attacks or heart disease.

Another drawback to premarin and other hormone replacement therapies is the way they are often prescribed, in a kind of 'one size fits all' way, irrespective of a woman's size or medical history.

But the news is not all bad with HRT therapies. When premarin was developed, there was not the ability amongst scientists to produce other types of estrogen. Because the estrogen in horses is not natural in women, side effects like bloating, headaches, and sore breasts are common. And because the breakdown products of estrogen from horses are so strong, actually more active in the body than the original horse estrogen, they have a pronounced effect on estrogen sensitive tissues, such as the breast. And given that numerous studies have shown that these metabolic by-products can produce changes in the DNA of cells that are carcinogenic to living tissue, it is no surprise that the incidence of breast cancer increases when women take premarin.

But there are alternatives. Bioidentical hormones are developed from soy beans or yams, and their chemical structure is designed to reflect that which is found in women's bodies. Further, bioidentical hormones are not usually given in a standardized, 'one size fits all' dose, but tailored to a woman's presenting history. They are generally given at low doses, and because chemically they behave more like regular estrogen, they are not associated with the side effects of premarin, although they have not been used in the large scale studies that premarin has.

By: Rebecca Prescott
Article Directory: http://www.articledashboard.com

Rebecca Prescott presents more information on hormone replacement therapy here.

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