Menopausal disorder treatment

July 18, 2010 by  
Filed under Health & Wellness

Hormone replacement therapy is the main response to disturbances occurring at the time of menopause. In Europe, only a small percentage of postmenopausal women (10%) receiving hormone replacement therapy, compared with 15-25% in the U.S.. The most difficult seems to take this long-term treatment (at least 10 years).
Hormone replacement consists of successive administration of estrogen and a progestogen hormone to obtain a balance. Estrogens can be prescribed orally (tablets) or percutaneous (gel or patches that are renewed periodically). Progesterone is in the form of tablets, except micronized progesterone, which is administered vaginally. Drugs can be taken continuously or after a determined sequence.
Benefits of treatment
For flushing. Estrogen is effective against hot flashes and sweating crisis. After one month of treatment, these symptoms almost always disappear. Can take non-hormonal drugs.
For a healthy mucosa. Estrogen allows to maintain mucosal thickness and structure. They maintain, among other things, a good blood supply, enabling the vaginal lining to preserve the pink color. Estrogen deficiency improves lubrication that occurs after menopause. On the other hand, estrogen acts on the bladder mucosa, which regain their defensive capacity against infections. Cystitis rarely occurs.
For aging. Estrogens allow your skin to preserve its collagen, important for elasticity. Thinning of the skin is slower and this effect is more obvious if quit smoking and sun exposure.
For osteoporosis. Hormone acts against loss of calcium and bone mass destructions. By this treatment can avoid compaction and vertebral fractures and femoral neck punch. Currently, hormone therapy is the most effective preventive treatment for osteoporosis. Other treatments may be proposed, such as taking calcium, vitamin D and fluoride or intramuscular injections of calcitonin (hormone facilitates calcium fixation in the bone). These treatments are not effective, and some, such as administration of calcitonin, may have undesirable effects. Prevention of osteoporosis is made by simple measures of hygiene and living: moderate exercise, or a diet rich in calcium and protein (milk, dairy products, meat, fish).
For cardiovascular diseases. Hormone (and especially the administration of natural estrogen) greatly decreases the risk of cardiovascular disease. Estrogens have, indeed, the ability to reduce levels of cholesterol, protect the heart, arteries and blood vessels.
Contraindications. Certain diseases are still a barrier against the prescription of hormone replacement therapy:
– Breast cancer (or family history of breast cancer);
– Evolution of uterine cancers, especially of the endometrium (uterine lining);
– Genital bleeding of unknown origin;
– Severe liver disorders;
– Large fibroids;
– Hypertension.

Hormone replacement therapy is the main response to disturbances occurring at the time of menopause. In Europe, only a small percentage of postmenopausal women (10%) receiving hormone replacement therapy, compared with 15-25% in the U.S.. The most difficult seems to take this long-term treatment (at least 10 years).
Hormone replacement consists of successive administration of estrogen and a progestogen hormone to obtain a balance. Estrogens can be prescribed orally (tablets) or percutaneous (gel or patches that are renewed periodically). Progesterone is in the form of tablets, except micronized progesterone, which is administered vaginally. Drugs can be taken continuously or after a determined sequence.
Benefits of treatmentFor flushing. Estrogen is effective against hot flashes and sweating crisis. After one month of treatment, these symptoms almost always disappear. Can take non-hormonal drugs.
For a healthy mucosa. Estrogen allows to maintain mucosal thickness and structure. They maintain, among other things, a good blood supply, enabling the vaginal lining to preserve the pink color. Estrogen deficiency improves lubrication that occurs after menopause. On the other hand, estrogen acts on the bladder mucosa, which regain their defensive capacity against infections. Cystitis rarely occurs.
For aging. Estrogens allow your skin to preserve its collagen, important for elasticity. Thinning of the skin is slower and this effect is more obvious if quit smoking and sun exposure.
For osteoporosis. Hormone acts against loss of calcium and bone mass destructions. By this treatment can avoid compaction and vertebral fractures and femoral neck punch. Currently, hormone therapy is the most effective preventive treatment for osteoporosis. Other treatments may be proposed, such as taking calcium, vitamin D and fluoride or intramuscular injections of calcitonin (hormone facilitates calcium fixation in the bone). These treatments are not effective, and some, such as administration of calcitonin, may have undesirable effects. Prevention of osteoporosis is made by simple measures of hygiene and living: moderate exercise, or a diet rich in calcium and protein (milk, dairy products, meat, fish).
For cardiovascular diseases. Hormone (and especially the administration of natural estrogen) greatly decreases the risk of cardiovascular disease. Estrogens have, indeed, the ability to reduce levels of cholesterol, protect the heart, arteries and blood vessels.
Contraindications. Certain diseases are still a barrier against the prescription of hormone replacement therapy:- Breast cancer (or family history of breast cancer);- Evolution of uterine cancers, especially of the endometrium (uterine lining);- Genital bleeding of unknown origin;- Severe liver disorders;- Large fibroids;- Hypertension.

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