February 6, 2024
Menopause is a natural phase in a woman's life, but it can bring along a host of challenging symptoms that affect physical and emotional well-being. Thankfully, Hormone Replacement Therapy can help with an effective solution to alleviate menopausal symptoms and provides numerous other benefits. Let's delve into the wonders of HRT and its transformative effects on women's lives.
Hot flushes and severe night sweats are common and uncomfortable symptoms of menopause. They not only disrupt sleep patterns but also lead to fatigue and feelings of depression. However, HRT proves to be a highly effective remedy for these distressing symptoms. Estrogens, in the correct small dosage, show remarkable success in almost invariably curing hot flushes and night sweats, making them the go-to solution. While specialists suggest antidepressants as an alternative treatment, none come close to the efficacy of estrogens.
Vaginal dryness and occasional bleeding are the result of estrogen deficiency after menopause. Fortunately, HRT can address this issue effectively through different administration methods, such as tablets, patches, gels, or implants. The transdermal route is considered the safest and most efficient, as it avoids hepatic coagulation factors. Additionally, local estrogens, like oestriol, that clinics can apply vaginally offer minimal absorption and effectively treat problems like painful intercourse and loss of libido pelvic atrophy causes.
Osteoporosis is a significant concern for menopausal women, leading to fragile bones and a higher risk of fractures. Studies consistently show that estrogens are highly effective in increasing bone density and preventing osteoporotic fractures, particularly in low-risk women. When they initiate the treatment before the age of 60, HRT is considered safe and more beneficial than non-hormonal alternatives like bisphosphonates. For women with severe osteopenia or osteoporosis due to premature menopause or other conditions, estrogens are essential for long-term treatment.
Recent studies demonstrated that estrogens play a vital role in preserving collagen in the intervertebral discs. These discs act as cushions, preventing vertebral body fractures and maintaining the spine's strength and function. While other non-hormonal treatments for low bone density lack this protective effect, estrogens show unique benefits in this regard.
Estrogens reduce the incidence of coronary heart disease in women through observational trials spanning 30 years. The 2002 WHI Study initially raised concerns, but subsequent reports clarified that HRT is safe and associated with a lower number of heart attacks when the treatment starts before the age of 60. This highlights the importance of early initiation of HRT for primary prevention of coronary heart disease.
Estrogens have a significant impact on mood, especially in peri-menopausal women. While depression may affect post-menopausal women dealing with night sweats, insomnia, or vaginal dryness, younger peri-menopausal women experience the most significant mood improvement during the transition. Diagnosing this condition relies on a careful history rather than blood tests.
HRT plays a crucial role in improving libido, particularly when used to treat vaginal dryness and painful intercourse. Even without these specific symptoms, estrogens can boost sexual desire. For those requiring additional enhancement, testosterone can have a more dramatic effect on libido, frequency of intercourse, and orgasm intensity.
Collagen loss in post-menopausal women leads to thin and inelastic skin, hair loss, brittle nails, and collagenous bone matrix loss, which contributes to osteoporosis. Estrogen therapy effectively replaces lost collagen in the skin and bone, resulting in better skin texture and a welcome cosmetic effect.
Women praise Estrogen therapy for alleviating their depression, loss of libido, and irritability. As a result, they become more agreeable partners, fostering healthier relationships. This therapy can significantly improve or eliminate problems by administering the appropriate doses of hormones, including testosterone.
Contrary to some press reports, the major side effects attributed to HRT have been largely reconsidered, particularly by the investigators themselves. It is crucial to note that adverse effects were observed in women who started HRT at the wrong age and dosage. For women who initiate HRT before the age of 60, the benefits outweigh the risks, leading to fewer heart attacks, fewer deaths, fewer osteoporotic fractures, and even less breast cancer compared to the general population. HRT is deemed safe, with only a small 1% extra lifetime risk of developing breast cancer, which is comparable to other risk factors such as being overweight or taking statins.
If you want to embrace a life of vitality and well-being, don't hesitate to contact Core Medical Group today.
Take the first step towards a healthier, happier you with the help of Hormone Replacement Therapy. Remember, a vibrant life awaits you!
