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In late menopausal transition, there should be an initial switch to gestagen-dominated combined sequential EPT. The hormone therapy of choice for women in early menopausal transition is gestagen substitution, levonorgestrel intrauterine system (LNG-IUS), or low-dose monophasic contraception. Their administration is an effective strategy for the long-term prevention of estrogen deficiency as well as some other diseases where a direct connection is not obvious. Therapeutic administration of estrogens results in removing almost all climacteric symptoms. It is advisable to distinguish between them because of significant differences in their benefit–risk ratio. For combination of estrogens and progestogens, the term is estrogen–progestogen therapy (EPT). Estrogen-only therapy is labeled as estrogen replacement therapy (ET, ERT). Menopause hormone therapy (MHT), or hormone replacement therapy (HRT), consists of a group of preparations with sex hormones administered in cases of low level of estrogen. Pharmacotherapy can be divided into hormonal and nonhormonal therapy. 1, 2020.The extensive climacteric symptomatology falls into somatic (vegetative) symptoms (vasomotor disorders, psychic disorders), organic symptoms (skin changes, urogenital changes, weight changes), and metabolic symptoms (lipid spectrum changes, atherosclerosis, osteoporosis). Centers for Disease Control and Prevention. Overview of established risk factors for cardiovascular disease. The 2017 hormone therapy position statement of The North American Menopause Society. What the Women's Health Initiative has taught us about menopausal hormone therapy. Menopausal hormone therapy and cardiovascular risk. Menopausal hormone therapy: Benefits and risks.
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See your doctor regularly to ensure that the benefits of hormone therapy continue to outweigh the risks, and for cancer screenings such as mammograms and pelvic exams. And get regular health screenings to check your blood pressure and cholesterol levels to detect early signs of heart disease. Eat a healthy diet focusing on fruits, vegetables, whole grains and low-fat protein. Counter the risks of developing heart disease by making heart-healthy lifestyle choices. Talk with your doctor about your treatment goals and health risks to choose a hormone therapy regimen that best suits your individual needs. The type of hormone therapy, how it's administered and how long you should take it to best help with symptom relief varies from person to person. Take the amount of medication that's right for you.
Anti stroke add on for hrt skin#
Hormones delivered through skin patches aren't as extensively metabolized in the body as the hormones in pills and have less potential for unwanted side effects. Low-dose vaginal preparations of estrogen - which come in cream, tablet or ring form - can effectively treat vaginal symptoms while minimizing absorption into the body. Hormone therapy in this case protects against heart disease, and your doctor may recommend that you take hormone therapy until you reach the average age that most women enter menopause, around age 51. This includes a higher risk of coronary heart disease. If you stopped having periods before age 40 (early natural menopause) or lost normal function of your ovaries before age 40 (primary ovarian insufficiency), you have a different set of heart and blood vessel (cardiovascular) health risks compared with women who reach menopause closer to the average age of 51.
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If you are in early menopause, have moderate to severe hot flashes and other menopausal symptoms, and are otherwise healthy, the benefits of hormone therapy likely outweigh any potential risks of heart disease. The risk of heart disease to an individual taking hormone therapy is very low.If you are struggling with menopause symptoms but worry about the potential risks of hormone therapy, talk with your doctor to put your personal risk into perspective.