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"For a woman particularly, menopause is the confirmation that she has passed into the middle age period and while this is met with relief from some, it is looked at with apprehension by most."

Menopause And Pregnancy

   

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Menopause Facts

  • The hormones estrogen and progesterone help to regulate a womans menstrual cycle.
  • To relieve the symptoms of menopause, doctors may prescribe hormone therapy which can involve the use of either estrogen alone or with another hormone called progesterone, or progestin in its synthetic form.
  • Hormone therapy may cause side effects, such as bleeding, bloating, breast tenderness or enlargement, headaches, mood changes, and nausea.
  • You go through menopause immediately if both of your ovaries are also removed at surgery.

Menopause And Pregnancy



Hormone Therapy


The use of hormone therapy has been debated a great deal since the Women's Health Initiative (WHI) Hormone Study findings were released in 2002. Before this study, it was thought that hormone therapy could ward off heart disease, osteoporosis, and cancer, while improving women's quality of life. Findings emerged from clinical trials that showed this was not so. In fact, long-term use of hormone therapy poses serious risks and may increase the risk of heart attack and stroke.

During perimenopause, some doctors suggest birth control pills to help with very heavy, frequent, or unpredictable menstrual periods. These pills might also help with symptoms like hot flashes, as well as prevent pregnancy. As you get closer to menopause, you might be bothered more by symptoms like hot flashes, night sweats, or vaginal dryness. Your doctor might then suggest taking estrogen, as well as progesterone, if you still have a uterus. Taking these hormones will probably help with menopause symptoms and prevent the bone loss that can happen at menopause. However, there is a chance your symptoms will come back when you stop hormone therapy.

Currently, hormone therapy is recommended for postmenopausal women who have moderate to severe hot flashes or night sweats. Instead of hormone pills, topical hormones like vaginal creams are recommended for women who have problems with vaginal dryness. Women should talk about these issues with their doctors, who also may prescribe hormones to prevent osteoporosis if other kinds of medicines cannot be taken. Postmenopausal women should not take hormone therapy as they grow older to prevent problems like heart disease.
Hormone therapy can help with menopause by:

* Decreasing mood swings and depression
* Improving sleep
* Treating vaginal dryness
* Slowing bone loss
* Reducing hot flashes

For some women, hormone therapy may increase their chance of getting:

* Breast cancer
* Gall bladder disease
* Heart attacks
* Strokes
* Blood clots

Who should NOT take hormone therapy for menopause:

Women who . . .

* Have liver disease
* Have had certain kinds of cancers (such as breast and uterine cancer)
* Think they are pregnant
* Have problems with vaginal bleeding
* Have had a stroke or heart attack
* Have had blood clots

Hormone therapy can also cause these side effects:

* Bleeding
* Bloating
* Breast tenderness or enlargement
* Headaches
* Mood changes
* Nausea

Menopause Facts

  • Progestin is added to estrogen to prevent the overgrowth (or hyperplasia) of cells in the lining of the uterus, and this overgrowth can lead to uterine cancer.
  • During menopause a womans body slowly produces less of the hormones estrogen and progesterone which often happens between the ages of 45 and 55 years old.
  • Alendronate (brand name Fosamax) and risedronate (brand name Actonel) are bisphosphonates, drugs that slow the breakdown of bone, prevent fractures, and may increase reverse bone loss.
  • To relieve the symptoms of menopause, doctors may prescribe hormone therapy which can involve the use of either estrogen alone or with another hormone called progesterone, or progestin in its synthetic form.
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