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Different types of hormone replacement therapy (HRT) are available. If you're considering HRT, talk to your GP about the options suitable for you, as well as possible. Estrogen, in pill, patch. The term hormone therapy (HT) is a more general term that is used to refer to either administration of estrogen alone. Which is the best Hormone Replacement Medication? Hormone Replacement Therapy Patch.
Menopausal Hormone Therapy and Cancer Risk. Menopausal Hormone Therapyand Cancer Risk. For decades, women have used hormone therapy to ease symptoms of menopause, such as hot flashes and sweating. This is called menopausal hormone therapy, and you may see it abbreviated as HT or MHT. You may also hear it described as hormone replacement therapy (HRT), postmenopausal hormone therapy (PHT), or postmenopausal hormones (PMH). In the past, many doctors and their patients believed that MHT didn’t just help with hot flashes and other symptoms – it had important health benefits. But well- conducted studies have led many doctors to conclude that the risks of MHT often outweigh the benefits.
This document discusses only how MHT can affect a woman’s risk of getting certain cancers. It does not discuss other possible risks of MHT such as heart disease or stroke. You can use this information when you talk to your doctor about whether MHT is right for you. What is menopause? Menopause is the time in a woman’s life when the ovaries stop working and she stops having menstrual periods for good.
Hormone Patch Vs Pill Sun. Common Questions and Answers about Estrogen patch vs pill Does a patch deliver the same amount of hormone as a pill. WebMD's guide to various estrogen replacement treatments. The best type of hormone replacement therapy. Hormone Replacement Therapies. HORMONE REPLACEMENT THERAPIES. CHF Pill Discovered in ADHD Drug Bottle. Hormone therapy (HT) is a treatment. Doctors most often prescribe a low dose of estrogen to be taken as a pill or patch every day.
Menopause is sometimes called the change of life, or the change. The ovaries stop releasing eggs and making the female hormones, estrogen and progesterone. In the months or years leading up to natural menopause, menstrual periods may become less frequent and irregular, and hormone levels may go up and down. This time is called perimenopause or the menopausal transition.
Since periods can become less frequent during this time, it can be hard to know when they have actually stopped (and you have gone through menopause) until you look back at a later time. Women who have their ovaries removed by surgery (oophorectomy) or whose ovaries stop working for other reasons go through menopause, too, but much more suddenly (without the menopausal transition). Women who have had their uterus removed (hysterectomy) but still have their ovaries stop having periods, but they don’t really go through menopause until their ovaries stop working. This is often determined based on symptoms, but your doctor can tell for certain by testing your blood for levels of certain hormones. Hormones made by the pituitary gland called luteinizing hormone (LH) and follicle stimulating hormone (FSH) help regulate the ovaries before menopause. When levels of estrogen get lower during menopause, the levels of FSH and LH go up.
High levels of FSH and LH, along with low levels of estrogen, can be used to diagnose menopause. Blood tests for these may be helpful in a woman who has had her uterus removed. Some drugs can turn off the ovaries and cause menstrual periods to stop for a time. Although this is not the same as menopause, it can lead to many of the same symptoms. Most of the symptoms of menopause are linked to lower estrogen levels.
Some symptoms – hot flashes and night sweats, for instance – tend to fade away at some point, whether or not they are treated. Other problems that start after menopause, like dryness and thinning of vaginal tissues and bone thinning, tend to get worse over time. Because many of the symptoms and problems of menopause are linked to low levels of estrogen, this hormone has often been used in the past to treat menopause. What hormones are used to treat the symptoms of menopause?
The hormones most commonly used to treat symptoms of menopause are estrogen and progesterone. Often, these 2 hormones are used together, but some women are given estrogen alone. It’s important to know which hormones you are talking about when looking at the risks. Common estrogen preparations used to treat menopausal symptoms include conjugated equine estrogens (CEE or Premarin.
Some preparations contain both an estrogen and a progestin. Androgens (male hormones like testosterone) are also sometimes used to treat menopausal symptoms. This is not common, though, and because only a few studies have looked at this practice, it isn’t clear how safe it is in the long run.
Tibolone is a synthetic hormone drug that can act like estrogen, progesterone, and testosterone in different tissues of the body. Because this drug isn’t available in the US, it’s not discussed here. Taking estrogen with a progestin vs. Although estrogen alone improves the symptoms of menopause, it increases the risk of cancer of the uterus (endometrial cancer). Adding a progestin to the estrogen lowers the risk of endometrial cancer back to normal. Because of this, EPT is given to women who still have a uterus (those who have not had a hysterectomy).
EPT can be given 2 ways: Continuous EPT means the same dose of estrogen and progestin is taken each day. Women often prefer continuous EPT because it rarely leads to menstrual- like bleeding. Sequential (cyclical) EPT means different amounts of each hormone are taken on specific days.
There are different ways to do this. For example, estrogen can be taken by itself for 1. Other schedules involve taking progestin only every few months. This lowers the amount of progestin that you are exposed to. Monthly regimens are also thought to result in hormone levels that are more like the natural menstrual cycle.
Cyclical EPT can produce bleeding like a menstrual period, but it can occur less often than monthly. Bio- identical hormones. The word “bio- identical” is sometimes used by sellers to describe hormone preparations that contain estrogens and progesterone with the same chemical structure as those found naturally in people. Sometimes, how much of the hormones the woman takes are adjusted based on blood tests of hormone levels.
Marketers often describe bio- identical hormones as “natural,” and buyers often think that they’re safer than other forms of estrogen and progestin used to control menopause symptoms. But so far, there are no long- term studies of bio- identical hormones, and no studies have found that women taking bio- identical hormones have less serious side effects than women taking other forms of these hormones. For this reason, bio- identical hormones should be assumed to have the same health risks as any other type of hormone therapy. Some herbal remedies and supplements are also described as natural ways to treat the symptoms of menopause. For more on this, see “Herbs and supplements” in the section called “What does it all mean?”Estrogen therapy or ETTreating menopausal symptoms with estrogen alone is known as estrogen therapy (ET). ET improves the symptoms of menopause, but it increases the risk of cancer of the uterus (endometrial cancer).
Because of this, ET is only safe for women who don’t have a uterus (such as those who have had a hysterectomy). How are estrogen and progestin given to treat the symptoms of menopause? Systemic hormones.
Hormones can be given so that they enter the bloodstream and circulate to reach all parts of the body. This is called systemic hormone therapy, and it’s often used to treat the symptoms of menopause. Systemic hormone therapy includes: Pills that contain estrogen and a progestin together, as well as pills that contain each drug separately. Skin patches (the hormones are absorbed through the skin) that contain estrogen alone and some that contain estrogen plus a progestin . Injections (or shots) into a muscle or under the skin (this isn’t often used to treat the symptoms of menopause). See below.). Systemic hormones can help with certain symptoms of menopause, such as hot flashes and night sweats, as well as problems linked to thinning of the lining of the vagina (such as dryness that can make sex painful). They can also help prevent and treat osteoporosis (severe bone thinning).
Topical hormones. Hormones, most often estrogen, can also be placed in or near the place that needs treatment. This is called topical hormone therapy. If small doses are used, little of the hormone is absorbed into the bloodstream, so it has little if any effect on the rest of the body.
For women in menopause, very small doses of estrogen can be placed inside the vagina as topical therapy to help treat dry or thinned vaginal tissues. This type of estrogen comes in the form of vaginal creams, rings, and tablets. Even though tiny amounts of hormone may enter the blood, most of it stays in the vaginal tissues. Because so little of the hormone gets into the blood, topical treatment doesn’t help with problems like hot flashes, night sweats, or osteoporosis. Generally, topical estrogen is not needed in women taking systemic hormones.(As noted earlier, there’s a type of vaginal ring that delivers high doses of hormones to the whole body, which would be considered systemic treatment. If you’re unsure about the type of ring you have, check with your doctor.).
Hormone therapy and cancer risk. Types of studies used to look at the effects of hormone therapy. Different types of studies can be used to look at cancer risk from menopausal hormone therapy (MHT). Randomized controlled trials: In this kind of study, a group of patients get the drug being studied (like MHT), and another (control) group gets a placebo (like a sugar pill). Results from this kind of study are powerful because which group a patient is in is based on chance.
This helps assure that the groups are similar in all ways, such as risk for cancer, except for the drug that’s being studied. This is the best way to see the effects of a drug. These types of studies can also be double- blinded, which means neither the people in the study nor their doctors know which group they are in.
This lowers the chance that thoughts or opinions about treatment could affect the study results. Unfortunately, these kinds of studies are costly, which limits the number of people in the study, how long the study can continue, and the number of studies done.
Observational studies: These kinds of studies collect information about a large group of people but don’t give them a certain treatment, such as a drug. In observational studies of MHT, the women and their doctors decide what hormone drugs, if any, the women take and for how long.
Body. Logic. MD - Women Treatment Options. The most common forms of HRT treatment using bioidentical hormones are creams, gels, and pills. However, in some cases you and your physician may consider a hormonal treatment using pellets, patches, or injections. Your doctor will work closely with you to discover which combination of treatment options is right for you. Creams, Gels, Pills & Patches.
Bioidentical hormone cream, gels, hormone pills and patches of varying strength (individualized for each woman's needs) are commonly used for estrogen, progesterone, cortisol, and women testosterone. Thyroid hormones are usually offered in pill form as a hormonal replacement treatment. Most hormone pills are gelatin capsules and are usually taken with food to be easily absorbed in the body.
Topical gels or bioidentical hormone creamare applied with a pre- measured syringe to the stomach, inner thighs or inner arms and are absorbed through the skin, directly into the blood stream. Some gels or creams are designed for vaginal use. Patches, like bioidentical hormone cream and gels, allow direct skin absorption throughout the day. Testosterone for women is often administered orally, but self- injections are another option. It is common for a combination of options to be used for menopause treatment or the treatment of other hormone imbalances. Pellet Therapy. Pellet therapy has been available in the United States since 1.
It is a sustainable delivery method for bioidentical hormone therapy and is an ideal hormone imbalance treatment that helps balance body chemistry and restores health and vitality in women suffering the symptoms of hormonal imbalances. The effect the pellets have is nearly identical to the way hormones are naturally produced in healthy 3. The long- lasting pellets make this form of hormone therapy especially easy and convenient. You only need to meet with your Body. Logic. MD anit- aging physician every three to six months for an easy insertion.
During the simple in- office procedure, the tiny pellets are inserted into the hip, buttock or bikini area. The small incision site requires just a small bandage. The pellets, which contain estradiol (the main estrogen hormone), react to the needs of your body by secreting additional hormones just as your body naturally would during periods of stress or exercise. In addition, with this form of hormone replacement treatment, the body. Most patients notice a difference very quickly. However, it can take up to two weeks for the full affect to be felt.
Results can last up to six months. Your physician will closely monitor your progress to ensure that you sustain proper hormone levels and to determine the timing for subsequent pellet insertions. Regardless of your menopause treatment methods, you can rest assured that your doctor will help you find relief from the uncomfortable symptoms and chronic health issues caused by your hormonal imbalance.
Contact one of our highly trained bioidentical hormone doctors to schedule an appointment and learn more about how a hormonal replacement treatment plan can relieve your symptoms and improve your life.
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