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Hormonal Replacement Therapy Tips

Is Postmenopausal Bleeding Normal?

Dr. Meenakshi Varma 91% (10 ratings)
MBBS, MD - Obstetrics & Gynaecology
Gynaecologist, Bhopal
Is Postmenopausal Bleeding Normal?

Most women attain menopause between the ages of late 40s and early 60s, the average age being about 51. This is an important milestone in a women-s gynecological history. One major change is altered female hormone levels, and this leads to a lot of physiological changes. From hot flashes to mood swings, there is also increased predisposition to osteoporosis and uterine cancer.

If you have not had your menstrual cycles for close to 12 months, chances are you are into menopause. So, that means absolutely no vaginal bleeding anymore whatsoever. However, if you experience bleeding, even spotting, be on the alert. It is not normal and needs to be examined, and if required, diagnosed and treated.

Postmenopausal bleeding or PMB as it is popularly called can be due to a variety of reasons. While it could be something as trivial as inflammation of the uterine or vaginal lining, it could also be an indication of more severe issues like cancer.

-        Atrophic vaginitis - Decreasing hormonal levels lead to increased dryness and therefore inflammation of the vaginal and uterine tissue. This is one of the common causes of bleeding after menopause.
-        Endometrial atrophy - Also caused by lower hormone levels, the lining of the body of the uterus gradually thins down and can get inflamed.
-        Polyps - Noncancerous growths in the uterus, cervix, vulva, or vagina can also lead to bleeding
-        Infections - General infection of any area along the uterine tract could lead to occasional bleeding
-        Cancers - Though only 1 in 10 PMB cases turn out to be cancers, the prognosis improves with early diagnosis and intervention.

Diagnosis

As repeated above, reach out to your doctor if you notice postmenopausal bleeding.  Diagnostic methods could include the following:

-        Physical exam
-        Transvaginal ultrasound
-        Endometrial biopsy
-        Hysteroscopy
-        Dilatation and Curettage

Treatment

Needless to say, this would depend on the diagnosis.

1. For very minor cases with diagnosis like altered hormone levels, no treatment may be required other than modification of the hormone replacement therapy.

2. For endometrial atrophy and atrophic vaginitis, use of estrogen creams and pessaries would be sufficient.

3. Polyps would require removal followed by cauterization (application of slight heat) to stop the bleeding.

4. Cancer - this would depend on the type and location and require a combination of chemotherapy and surgery.  Removal of the uterus also may be required in some cases.

So, if you have had bleeding of any sort after ayear of menopause, do not ignore it.  

Ovulation Induction & Follicular Monitoring - What All Should You Know?

Dr. Tejaswi Kamble Kamble 94% (10 ratings)
MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Mumbai
Ovulation Induction & Follicular Monitoring - What All Should You Know?

Irregular ovulation or anovulation (a condition where a woman does not ovulate at all) can be quite agonizing, triggering a host of health problems, including difficulty in conceiving. The irregular ovulation could be an amalgamation of many factors including obesity, thyroid disorders, PCOS, endometriosis, fibroids, uncontrolled intake of caffeinated and alcoholic drinks, to name a few. With the advancement of medical science, the problem is no longer a big deal. In this article, we will discuss the role of ovulation induction and follicular monitoring in dealing with irregular ovulation cycles and the related complications.

What is Ovulation Induction?

Ovulation induction comes as a blessing for women who don't ovulate regularly (there is a deviation from the usual pattern of ovulation that takes place before every menstrual cycle). The procedure aims at regularizing the ovulation process. The medications (often hormones are used in the treatment) play a pivotal role in stimulating the follicular development of the ovaries so that healthy eggs are produced, developed, matured and finally released during ovulation. The procedure also benefits women get their menstrual cycles sans the ovulation (Anovulatory Menstrual Cycles). The problem mainly surfaces due to a drop in the progesterone level (a hormone responsible for the uterine lining thickening).

Steps involved

  1. The ovulation induction is an important process that requires a thorough examination and evaluation of the patient to understand their ovulation process, hormonal balance (or imbalance) and all the factors that could be a possible trigger resulting in the ovulation problem.
  2. In the next step, the physician carries out the stimulation of the ovulation process. For this purpose, selected hormones are given to the affected individual either orally or in the form of injections.
  3. The hormones work towards restoring the balance along with follicular development. This stimulation contributes significantly towards maturing an egg and ensuring its release for ovulation to take place.
  4. Through a series of regular pelvic ultrasounds, doctors are able to carefully monitor the development of the follicles along with how well the lining of the uterus thickens, following the ovulation induction.
  5. For those planning to conceive, ovulation induction, with proper monitoring, goes a long way to ensure at least one healthy egg will be available for the fertilization to take place.

Some women can also opt for Intrauterine Insemination, a pathbreaking procedure whereby, the sperm (collected and stored earlier) is injected into the vagina to facilitate the fertilization process.

Downside of the Ovulation Induction
The ovulation induction requires precision and accuracy and should be performed by experienced professionals who know their skill well.

  1. Even a small mistake in the ovulation induction can trigger many complications including Ovarian Hyperstimulation Syndrome. The condition can swell up the ovaries with abdominal pain, vomiting, breathing problems (shortness of breath), sudden and rapid weight gain. The ovaries also appear tender with some pain.
  2. Ovulation induction increases the risk of gestational diabetes, hypertension, nausea, to name a few.
3815 people found this helpful

Hormone Replacement Therapy - Who Should Go For It?

Dr. Hanish Gupta 90% (1938 ratings)
MBBS, DNB (General Medicine)
General Physician, Delhi
Hormone Replacement Therapy - Who Should Go For It?

Hormone replacement a therapy used to treat symptoms of menopause by restoring the balance of estrogen and progesterone by administering it.

Forms of Hormonal Therapy

Local therapy which includes creams, pessaries, and rings; systemic therapy in the form of oral drugs, transdermal patches, gels, and implants. Women who do not have womb take combined estrogen and progesterone hormones in the form of pills.

Effect of Menopause and How Hormone Replacement Therapy Helps
Menopause affects urogenital system causing atrophy of mucosal lining of urethra, vagina, and vulva leading to dryness and reduced vaginal secretions. It affects bones in which metabolism takes place causing progressive bone loss. It increases the risk of heart disease. By starting with hormone replacement therapy, most of the menopausal symptoms gets relieved like hot flushes, irregular menses, night sweats, mood swings, loss of libido, osteoporosis. It is believed that women who start hormone replacement therapy may develop cancer in future, but still, research is going on.

Who should go for it?

  • Menopausal women who suffer moderate to severe hot flushes, loss of libido, urogenital problems, psychological issues such as anxiety and mood swings
  • Menopausal women who have severe joint pain or pain all over due to decreased bone mass
  • Women who got menopause early (before the age of 40)
  • Women who had their ovaries removed

Hormone replacement therapy is carefully selected for those women who are at low risk to develop heart disease and breast cancer.

Guidelines for Menopausal Women Receiving Hormone Replacement Therapy

  1. Menopausal women who have undergone hysterectomy can receive estrogen replacement alone.
  2. Menopausal women, who have a uterus, receive a combination of estrogen and progestogen to prevent endometrial cancer.
  3. In menopausal women, who experience moderate to severe vasomotor symptoms, the duration of hormone replacement therapy use will optimally be less than 5 years.
  4. For menopausal women, who suffer vaginal dryness due to less vaginal secretion, intravaginal estrogen preparation is given.
  5. Hormone replacement therapy doesn’t improve loss of libido; however, if it is disturbing most, transdermal estrogen is given.
  6. To reduce the longer use of hormone replacement therapy, lower doses of both estrogen and progestogens is suggested.

Can Hormone Replacement Therapy be given to Older Women?

Yes. Women who had menopause 10-15 years back can go for hormone replacement therapy, but the benefit is quite less compared to younger age group. Possible risk of heart disease and cancer should be kept in mind before prescribing it to older women.

Risk/Side-effects of Hormone Replacement Therapy

  1. Breast cancer
  2. Endometrial cancer
  3. Thromboembolism Heart disease
  4. Breast tenderness
  5. Nausea Bloating

Treatment Regimen

Combination hormone replacement therapy regime is given by using lower doses of estrogen and progestin.

3739 people found this helpful

Hormone Replacement Therapy: Choose A Right Expert For Yourself!

Dr. Himani Sharma 85% (23 ratings)
MS - Obstetrics and Gynaecology
Gynaecologist, Jaipur
Hormone Replacement Therapy: Choose A Right Expert For Yourself!

In the course of their life, women have to go through a lot of changes and challenges that make them wiser and better at handling the circumstances that they faced. Women go through physical as well as emotional changes when they reach puberty. Also, after the menstrual cycle begins the lady has to struggle through different pre-menstrual symptoms each month. It is because of the menstrual cycle that women are able to conceive and give birth to life, which means that it can be safely said that the source of all human life is owed to the menstrual cycle of women.

It is however, seen that when the menstrual cycle comes to an end in the form of menopause and the uterus takes a retirement, the women going through menopause end up experiencing difficult times and health issues. A lot of women complain of severe mood swings, depression, increased fatigue, hot flashes, dryness in the vaginal region and even problems like osteoporosis in a lot of cases. While these may sound like deadly challenges and a lot of women may lead unhealthy lives by accepting the changes, it should be realized that the problem is treatable.

Hormone replacement therapy:
When the menstrual cycle works regularly, it ensures that the level of hormones in the body are regularised and the body does not face discomfort, but when menopause strikes the body stops making the important hormones and throws the system out of order. In order to make sure that the body remains healthy and the problems related to menopause are kept at bay, it may be important to replenish the body with the hormones and this is how the hormone replacement therapy works.

HRT or hormone replacement therapy is found to be a common medication and type of treatment in the modern times, but this does not mean that the patients may be safe by getting their treatment from just any doctor. It is particularly essential to make sure that the best gynaecologist in the field is chosen and the therapy is started only with the right expertise. The administering of the hormones may be a tricky treatment and if the patient is not in the right hands, they may fall prey to problems such as inadequate or excessive hormones, which may in turn be a source of more health issues.

Choosing your expert:
Running a simple search on the internet about how the treatment for hormone replacement should be taken and the doctors who specialize in the course of treatment may lead you to a number of reliable names. With the help of the search and a thorough study about the background and experience of the specialists so that you are able to put yourself in safe and able hands only.

2 people found this helpful

Things Which You Need To Know About Hormone Replacement Therapy!

Dr. Hanish Gupta 90% (1938 ratings)
MBBS, DNB (General Medicine)
General Physician, Delhi
Things Which You Need To Know About Hormone Replacement Therapy!

What is Hormone Replacement Therapy?
Hormone replacement therapy is a treatment which is used to treat the symptoms that occur after menopause. As age advances, the ovaries of the female reproductive system produce fewer amounts of hormone, and because of this low level, women start showing various symptoms. Sometimes, these symptoms are so severe that they hamper activities of daily living. Thus, in order to lessen these symptoms, the hormones are administered in the form of oral medications.

The most common menopause symptoms are as follows:

  • Hot flushes, night sweats
  • Dry, wrinkled skin, and dry hair
  • Mood swings
  • Vaginal dryness, recurrent infection
  • Reduced sex drive, pain during the sexual act
  • Weakening of the bones

The decrease in estrogen hormone is responsible for this condition. Therefore, in hormone replacement therapy, the medications which contain estrogen are given. Hence, it is also known as estrogen replacement therapy. Some types of hormone replacement therapy contain both progesterone and estrogen, some contain only estrogen, and sometimes, testosterone is also used.

Ways of Administering Hormone Replacement Therapy

  1. Estrogen pills: Most estrogen pills are taken once a day without food. In cyclical hormone replacement therapy, tablets are taken at the end of the menstrual cycle for 14 days, or a daily dose of estrogen and progesterone for 14 days for every 13 weeks. In continuous hormone replacement therapy, the patient takes a continuous combination of estrogen and progesterone.
  2. Estrogen patch: The patch is usually applied on the skin of the abdomen. Depending on the patient requirement, some patches are replaced every few days, while others can be worn for a week.
  3. Topical estrogen: It includes creams, gels, and sprays. In this type, estrogen is absorbed through the skin directly into the bloodstream.
  4. Vaginal estrogen: It comes in the form of a cream, vaginal ring, or vaginal estrogen tablets. It is usually given in females having symptoms of vaginal dryness, itching, etc.

Side-Effects of Hormone Replacement Therapy

  1. Bloating, indigestion
  2. Breast tenderness or swelling
  3. Swelling in other parts of the body
  4. Headaches
  5. Vaginal bleeding

Who Should Not Got For Hormone Replacement Therapy?

  1. Hormone replacement therapy is contraindicated in following diseases as it can worsen the condition of the patient:
  2. Uncontrolled blood pressure
  3. Severe migraines
  4. Blood clotting disorders
  5. Stroke
  6. Heart disease
  7. Endometrial, ovarian, or breast cancer

Lifestyle Modifications along with Hormone Replacement Therapy to Relieve Symptoms of Menopause

Following lifestyle modifications can be used along with hormone replacement therapy to relieve symptoms of menopause:

  1. Reduce consumption of caffeine, alcohol, spicy, and deep-fried food
  2. Stop smoking
  3. Perform regular exercise, yoga, and meditation
  4. Take proper sleep
  5. Use cooling gel pad, or pillows, or be in an air-conditioned rooms

In case you have a concern or query you can always consult an expert & get answers to your questions!

2036 people found this helpful

Hormone Replacement Therapy - Who Is It Not Recommended For?

Dr. Sagar Bumb 92% (36 ratings)
DGO , MBBS
Gynaecologist, Pune
Hormone Replacement Therapy - Who Is It Not Recommended For?

HRT (otherwise called Hormone Replacement Therapy, menopausal hormone treatment, and estrogen substitution treatment) utilizes female hormones - estrogen and progesterone - to treat basic side effects of menopause and ageing. Specialists can prescribe it during or after menopause.

After your periods stop, your hormone levels falls, bringing on uncomfortable symptoms like hot flashes and vaginal dryness, and now and again conditions like osteoporosis. HRT replaces hormones in your body when it does not make them anymore. It is the best treatment for menopausal side effects. If you begin HRT when you are still having periods, or have recently completed periods, you will regularly be encouraged to utilize a 'repeating joined HRT' readiness.

The treatment is as follows:

  • You take estrogen consistently yet progestogen is included for fourteen days of every twenty-eight-day treatment cycle.
  • This causes consistent bleeding at regular intervals, like a light period. (They are not dangerous periods, as HRT does not bring about ovulation or reestablish ripeness.)
  • The progestogen causes the covering of your womb (uterus) to develop.
  • This is then shed as withdrawal bleeding starts like clockwork when the progestogen is stopped.
  • Monthly patterned HRT is typically recommended for women who have menopausal symptoms however are as yet having general periods.

You may change to a ceaseless consolidated HRT if:

  • You have been taking patterned consolidated HRT for no less than one year; or
  • It has been no less than one year since your last menstrual period.

Some of the risks of taking Hormone Replacement Therapy are as follows:
As of late, a few reviews demonstrated that women ‘going out on a limb’ and getting HRT have a higher danger of breast cancer, coronary illness, stroke, and blood clots. The review found that women who took the mix treatment had an expanded danger of coronary illness. The general dangers of long-term use exceeded the advantages according to the review.

However, from that time point onward, a modest bunch of studies in view of WHI (Women's Health Initiative) have concentrated on the sort of treatment, the way it is taken, and when treatment began. Those components can create diverse outcomes. One late review by the Fred Hutchinson Cancer Research Center uncovers that antidepressants offer advantage like low-dosage estrogen without the dangers.

HRT has certain symptoms. Call your specialist in case that you have any of these:

  1. Bloating
  2. Breast swelling or delicacy
  3. Headaches
  4. Mood swings
  5. Sickness
  6. Vaginal bleeding

There are certain types of people for whom this surgery is not recommended. These are people who have the following:

  1. Those suffering from blood clots
  2. Cancer (for example, bosom, uterine, or endometrial)
  3. Heart or liver sickness
  4. Heart attack
  5. Known or suspected pregnancy
  6. Stroke
  7. Cholesterol problems
  8. Low blood sugar
  9. Diabetes
  10. Tumors or suspected lumps

In case you have a concern or query you can always consult an expert & get answers to your questions!

5058 people found this helpful

8 Ways In Which Menopause Affects A Woman's Body!

Dr. Mita Verma 88% (184 ratings)
MBBS, MS - Obstetrics & Gynaecology
Gynaecologist, Delhi
8 Ways In Which Menopause Affects A Woman's Body!

Menopause is characterized as the absence of menstrual periods for 12 months. It is the time in a woman’s life when the ovaries stop functioning. The periods then stop forever. The normal period of menopause is 51 years of age, however, menopause may happen as ahead of schedule i.e. as early as 30s or as late as the 60s.

There is a period of 12-24 months which is discribed as perimenopausal stage during which there is waxing and wanning of ovarian hormones. Ovarian hormones level can guide that whether a lady has attained menopause or not. Acceptance, and yoga, physical exercises will help to sail comfortably through menopause. This is what one call as "Gracefully Ageing"

There is no solid lab test to determine when a lady will encounter menopause. Here are a few ways in which menopause affects a woman’s body:

  1. Skin: Consequences of menopause include dryness, loss of flexibility, thinning of the skin and expanded wrinkling. These symptoms result in poor recovery from injuries, hair loss and pigmentary changes. Unwanted hair growth and acne may likewise happen. Wrinkling is caused by excessive smoking and sun exposure. One should stay away from smoking and sun exposure.
  2. Hair: Hormonal changes incorporate hirsutism (undesirable facial hair) or alopecia. Most ordinarily noted is the loss of scalp hair. Lower leg, pubic and axillary hair loss may also take place. Hirsutism is commonly noted on the face. Oral Hormone Replacement Therapy (HRT) may control facial hair in a few ladies. Medicines for expanded facial hair incorporate suing depilatory creams, delicate techniques for hair removal, laser treatment andante-testosterone medicines. Scalp alopecia might be treated with minoxidil.
  3. Teeth: Menopause has been a cause for various dental/oral issues, including dry mouth and desquamative gingivitis. IHRT might be of advantage as a consequence of the part it plays in influencing oral bone and preventing the loss of teeth. The impacts of HRT seem to incorporate a reduction in bleeding and enhancing the flow of saliva.
  4. Vulva and vagina: The genital tract is exceptionally dependent on estrogen and body changes during the menopausal time and post-menopause may incorporate vaginal and vulvar dryness. Vulval dryness may worsen other vulval skin conditions (e.g. dermatitis) bringing about aggravation. Staying away from cleansers and body washes on the vulva can dial down the aggravation and dryness. Contrasting options to cleanser incorporate sorbolene with glycerine or low-aggravation purifying balms and lotions.
  5. Bladder: Urinary frequency and cystitis are very common around the time of menopause. Local estrogen creams may enhance incontinence in the short term, however, don't seem to do as such after treatment is stopped. Treatment for incontinence includes physiotherapy and even surgery.
  6. Joints and muscles: Joint and muscle pain are regular symptoms during menopause. Exercise is vital to get rid of these side effects. Joint and muscle pain may improve with the utilization of HRT.
  7. Weight changes: Between ages 45 and 55, ladies will gain a large portion of a kilo a year. This weight gain cannot be blamed on menopause entirely. The changes in hormonal status are connected with expanded body and stomach fat. This weight addition is connected with increased cardiovascular and metabolic hazard and changes in quality of life and sexual functioning.
  8. Lifestyle measures: Your diet and eating routine need to be established to keep up a solid body weight and to have a healthy lifestyle. In case you have a concern or query you can always consult an expert & get answers to your questions!
2966 people found this helpful

Hormone Replacement Therapy(HRT) - What You Should Know?

Dr. Ritu Gupta 87% (11 ratings)
MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Kolkata
Hormone Replacement Therapy(HRT) - What You Should Know?

In the course of their life, women have to go through a lot of changes and challenges that make them wiser and better at handling the circumstances that they faced. Women go through physical as well as emotional changes when they reach puberty. Also, after the menstrual cycle begins the lady has to struggle through different pre-menstrual symptoms each month. It is because of the menstrual cycle that women are able to conceive and give birth to life, which means that it can be safely said that the source of all human life is owed to the menstrual cycle of women.

It is however, seen that when the menstrual cycle comes to an end in the form of menopause and the uterus takes a retirement, the women going through menopause end up experiencing difficult times and health issues. A lot of women complain of severe mood swings, depression, increased fatigue, hot flashes, dryness in the vaginal region and even problems like osteoporosis in a lot of cases. While these may sound like deadly challenges and a lot of women may lead unhealthy lives by accepting the changes, it should be realized that the problem is treatable.

Hormone replacement therapy:
When the menstrual cycle works regularly, it ensures that the level of hormones in the body are regularised and the body does not face discomfort, but when menopause strikes the body stops making the important hormones and throws the system out of order. In order to make sure that the body remains healthy and the problems related to menopause are kept at bay, it may be important to replenish the body with the hormones and this is how the hormone replacement therapy works.

HRT or hormone replacement therapy is found to be a common medication and type of treatment in the modern times, but this does not mean that the patients may be safe by getting their treatment from just any doctor. It is particularly essential to make sure that the best gynaecologist in the field is chosen and the therapy is started only with the right expertise. The administering of the hormones may be a tricky treatment and if the patient is not in the right hands, they may fall prey to problems such as inadequate or excessive hormones, which may in turn be a source of more health issues.

Choosing your expert:
Running a simple search on the internet about how the treatment for hormone replacement should be taken and the doctors who specialize in the course of treatment may lead you to a number of reliable names. With the help of the search and a thorough study about the background and experience of the specialists so that you are able to put yourself in safe and able hands only. If you wish to discuss about any specific problem, you can consult a Gynaecologist.

2375 people found this helpful

5 Pros & Cons Of Hormone Therapy

Dr. Shrideep Parab 92% (2340 ratings)
DGO, MBBS
Gynaecologist, Pune
5 Pros & Cons Of Hormone Therapy

A hysterectomy is the removal of the uterus and is often accompanied by the removal of ovaries. In such cases, women are said to experience surgical menopause. This is because the ovaries are the main producers of estrogen. Surgical menopause is usually more severe than natural menopause as there is a sudden drop in estrogen levels. Estrogen is responsible for a number of functions that affect the brain, bones, skin, heart and blood vessels. 

Hormone therapy is often advised to counteract this loss of estrogen. There are two main types of hormone therapy.

1. Hormone therapy with estrogen and progestin.
2. Hormone therapy with only estrogen.
The former is advisable foe women suffering from surgical menopause. Like any other form of treatment, it has its pros and cons. 


Pros
1. It protects young women from diseases associated with menopause. 
A hysterectomy is usually performed on women under the age of 50. In such cases, hormone replacement therapy can protect the women from heart diseases. Removing ovaries before menopause can also increase the risk of Parkinson's disease and dementia. Hormone replacement therapy can help negate these risks. 
2. Reverse menopausal symptoms. 
Menopause is associated with a number of symptoms such as vaginal dryness, hot flashes and insomnia. Hormone replacement therapy can help treat these symptoms and give you a better quality of life. 

3. Other health benefits. 
Hormone replacement therapy can also help fight osteoporosis and strengthen bones. It is also known to reduce the risk of colorectal cancer

Cons
1. Hormone replacement therapy interferes with the natural hormone production. Thus it can cause a number of problems such as premenstrual syndrome, swollen breasts, headaches and nausea.
2. Increased risk of health issues. Though the odds are low, hormone replacement therapy can increase your risk of having a stroke or heart attack. It has also been suggestively linked to breast cancer and ovarian cancer

Thus, the choice of whether to have or not to have hormone replacement therapy after surgical menopause is not easy to make. You must consider factors such as your age, lifestyle, family medical history and habits while making this decision. Do not rush into a decision and take your time. Talk to your doctor about the amount of medication needed and the delivery method most suited to you.  HRT can be taken in the form of pills, a patch, gel, vaginal cream or a slow releasing suppository. This should also be accompanied by a healthy lifestyle that includes a healthy diet and plenty of exercise. If you wish to discuss about any specific problem, you can consult a Gynaecologist.

2859 people found this helpful

Hormone Replacement Therapy (HRT) Preserves a Woman's Body Post Menopause!

Dr. Vinod Raina 88% (6207 ratings)
MD - General Medicine
Sexologist, Delhi
Hormone Replacement Therapy (HRT) Preserves a Woman's Body Post Menopause!

Menopause is a tricky problem for women to negotiate. Hot flushes, mood swings, night sweats, sleeplessness, and vaginal dryness are but some of the issues. It's a very similar position to that of puberty whereby the body is out of control and one's emotions follow suite. If a woman going through this time is facing added pressures with family or job she can lose her confidence and sink into a state of depression.

The effect on those around her has a bearing on her moods as they usually fail to understand what is happening to her. In my case the greatest thing was hormone replacement therapy which almost instantly corrected the problems. The brain cleared of its confusion, the other symptoms virtually stopped, and energy levels were restored.

The question many face is how safe is this HRT? Some studies link it to breast cancer and other diseases as a warning against it. But speaking from personal experience the risks of developing is far outweighed by the benefits.

  • As opposed to my situation my sister, five years younger, did not take HRT and she had a hysterectomy, which saw the female reproductive organs removed. By the time she was 50 she was diagnosed with the bones of an 80-year-old. She then suffered from osteoporosis with her bones, particularly her ribs, breaking with the slightest pressure.
  • On top of that she also has irritable bowel syndrome and other things, such as shingles. Her blood pressure was always low and other problems emerged. Although active and stoic her health went rapidly downhill and she died two years ago of pancreatic cancer at the age of 71. Now one can't say that HRT would have saved her from that but it certainly didn't cause the cancer.
  • By way of contrast my body is fit, healthy, strong, with no disease or blood pressure at the age now of 78. My brain is active and productive and most days I attend a gym. My bones are also strong with no sign of osteoporosis. I don't even get headaches or other things most people my age would normally suffer from. I don't even wear glasses.
  • While there are great benefits to be had from HRT it is my belief it also preserves the body well into old age. Cancers of the type they proclaim may be associated with it are, in my opinion, not related to it. Breast cancer is common among women of all ages and some die in their twenties from it.
  • To be rid of the awful symptoms of menopause is a great achievement by the medical scientists. They have made it possible for many women to remain a productive force in society. My mother who never had the benefits of it suffered and died at the age of 56 years.
  • While everyone is different and people have diverse opinions about what is good for their heath my suggestion is to go where your body takes you. Don't be frightened or put off by claims that are as yet unproven.
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