Not all postmenopause women should undergo hormone replacement therapy (HRT). Each woman should discuss the risks and benefits of HRT with his personal physician.
Many experts recommend that HRT in order to:
- Reduce the symptoms of menopause unwanted
- Helps reduce dryness in the vaginal
- Prevent the occurrence of osteoporosis.
Some side effects of HRT:
- Vaginal bleeding
- Breast pain
- Nausea
- Vomiting
- Flatulence
- Cramping uterus.
To reduce the risks of HRT and still get the benefits of HRT, the experts recommend:
- Adding progesterone to estrogen
- Adding testosterone to estrogen
- Using the estrogen dose is low.
- Conduct regular checks, including examine pelvic, and Pap smears so that abnormality can be found as early as possible.
Estrogen is available in the form of natural and synthetic (made in the laboratory). Synthetic estrogen hundreds of times more potent than natural estrogens that are not routinely given to postmenopausal women. To prevent hot flashes and osteoporosis is needed only natural estrogen in a very low dose. High doses tend to cause problems, including migraine headaches.
Estrogen can be given in tablet form or skin patch (transdermal estrogen). Estrogen cream can be applied to the vagina to prevent the depletion layer of the vagina (so reducing the risk of urinary tract infections and beser) and to prevent pain during sexual intercourse. Postmenopausal women who use estrogen without progesterone have an increased risk of endometrial cancer. This risk associated with the dose and duration of estrogen use. If happen abnormal vaginal bleeding, uterine lining biopsy done. Consuming progesterone along with estrogen may reduce the risk of endometrial cancer.
Usually estrogen hormone replacement therapy is not performed on women who suffer from:
- Or have had breast cancer or advanced stage endometrial cancer
- Bleeding intercourse with an uncertain cause
- Acute liver disease
- Blood clotting diseases
- Acute intermittent porfiria.
The women are usually given anti-anxiety drugs, progesterone or klonidin to reduce hot flashes. To reduce depersi, anxiety, irritability and difficulty sleeping may be given anti-depressants.
Giving progesterone with estrogen. Progesterone is given along with estrogen to reduce the risk of endometrial cancer.
Estrogen and progesterone is usually given every day. This delivery schedule will usually cause vaginal bleeding that is irregular in the first 2-3 months of therapy, but after that the bleeding will usually berhenti.Atau of estrogen and progesterone can be alternately; for 2 weeks of daily estrogen and drink for several days drinking progesterone and estrogen, then a few days at the end of the month did not take estrogen or progesterone. With this schedule, vaginal bleeding occurred on the day when the hormone was not drunk.
Progesterone is available in tablet form or injection through the muscle. Side effects of progesterone were abdominal bloating, breast pain, headaches, mood swings and acne.
