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Hormone therapy (HT), is used to treat symptoms associated with menopause. Hormone therapy can be affected by your age, your personal medical history, and the severity of your menopausal symptoms. Discuss with your healthcare provider the risks and benefits of hormone therapy, as well as the various forms of HT.
Progesterone and estrogen are hormones produced by the ovaries of a woman.
Many body functions are affected by estrogen, including:
Many body functions are affected by progesterone, including:
Your ovaries stop producing high levels of estrogen or progesterone as you enter menopause. Uncomfortable symptoms can result from changes in hormone levels. Menopause symptoms that are common include:
Hormone therapy (HT), is a treatment that boosts hormone levels and helps with some symptoms of menopause. Talking to your healthcare provider about whether or not HT therapy should be considered is a good idea. There are both health benefits and potential risks to taking HT.
There are three types of hormone therapy (HT).
If your uterus is still intact:
Along with estrogen, progesterone can be used. The risk of cancer of the endometrium (the lining and lining of your uterus) increases if estrogen is taken without progesterone. Your endometrium cells are destroyed during menstruation. If your endometrium stops being shed, estrogen can cause an increase in the number of cells in your uterus. This can lead to cancer.
Endometrial (or uterine) cancer is lessened by progesterone. It thins the endometrium. You may experience monthly bleeding if you are taking progesterone. It all depends on how your hormone therapy is administered. You can reduce or eliminate monthly bleeding by taking estrogen and progesterone together.
If your uterus is no longer in use (after a hysterectomy),
Progesterone is not usually required. This is important because estrogen taken by itself has fewer long-term side effects than HT which uses a combination progesterone and estrogen.
This list contains the names of some hormones that are postmenopausal, but not all.
Brand names: Cenestin(r), Estinyl(r), Estrace(r), Menest(r), Ogen(r), Premarin(r), Femtrace(r).
Brand Names: Estrace(r), Ogen (r), Premarin[r].
Brand Names: Estring(r), Femring(r), (treats hot flashes and vaginal symptoms).
Brand names : Vagifem(r). Imvexxy (r)
Brand Names: Alora(r), Climara(r), Minivelle[r], Estraderm[r], Vivelle[r], Vivelle-Dot[r], Menostar[r]).
Brand Name: Evamist(r)
Brand Names: Activella(r), FemHRT(r), Premphase(1r), Prempro(1r), Angeliq(2r), Bijuva(3r).
Brand Names: CombiPatch(r), ClimaraPro(r).
Brand Name: Intrarosa(r).
Hormone therapy (HT), is used to treat menopausal symptoms, including:
Other benefits of taking HT include the following:
Hormone therapy (HT) – Does not come without risks. There are known health risks:
Scientists continue to discover more about the effects of HT in the heart and blood vessels. Large clinical trials have been conducted to address questions regarding HT and heart disease. Some showed positive results in women who began HT within 10 year of menopause. Others had negative effects for those who started HT after 10 years. Some studies raise more questions about the benefits of HT.
The American Heart Association issued a statement regarding the use of HT based on these data. They state:
Combining hormone therapy can increase your chances of developing breast cancer. These are some of the most important findings.
If you:
Hormone therapy can have side effects, just like all medicines. These are the most common side effects.
These side effects usually aren’t serious and you don’t need to stop taking your HT. Ask your healthcare provider if you are experiencing side effects. You should not make any changes to your medication or discontinue taking it without consulting your doctor.
Hormone therapy is generally available for as long as you wish. You should also continue regular monitoring with your healthcare provider in order to review your treatment plan every year. Your provider will discuss whether it is safe to continue taking hormone therapy if you have a new condition.
It is important to make a personal decision about whether or not you want to try hormone therapy. Hormone therapy may not be right for you. At an appointment specifically designed for this purpose, you can discuss the benefits and risks of hormone therapy with your healthcare provider. To make the best decision for you, it’s important to take the time to discuss all issues and answer any questions. Consider your age, your family history, and the severity of your menopause symptoms.
Talk about the pros and cons for each type and form of HT, as well as non-hormonal options like diet changes, exercise, weight management, meditation, and other options.
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