Hormone Replacement Therapy (HRT) is most commonly known for treating the discom
ID: 3520708 • Letter: H
Question
Hormone Replacement Therapy (HRT) is most commonly known for treating the discomfort associated with menopause. However, more broadly, HRT is any form of hormone therapy that involves a patient receiving hormones to supplement or replace naturally occurring hormones in the body. For this discussion post, research different ways of HRT and choose one type to focus on.
In your original post, describe a patient who may benefit from HRT. Explain the risks and benefits of using HRT in the scenario you chose. Be sure to include information on safety.
Explanation / Answer
HORMONE REPLACEMENT THERAPY
HRT is the therapy of supplementing Estrogen and projestrone hormones by different ways for the treatment of symtomps associated with Menopause. HRT is also called Menopause Hormone Therapy and Estrogen therapy.Sometimes Testosterone hormone is also added for Hormone Therapy in Combined Therapy.
Menopause is a period when the normal mensturation of a woman reduce and stops.it s a normal phenomemon during aging.After Menopause body stops producimg Estrogen and Projestreone hormones.The period during and reaching menopause , the female hormones starts going up and down causing several physiological and physcological symptoms.it is also a remedy treatment for Osteoporosis.
SYMPTOMS OF MENOPAUSE
Hot Flashes
Night sweats
Sleeping disorders
Vaginal Dryness
Anxiety
Mood swings
less interest in Sex
CONTRAINDICATIONS
Pregnancy
Vaginal Bleeding
Carcinoma
Stroke
Heart disesase
Liver diease
RISK & COMPLICATIONS
Blood clots
Heart attack
Breast cancer
Stroke
Gall bladder disease
Despite these concerns, HRT is used for women,For each one risk may vary depends on their health history and lifestyle.HRT should be the lowest dose required and helps that for the shortest time needed.and Check for the Hormone level every 3-6 months.It should not be continued more than 5 years.
SIDE EFFECTS OF HRT
Bloating
Breast soreness
Head ache
Moos swings
Nausea
Water retention
Irregular Bleeding
DIFFERNT FORMS OF HRT
HRT ( Estrogen & Projesterone) comes in different forms.You may need to try different forms to find the best one for you.
Nasal spray
Pills or tablet taken by mouth
Skin gel
Skin patches that applied to thighs or belly
Vaginal gel or tablets to help with the dryness and pain with the sexual intercourse
Vaginal ring.
Vaginal creams
Vaginal suppositors.
TYPES OF HRT
BIRTH CONTROL PILLS
For some woman ,oral concentraception pills may be effective for the perimenoupause stage and for irregular bleeding.
Oral contraceptive pills increase the risk of Breast cancer.
PROJESTERONE PILLS
Projesterone are typiccaly used to treat heavy or irregular periods.Projesterone works to counter the effects of Estrogen by thinning the lining of the uterus.Projesterone can also reduce the risk of uterine cancer and tumour growth in the body.
As Projesterones are synthetic hormones it has a risk to increase Breast cancer and Heart disease
ESTROGEN THERAPY
Orally ingested Estrogen is the common form of HRT. It can help to reduce the symptoms of menopause and also reducing the risk of Osteoporosis.
It increases the risk of Stroke,clots ,Heart disease and other serious conditions.
VAGINAL ESTROGEN
Vaginal Estrogen can relief small symptoms of menopause as compared to oral ingestion.It is mainly used for Vaginal dryness,itching,redness or pain in the absence or other Menopause symptoms.
TESTOSTERONE
Testosterone is a Male hormone and it is found in Females in Small quantities.Testosterone has a important role in sex drive and Physical arousal.If decreased sex drive is a factor, Testosterone may be appropriate and for femlaes those who removed ovaries.It hepls in reducing Osteroporosis and muscle loss.
BIO IDENTICAL HORMONES
Hormone PELLETS are specific form Bio identical hormone therapy.Tiny pellets are just inserted inside the skin and it slowly relesaes the Estrogen and Testosterone hormone to balance the body.It a straight forward procedure taking 4-5 minutes nad lasts for 3-4 months.
NATURAL HORMONE SUPPLEMENTS
Medicating is the more common ways of HRT but also Non Medicated therapy can also increase the level of hormones from food and habits that supports Endocrine system.
COCONUT OIL
The Long chain fatty acids in the coconut oil helps in hormone production.
MAGNESIUM
It helps to reduce stress and increase sleep.
REDUCE CAFFINE
Caffine can impact Endocrine system.
ADMINISTERING HORMONES.
When taking Estrogen and Projesterone together
CYCLIC HORMONE THERAPY
Take Estrogen pill or patch for 25 days
Projesterone added between 10-14 days and both together for rest of the days in 25.
Some monthly bleeding occur in cyclic therapy
COMBINED THERAPY
When using Estrogen and Projesterone daily,recurrent un usual bleeding may be seen.After one year change to Cyclic therapy.
ESTROGEN THERAPY
Estrogen therapy can be done in different ways.Some can be directly applied to the vaginal areas .
Estrogen pills (eg. VAGIFERM)
Estrogen ring (eg.ESTERIN)
Estrogen sprays
Estrogen Tropical creams (ESTRACE & PREMARIN )
Estrogen gel
Estrogen suppositors
The common risk and beneficial way of Estrogen therapy is still under discussion.
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