Should You Use Hormone Replacement Therapy After 65? Why Attitudes Are Changing
Jun 09, · The benefits of hormone therapy may outweigh the risks if you're healthy and you: Have moderate to severe hot flashes. Systemic estrogen therapy remains the most effective treatment for the relief of Have other symptoms of menopause. Estrogen can ease vaginal symptoms of . Mar 05, · Benefits Of HRT (Hormone Replacement Therapy) Keep Your Cool: Reduce Night Sweats And Hot Flashes. The biggest reason to choose HRT is to alleviate some of the problems associated with menopause, Feel The Heat: Improve Your Sexual Pleasure. Stay Strong: Lower Your Risk Of Osteoporosis. Mellow.
Skip to: Main Navigation Main Content. HRT, once a source of worry and confusion, is now considered an effective and safe treatment for many women troubled by symptoms of menopause. For some women, the physical, psychological and mental symptoms of menopause can be debilitating and life-changing.
Age there are things women can do to help them regain control of their physical and emotional health during this period of their life; and hormone replacement therapy, which was once a source of great concern, is recognised as a safe and effective way to treat menopause symptoms.
Hormone replacement therapy HRTalso known as hormone therapy HTis a medication containing the benffits oestrogen and progesterone, and in some cases testosterone, that can help reduce symptoms of menopause.
It is internationally acknowledged that HRT is the most effective treatment to combat these symptoms, which include hot flushes, night sweats, insomnia, joint aches, muscle pains and vaginal dryness.
There is also evidence it may improve psychological wellbeing during this time. It is also recommended that women experiencing premature menopause take HRT, how to make vs angel wings least until the age of natural menopause, which is between the ages of 45 and 55 51 being the average.
Oestrogen-only formulations can be taken by women who've had a hysterectomy; combined HRT, which contains both oestrogen and progesterone, is what are the benefits of hrt for women who haven't had a hysterectomy because progesterone protects the uterus against cancer. Although HRT is prescribed to alleviate the symptoms of menopause, it can have additional positive effects on a woman's health, particularly if she takes it before the age of 60 or within 10 years of menopause.
Publicity about negative health risks associated with HRT peaked in the years following a major study, known as the Women's Health Initiative WHIwhich showed HRT was linked with a raised risk of breast cancer, blood clots and strokes. However, later analysis found the interpretations of the original findings from this study were flawed. One of the key problems was that the women in the study were significantly older than those who would normally seek treatment with Afe with different underlying risks of diseaseand yet the findings on disease risk were inappropriately extrapolated to healthy newly menopausal women.
Evidence that has emerged in the decade since the study shows "that for most women starting treatment near the menopause, the benefits outweigh the risks, not just for the relief of hot flushes, night sweats and vaginal dryness, but also for reducing the risks of heart disease and fractures," the principal investigator at the WHI Clinical What is the salary of a history teacher at the Beenfits of California, Dr Robert Langer, said in a statement marking the 10th anniversary of the study.
Current evidence shows there can be minor side effects with some HRT formulations. These include intermittent bleeding, breast discomfort, bloating and nausea. HRT can also how to setup smtp email the chance of developing more serious health complications, but this risk is usually small tbe can be lowered further with a careful and tailored approach to HRT medications. HRT is not recommended in women who have a history of breast cancer, blood clots, heart disease or stroke, or who have endometrial cancer or unexplained vaginal bleeding.
Before taking HRT it's vital women have a full medical check-up and discuss their own personal and family medical history with their doctor, so the risks and benefits how to cure severe constipation HRT can be individualised and the HRT tailored appropriately.
The different formulations are: tablets, skin patches, intra-uterine devices IUDgels and creams. Reviewed by Dr Jane Elliott, Adelaide GP and president of the Australasian Menopause Society, an independent non-profit organisation aimed at promoting study and improvement of midlife women's health.
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For benefiits the latest ABC Health content click here. The Pulse 22 comments Share Print. Yrt on ABC Study finds real acupuncture no better than fake at treating menopausal hot flushes PM Research indicates menopausal hormone therapy can double breast cancer risk The World Today Menopausal killer whales hold key to family's survival Science Online.
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Do You Need Hormone Replacement Therapy After 65?
Jan 29, · Benefits of hormone replacement therapy. HRT is the most effective treatment at reducing vasomotor symptoms. Vasomotor symptoms are usually improved within four weeks of starting treatment and maximal benefit is gained by three months. There has been shown to be a significant mean reduction in the. Estrogen influences skin also. And applying estrogen cream improves wrinkles, according to Dr. Moy. The dermatologic literature is full of studies demonstrating benefits of estrogen on skin thickness, hydration, laxity and hydration. As women go through menopause, they all notice changes in their skin that were previously not evident. Dr. Mar 16, · The benefits of HRT include For most women, the benefits outweigh the side effects because they help to reduce or reverse unpleasant symptoms of menopause and improve sleep, sex and mood. better sleep, with fewer night sweatsAuthor: Sibelle Mehmet.
It may in certain age groups provide protection against heart disease. This leaflet sets out the known facts about HRT.
It summarises the results of studies regarding its safety and addresses the controversy that still surrounds it, together with current thinking about its suitability. It is written specifically for women wishing to know about HRT. Our medical advisory panel strongly recommends that you should discuss with your doctor both the benefits and the risks of HRT on an individual basis.
The types of HRT available are listed below. HRT was first available in the s but became more widely used in the s, creating a revolution in the management of the menopause. HRT was prescribed commonly to menopausal women for the relief of their symptoms such as hot flushes, night sweats, sleep disturbances, psychological and genito-urinary problems — urinary frequency and vaginal dryness — and for the prevention of osteoporosis.
The published results of these two studies during and raised concerns regarding the safety of HRT. These safety concerns revolved around two main issues: 1 that the extended use of HRT may increase the risk of breast cancer and 2 that the use of HRT may increase the risk of heart disease. The results of the studies received wide publicity, creating panic amongst some users and new guidance for doctors on prescribing. After the results were published, the UK regulatory authorities issued an urgent safety restriction about HRT, recommending that doctors should prescribe the lowest effective dose for symptom relief, should use it only as a second line treatment for the prevention of osteoporosis, and advised against its use in asymptomatic postmenopausal women.
There remains widespread confusion and uncertainty amongst both doctors and HRT users. Many doctors stopped prescribing HRT and many women abandoned HRT immediately, with a return of their menopausal symptoms. The women studied in the WHI were North American women in their mid-sixties, often overweight and thus totally unrepresentative of women in the UK for whom HRT might be considered suitable. These would usually be around the age of the menopause, namely years. It should also be appreciated that, in a surprising turnabout, subsequent publication of the full WHI results showed the apparent increased risk for breast cancer was only found in those who had taken HRT before entering the study.
The WHI long-term randomised clinical trials published in showed a significant reduction in breast cancer diagnosis and mortality in women using estrogen only HRT. Like the NICE guideline conclusions, they found that women on combined estrogen and progestogen containing HRT had an increased risk of breast cancer diagnosis but no significant increase in mortality.
The Collaborative Group on Hormonal Factors in breast cancer reported that obesity attenuated the absolute and the relative excess breast cancer risk associated with both estrogen only and combined HRT. Large observational trial data suggest that micronized progesterone and dydrogesterone are likely to be associated with a lower risk of breast cancer compared to that seen with other progestogens.
With regard to cardiovascular risk and HRT, recent data has been reassuring. A large controlled trial from Denmark reported in has demonstrated that healthy women taking combined HRT for 10 years immediately after the menopause had a reduced risk of heart disease and of dying from heart disease. The Cochrane data-analysis have shown a reduction in cardiovascular events and deaths in women taking either estrogen only or combined HRT within 10 years of menopause or under 60 years of age.
Recent evidence from the Collaborative Group on Hormonal Factors demonstrated that there may be a slight increased risk of some types of ovarian cancer associated with HRT use but this is small and equates to around 1 extra case of ovarian cancer per HRT users.
Hormonal status can affect cognitive function and over the years there has been conflicting evidence regarding the risk of dementia and HRT use. Based on the current evidence, women can be reassured that HRT is unlikely to increase the risk of dementia or be detrimental to cognitive function in women initiating HRT under the age of 60 years. The balance of benefit to harm always needs to be assessed but appears to have shifted favourably for HRT. Users can be reassured provided:.
If women start HRT around the time of menopause the risk is very small and there appear to be cardiovascular and bone protective benefits. It is not usually appropriate for women over 60 to be starting HRT but as the WHI study shows, women initiating it over 60 years do not seem to be at increased risk of cardiovascular events or mortality. Many women seek advice on the effects of HRT on sexual activity and desire.
Whilst there is no definitive answer, case studies indicate that the estrogen in HRT can help maintain or return sex drive. It will also help other menopausal symptoms such as vaginal dryness and pain with intercourse. If vaginal symptoms are the only problem, then the use of local vaginal estrogen or dehydroepiandrostenedione DHEA may be preferable.
Bio-identical hormones are hormone preparations which are identical molecules to those produced by the body. Indeed, they may be less safe — their production is not monitored by government drug regulatory authorities and thus their dosage may be inaccurate or inconsistent, their purity is certainly not guaranteed, and their safety is not tested as it is with approved HRT formulations.
The accuracy and usefulness of such tests are highly questionable. We would not recommend the use of bio-identical hormones that have not been licensed by the UK regulatory authorities, and indeed would strongly caution women against obtaining such products. There are more than 50 types of HRT available: HRT can be given orally tablets , transdermally through the skin ; subcutaneously a long-lasting implant ; or vaginally.
Women wishing to start HRT should carefully discuss the benefits and risks of treatment with their doctor to see what is right for them, taking into account their age, medical history, risk factors and personal preferences. For the majority of women who use HRT for the short-term treatment of symptoms of the menopause, the benefits of treatment are considered to outweigh the risks. The lowest effective HRT dose should be taken, with duration of use depending on the clinical reasons for use.
HRT remains licensed for osteoporosis prevention and can be considered the treatment of choice for women starting treatment below age 60 years, and especially for those with a premature menopause. Women on HRT should be re-assessed by their doctor at least annually.
For some women, long-term use of HRT may be necessary for continued symptom relief and quality of life. Many health centres and practices have a doctor with a special interest in postmenopausal health.
However, if your family doctor does not have sufficient knowledge of the current situation concerning the benefits and risks of HRT and many have lost confidence in prescribing because of the recent scares, then it is your right to request advice from a local Menopause clinic or a specialist with known expertise in menopausal health. It is for your information and advice and should be used in consultation with your own medical practitioner.
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