HealthMedicine

Hormone replacement therapy for the treatment of menopause and for the prevention of osteoporosis.

Hormone replacement therapy, abbreviated HRT, is the replacement in the female body of inadequate production of female hormones, in particular estrogen, which is observed in the post-menopausal period. This therapy allows you to restore the necessary level of hormones, so that the symptoms of menopause quickly weaken . In addition, HRT is effective in preventing the development of long-term effects of climacteric changes - osteoporosis and cardiovascular diseases.

Substitution therapy involves taking estrogen both daily and at regular intervals with cycles (every month). Then, for a few days, hormones are discontinued, and then treatment is resumed. Hormone replacement therapy for women who did not undergo an operation to remove the uterus (hysterectomy), includes a combination of progesterone and estrogen. Such treatment helps to prevent changes in the structure of the inner walls of the uterus and supports its functions. Hormone replacement therapy involves a 10-14-day course of taking progesterone, depending on the type of hormone. The end of the course of taking the hormone progesterone ends with bleeding, similar to the usual menstruation.

Women choose one of three ways of taking estrogen :

  • Tablets (oral route);
  • Subcutaneous implants:
  • External application in the form of a gel or patch containing a hormone.

All methods well fill the deficiency of estrogen in the female body, effectively reduce the unpleasant manifestations of climacteric symptoms and prevent the development of osteoporosis and diseases of the cardiovascular system.

If hormone replacement therapy is accompanied by the appearance of symptoms of genitourinary system diseases or there is a sensation of itching and burning on the external genitalia, the doctor can adjust the treatment by picking up lighter types of estrogen that can be taken continuously and continuously. Therapy for the replenishment of hormones can be carried out in different ways: in the form of tablets or in the form of a cream for vaginal use.

A decision should be made about HRT and its duration, depending on the severity of the symptoms accompanying menopause, and the relationship between the benefits and disadvantages of therapy. Hormone replacement therapy has a noticeable effect in a few weeks, and it persists until the administration of progesterone and estrogens continues. After stopping hormones, the symptoms may return again, so almost all doctors strongly recommend long-term hormone replacement treatment.

Advantages of HRT

Hormone replacement therapy for women helps to control the frequency and severity of nocturnal "tides". In addition, the GKZ contributes to the preservation of the structure of the inner lining of the uterus and the vagina, thickens their walls, and also helps produce vaginal glands fluid that acts as a lubricant during sexual intercourse. Therefore, HRT positively affects intimate life and causes an increase in sexual desire.

Hormone therapy during the menopause effectively reduces the appearance of osteoporosis, protects against heart attacks and heart attacks.

Some women even point out that substitution therapy helps control irritability, mood changes and sudden outbursts of anger. Studies have shown that estrogen treatment enhances the effect of antidepressant drugs.

There is a widespread opinion that taking estrogen normalizes the activity of the sebaceous glands, which helps to preserve the youthfulness of the skin. However, it is important to know and remember that despite the fact that HRT improves the condition of the hair and skin, it is not recommended to take it only for this, because such therapy has many contraindications and undesirable consequences.

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