Hormone therapy in menopause
In the discussion on the hormone treatment of women in the change years, there has been a decisive turning point: From now on, such a treatment should only be carried out in severe complaints. Comes to this conclusion, the Federal Institute for drugs and medical devices (BfArM). The reasons for this significant reassessment of the risks that have been highlighted in several published studies are: To these the hormone treatment increases in the menopause the risk of developing breast cancer and ovarian cancer. In addition, it will increase to thrombosis, stroke and heart attack.
Medicinal products for the treatment of menopausal symptoms should therefore be used only in severe discomfort and when quality of life is restricted by the discomfort. And even then, the BfArM recommends to keep the period of treatment as short as possible and the lowest effective dose. It was also ordered that the drug manufacturers have to list in the future in the product information all of the above-mentioned risks.
It is also recommended to check, whether in women taking many years of hormones, a termination of treatment is possible. It is still not to be discussed, whether the hormone treatment for the prevention of osteoporosis, i.e. bone loss, will continue to be counted to the clear areas of application.
Hormone Therapy: Study Results
The results of one of the world’s largest studies on hormone treatment for menopausal women has been the year-long discussion a decisive turn. The British “One Million Study”, in which more than a Million women took part, confirmed that treatment with the hormones in the menopause increases the risk of breast cancer significantly. Regardless of which hormones are given, and whether the treatment about tablets or patches. Also irrelevant was whether the treatment was performed continuously or taking breaks.
Increased risk of breast cancer after hormone treatment
After a year of hormone therapy increase the risk, and the longer the treatment lasted, the greater the risk of developing breast cancer. In this case, the risk was slightly lower when the women received a preparation containing only Estrogen than when Estrogen as well as progestin were taken.
Reassuring: After the hormone treatment Discontinuation the risk of breast cancer decreased.
Side effects of hormone therapy
Another study, which had a great influence on the current decisions, the so-called “Woman’s Health Initiative”. The fact of 16,000 women aged 50 to 79 years. Originally, the investigation about eight years. But it was canceled last year in advance. Because an interim analysis of the data after five years had shown that women, the hormones of revenue, more often from breast cancer received as a women, the only a Placebo, i.e. drug-free tablets were given.
More alarming results: of the hormone treatment, it increasingly came to strokes, pulmonary embolisms and heart attacks, particularly in the first year of Treatment. The positive effects were that the women with hormone treatment suffer less colorectal cancer and less likely to break bones in the hip area suffered than women without treatment. Nevertheless, this “more value could outweigh” the risks in any way.
Hormone therapy: Who stop to
Affected women who want to take this discussion as a reason to stop treatment, and should not be stopping the product simple. You go to your gynecologist and ask you for a detailed conversation. For yourself you should be clarified in advance how the complaints affect you actually. Because, ultimately, a basis for the decision of your doctor will be your well-being.
But remember: menopausal symptoms are once stronger, once weaker, and sometimes they disappear after a few months. Maybe they take a longer time hormones, without the need for you really? Or do you think that the complaints are only because of the hormones better, it has changed your body already.
Hormone therapy cessation only under the supervision of
Just, if you practice already several years of hormone therapy, you should that is why a outlet trial. Ask your doctor for help. He will advise you how you can stop the gentle treatment. In principle, hormones should not be stopped from one day to another. This could provoke, especially, if previously, the high hormone doses have been taken, a number of complaints such as sweats and hot flushes.
It is better to slowly reduce the dose, and see how it goes. And to think: the Affect of these complaints, my life is actually as strong as I thought, or is it just the fear of the discomfort? Maybe you get along well better with the disturbing symptoms, or they are even gone.
If it must be hormones
Still, there will continue to be Affected, for which hormone therapy is the right solution. Especially those women who suffer very much under the above-mentioned complaints, and, for example, in the professional life are extremely affected. Because studies have shown that hormone treatment helps against menopausal symptoms such as sweating, hot flashes or sleep problems and also has proven. Therefore, the doctor will discuss with the woman concerned, whether in the respective case, a hormone treatment is appropriate or not.
A longer treatment is necessary, it must be reviewed annually, whether the treatment is useful. The doctor should prescribe the lowest possible dose.
Normally a woman will get a preparation prescribed, the Estrogen and at least ten days per month in addition to progestin. This is necessary to prevent neoplasms of the uterus. If the uterus was removed, however, will only be a pure estrogen preparation is prescribed.
Women who take hormones need to be made aware that it may cause changes in the breast tissue. Therefore, a breast self-examination should be granted. In addition, sampling at regular intervals, the woman doctor of the breast to changes, and a year should be done under a hormone treatment a mammogram.
Hormone therapy: risks and contraindications
No hormone treatment should be carried out, if certain contraindications exist. No matter how strong and distressing the symptoms are. These include contraindications, so the reasons for the ban, a hormone therapy, for example, breast cancer and ovarian cancer. Also women who had a previous history of a vascular disease such as deep vein thrombosis or a pulmonary embolism will be excluded from hormonal treatment.
The same applies if a woman recently had a heart attack or Angina pectoris is suffering. Because of these diseases, the known risk factors of hormone therapy can increase enormously. A particularly strict Monitoring during treatment with hormones is needed, if in the family of a close relative, i.e. mother, sister or daughter with breast cancer.
Also, if a woman smokes or is obese, then the risk factors for a vascular disease is higher than for other women. A further disorder in which a regular, frequent monitoring is necessary, the Lupus Erythematosus, an autoimmune disease. The treatment must be stopped immediately, if all of a sudden very high blood pressure values occur, or a woman for the first time, strong migraine-like headaches get. Because this can be a forerunner of a vascular disorder.
By the way: taking hormones to prevent osteoporosis always means a long-term treatment. Because it is only through a long period of time can unfold the protective effect. Since a longer treatment is also associated with a greater risk of side effects, should be considered this Treatment very well. In principle, here alternative preventive measures, it is thinking-intensive.
Hormone Therapy: A Healthy Alternative
The best Alternative for menopausal complaints are – in short – all those who increase the physical well-being, e.g. healthy diet, regular physical movement. These are totally natural ways you can prevent osteoporosis, and all-around powerful feel, and the body over menopausal symptoms, such as fatigue and sleep disorders can help. Also, a reduction of the coffee and nicotine consumption can lead to a relief of the complaints.
Diet: the diet should be taken for the prevention of osteoporosis, for example, a sufficient calcium intake. Calcium is contained in milk and milk products. Also on calcium-rich mineral water can be supplied to the body with plenty of calcium. Otherwise, a vitamin – and mineral-rich diet is useful that gives the body the necessary exercise for daily life.
Sport: He is also an important factor for the prevention of osteoporosis. Not only that, but sports also highlights the mood, you will feel balanced and powerful. And a lot of movement in the fresh air is the best remedy against sleep disorders. Sports doctors recommend now Walking; 2.5 hours in the week it should be – and the more, the better. Because women who drive after menopause, exercise regularly, suffer less from a heart attack than women who do not do this, as the survey of 70 000 healthy participants of the WHI (Women’s Health Initiative). The pulse should not exceed 180 minus age, then the burden is right, and does well t o that of the heart.
Hormone Therapy: Herbal Alternatives
There are also herbal remedies, so-called herbal medicines to alleviate mild discomfort in menopause. Frequently extracts from the rhizome of Cimicifuga racemosa, black cohosh, which can help against hot flushes, sweating, irritability and vaginal dryness are prescribed. They contain phytoestrogens, i.e., plant Estrogens. Also, a bone protective property of the preparations. And it is believed that extracts of black cohosh have glands no adverse effect on the breast.
To preparations from red clover or soy, which also contain phytoestrogens, there are different opinions regarding their effectiveness in menopausal symptoms. A recently published investigation showed, for example, that the plant Oestrogens from red clover, which are referred to as isoflavones, help against hot flushes than placebo. Tempering should, however, act sage.
Mood and depression are low in the game, should be asked of the doctor, whether to attempt therapy with St. John’s wort is useful. However, it is important to know that in the case of a treatment with herbal preparations, the effect occurs only after a longer intake time. About four to six weeks it takes in the cut, until it comes to a first relief.
A section of life
Maybe it helps some women to remember that menopause is like puberty part of life. Both of these are not diseases, but rather sections in certain stages of life. The problem is, of course, that the two phases are evaluated differently: Because puberty is the gateway to life, a sort of spring, everything wakes up. The change of years, to terminate on the other hand: The summer of life is over, it goes in the autumn. But: Also the autumn has many beautiful Sunny days, and with current life expectancy, can still be quite a lot!