Hormone replacement therapy in menopause: do not be afraid
Not all women are quite easy and painless transfer climax.This is due not only to changes in hormonal levels during menopause, but also with the presence of gynecological and common diseases, with nervous and mental state of women with working conditions, climate and many others.Hormone therapy is used not only to alleviate the symptoms of menopause, but also to prevent the development of complications in menopause (osteoporosis, cardiovascular disease).Currently, the drug market presents a huge amount of drugs containing analogues of female sex hormones, which are used for hormone replacement therapy.It is important not to self-medicate and consult with your doctor about the need for the appointment of hormone replacement therapy.
Hormone replacement therapy
Hormone replacement therapy - a way to treat the symptoms of menopause symptoms of menopause : forewarned is forearmed and menopause, which is the appointment of synthetic female hormones.
Hormone replacement therapy can be used for a short or long-term aims of substitution and fading of ovarian function at menopause.
Transient replacement therapy is prescribed for the expressed complaints (neurovegetative, vasomotor, urology).The course of treatment depends on the severity of menopausal symptoms and is not more than one or two years.
Continuous hormone replacement therapy is used to prevent osteoporosis, cardiac complications, diseases of the pelvic organs.The course of treatment can last up to ten years.
survey before prescribing hormone replacement therapy
Before the doctor will prescribe hormone replacement therapy, she always goes the necessary examination:
- pelvic ultrasound, thyroid gland and abdominal organs (indication);
- mammography and breast physician's consultation;
- definition hormonal status;
- cytology of the cervix;
- blood pressure, clotting factors, cholesterol;
- medical consultation and correction of chronic somatic diseases.
main drugs used in hormone replacement therapy
drugs hormone replacement therapy for menopause are available in pills, patches, gels, suppositories and injectable form.They can be divided into two groups.As part of the preparations of the first group contains estrogen Estrogen - the key to healthy bones and progesterone Progesterone - norm and pathology , they are assigned in a cyclic mode, with a break for seven days after a three-week reception.
While receiving these drugs is usually observed withdrawal bleeding, and appointed mainly in premenopausal premenopausal - another stage in the life of a woman (in the presence of menses).
These include: Tsikloproginova, Klimonorm, climate, Divina.Women in menopause for at least one year or a hysterectomy, hormone replacement therapy is carried out in a continuous mode.These products contain only estrogen, which include: Livial, Premarin, Proginova, Kliogest.Perhaps treatment Ginodianom Depot, which comprises the male sex hormones and used in the form of injections once a month at dryness and wrinkling of the skin.When complaints of vaginal dryness, painful intercourse, urinary incontinence Ovestin effective (in the form of creams, tablets and suppositories) and estriol in tablets for local treatment.Easy to use for female smokers patches (CLIMAR) that are glued to the skin of labels gradually allocated a certain dose of the hormone that allows him to immediately get into the bloodstream, bypassing the liver.
Contraindications to the appointment of HRT
Despite all the benefits of hormone replacement therapy is not indicated for:
- tumors of the uterus, ovaries and mammary glands;
- uterine bleeding of unknown origin;
- acute thrombophlebitis;
- acute thromboembolic disease;
- thromboembolic disorders associated with estrogen;
- renal and hepatic failure;
- severe forms of diabetes;
- congenital disorders of fat metabolism.
more drugs for the treatment of menopausal disorders
for the treatment and prevention of osteoporosis applied Miakaltsik, ksidifon, Calcium-D3 Nycomed.To correct Nairn psychological disorders widely prescribed sedatives.If there are contraindications to hormone replacement therapy is prescribed homeopathic remedies and herbal Klimaktoplan Klimadion.