Menopause Can enter the host Disruptive symptoms Like warm glow, night sweating and sleep problems. Hormone therapy promises relief.
But many women wonder about taking it. This is because treatment has recently been called by the subject of an expert panel. Food and Drug AdministrationHas been immersed in uncertainty for a long time.
It was once used regularly. But in 2002, the research test was stopped quickly due to concerns about the increasing risks of breast cancer and blood clots. Regarding the concerns, even later studies showed that the benefits of today’s hormone therapy were taken beyond the risks for many women.
50 -year -old Gracon Levereng of Darham, Northern Carolina, said, “There is still a lot of confusion and a lot of fear, a 50 -year -old from Northern Carolina, who hesitates to take it, but happy that he did.
Others are also rapidly giving hormone therapy another form. But experts continue to disagree with how to introduce professionals and oppositions of treatment. The FDA-Rekti panel emphasized the benefits and suggested that the health warnings be removed from at least some versions-the pain motivated experts to call for more inputs before making any changes.
Doctors say that hormone therapy is a great choice for many, but not all, menopause women – and best to understand the fine reality of these treatments before deciding.
How does hormone therapy works
It treats symptoms that can occur when menstruation is further eliminated under the winds, causing estrogen and progesterone levels greatly.
A type of low dose is vaginal estrogen therapy. Because it is applied in the vagina, the blood rotates very little and the risk is very low. Doctors say that this is a good option for women whose biggest complaint is vaginal dryness.
The whole body treatment includes pills, patch, spray, gel or a vaginal ring, which provides hormone supplements in the bloodstream at a higher level to have significant effects on symptoms such as warm glow. Such systemic hormones include estrogen and progestogen.
Jennifer Zwink, a nurse at Callorado’s Castle Rock, began using an estrogen patch over a year ago and also has an IUD, which gives her progesterone. Treatment has relieved her warm glow, improved her sleep and reduced her joint pain and inflammation.
“This is not like a 100% magic wand,” he said. “But it has definitely created a significant difference.”
The menopause society says that hormone therapy can reduce the risk of heart disease if it is initiated within 10 years of reaching menopause. This type 2 can also reduce the risk of diabetes and maintain bone density for a long time.
Dr. “They can make a decline in their bone density at the age of 60” said Margewa Morris Cole, an Ob-Gine.
Hormone therapy carries some risks
When the levernz was first determined hormone therapy last year, she worked about the risks that she had heard of – then finally decided: “I can no longer live like this.”
With the combination of three drugs, his anxiety increased, his sleep improved, his joint pain and warm glow.
“I just feel myself again,” he said.
Doctors say that many patients hesitate to try hormones, and they try to assure them.
According to the Menopause Society, women can use estrogen therapy for three to five years-and estrogen-professional therapy for three to five years.
The group states that estrogen therapy and estrogen-professional therapy increase both stroke risk, which go away immediately after stopping the hormones. If you take hormones from the mouth, the risk of blood clots increases, but if you use patch, gel or spray can be reduced.
An OB-GYN at the University of Colorado. Nanet Santoro said, “Many of these risks are small.” “And they have to be weighed against the benefits of symptoms relief.”
Age, medical history and how long women live on hormones are also ideas. Many women take them for about five years, and those who had strokes or some other conditions may be advised against.
Debate on changing warnings on hormone drugs
Doctors are divided on whether the “black box” health warning should be changed on some hormone remedies. All estrogen drugs still give boxing warnings about strokes, blood clots and high rates of cognitive problems in women taking drugs.
The recent specialist panel meetings convened by the FDA include most physicians determine hormones or with a pharmaceutical industry campaign opposing the warning label. A letter signed by 76 doctors and researchers argues that “removing the label warning without adequate scientific evaluation risks patients,” and asked the agency to hold a meeting of a advisory committee with a public hearing before making any changes.
Meanwhile, doctors urge people to beware of misinformation, such as false claims on social media posts that will prevent hormones dementia and ensure a healthy aging.
“We can’t say that you are going to live a long, healthy life because you have taken hormones,” said Duke’s Cole. “I don’t want Pendulum to go so far that people feel that it is promising health for the next 30 to 40 years.”
Options for hormone therapy for menopause
Santoro pointed to a new non-hormonal drug, called a fegolnette, marketed as a Viozah for hot shine and night sweat. In low doses, anti-aphiliptic drug gabapantin, can also be used for warm glow and a moisturizer can improve vaginal dryness.
Experts also say that regular exercise and a healthy diet can help manage symptoms.
Santoro urged against the “wild proliferation” of supplements claiming to be the treatment of menopause.
“Everyone is in a menopausal gold crowd,” he said. “If it looks great to come true, it is probably.”
,
The Associated Press Health and Science Department receives support from the Department of Science Education and Robert Wood Johnson Foundation of Howard Hughes Medical Institute. AP is completely responsible for all materials.
Laura Agar, Associated Press
