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How Long Should You Stay On Hormone Replacement Therapy

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Estrogen Therapy And Cancer Risk

What Determines How Long YOU Should Take Estrogen Replacement Therapy for Menopause – 89

Endometrial cancer

In women who still have a uterus, using systemic ET has been shown to increase the risk of endometrial cancer . The risk remains higher than average even after ET is no longer used. Although most studies that showed an increased risk were of women taking estrogen as a pill, women using a patch or high-dose vaginal ring can also expect to have an increased risk of endometrial cancer.

Because of this increased cancer risk, women who have gone through menopause and who still have a uterus are given a progestin along with estrogen. Studies have shown that EPT does not increase the risk for endometrial cancer.

Long-term use of vaginal creams, rings, or tablets containing topical estrogen doses may also increase the levels of estrogen in the body. Its not clear if this leads to health risks, but the amounts of hormone are much smaller than systemic therapies.

Breast cancer

ET is not linked to a higher risk of breast cancer. In fact, certain groups of women taking ET, such as women who had no family history of breast cancer and those who had no history of benign breast disease, had a slightly lower risk of breast cancer.

Ovarian cancer

The WHI study of ET did not report any results about ovarian cancer.

To put the risk into numbers, if 1,000 women who were 50 years old took estrogen for menopause for 5 years, one extra ovarian cancer would be expected to develop.

Colorectal cancer

Lung cancer

ET does not seem to have any effect on the risk of lung cancer.

Is Measuring Hormone Levels Required For Treatment

Yes. This is the only way to know for sure if you have a hormone imbalance. At our office, we will administer a blood, saliva, and/or urine test to detect the levels of hormones in your body. Additionally, this test will identify the hormones you need to supplement, since this is not the same for everyone. This will allow us to create a customized treatment plan that is targeted to your specific needs.

What Are The Different Blends And Kinds Of Hrt

There are several different formats and types:

  • Estrogen-alone therapy : This is prescribed for women in a medical menopause who are devoid of both their uterus and ovaries after having a complete hysterectomy.
  • Combined estrogen/progesterone therapy : Both hormones may be needed for women whose uterus and ovaries are still intact, and who are undergoing natural menopause.
  • Local estrogen: To be used topically by women experiencing extreme vaginal dryness and vaginal tract issues.

Depending on a womans individual needs, HRT comes in several forms:

  • Pills

Dr. Litrel discusses menopause and hormone therapy in this video.

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How Bioidentical Hormone Replacement Therapy Works

At Body Bar MD, we work hard to help all of our patients. Dr. Christy takes great care to discuss your concerns about therapy and your goals for treatment. We will also take blood to evaluate your hormone levels and to rule out other medical conditions. This up-to-date hormone panel helps us pinpoint where we need to focus our hormone replacement therapy most.

Once we’ve established where your hormone deficiency is, we will have a BioTE bioidentical hormone therapy pellet inserted beneath your skin. These pellets are compounded with either estradiol or testosterone, and are about the size of a grain of rice. We insert the pellet under the skin of your hip right in our Terre Haute or Carmel, IN offices. These pellets will release hormones slowly into your bloodstream and will last anywhere from 3 6 months, depending on your sex.

This consistent delivery of hormones helps you shake off fatigue, slows down hormone-related weight gain, and helps to control mood changes. When you begin to notice a difference will differ from patient to patient, but many experience significant results in as little as four weeks.

How Long Should Hormone Replacement Therapy Last

What Determines How Long YOU Should Take Estrogen ...

NeolifeHormonal balance 0

If we require the protective effects on our cardiovascular system to be prolonged then the treatment must be indefinite.

Hormone replacement therapy with bioidentical hormones has been shown to have beneficial effects on improving the symptoms associated with the menopause and reducing the risk factors associated with osteoporosis. Furthermore, in a recent publication in Menopause journal , it has been proposed that hormone treatment could be used in a protective way to protect individuals against cardiovascular risk once administered.

Dr. Moisés De Vicente Neolife Medical Team

One study has also shown that patients who continued with their hormone treatment for a period greater than 5 years were protected to a greater extent against the onset of any cardiovascular events than those who had stopped their treatment.


Increased cardiac and stroke death risk in the first year after discontinuation of postmenopausal hormone therapy. Venetkoski, Minttu MD Savolainen-Peltonen, Hanna MD, PhD Rahkola-Soisalo, Päivi MD, PhD Hoti, Fabian MSc Vattulainen, Pia MSc Gissler, Mika PhD Ylikorkala, Olavi MD, PhD Mikkola, Tomi S. MD, PhD. Menopause. November 13, 2017.

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What Is Bioidentical Hormone Therapy

On its face, hormone therapy is exactly what it sounds like therapy for your hormones that is designed to restore balance to the natural chemical levels. Hormone therapy is a minimally invasive treatment in which a hormone pellet is inserted into the skin, usually near the hip or buttocks region. Because hormone therapy is a medical treatment, it must be performed by a registered and certified practitioner, such as the experts at our office.

In any kind of hormone therapy, the goal is to supply the body with hormones that it otherwise does not produce enough of. For this kind of hormone therapy, the main treatment is to identify which hormone level is too low in the body and replace it with a bioidentical hormone. In a way, this kind of hormone therapy is like a blood transfusion. By supplying the body with bioidentical hormones, you can return your body to its normal state of hormone balance and undo many of the side effects associated with imbalanced hormone levels.

How Long Can I Take Hrt

Doctors are now initially prescribing HRT in the lowest dose possible, making modifications as necessary until effectiveness is achieved.

All potential risks must be taken into consideration based on thorough disclosure of your symptoms, medical history, family history, and lifestyle. This is vital to insure the best outcome for your individual needs, and whether the benefits outweigh the risks. At one time, it was thought that taking HRT for five years or less posed no danger, but recent findings proved that, depending on the individual, there can be problems even during this short time span. Other women may not be negatively affected at all.

Today, women using HRT are being prescribed lower doses than before. There are also different methods available besides the past standard oral prescriptions. Vigilant and regular monitoring can alert us to any issues that may arise so that you can receive immediate intervention.

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General Tips For Mirena Coil Use

The Mirena coil requires very little maintenance. A doctor inserts it in the uterus in an outpatient procedure. Likewise, a doctor removes it when it expires. IUDs often expire after about 5 years.

In some cases, IUDs shift or fall out. Anyone who suspects that this has happened should see a doctor, who will replace the device.

Some people notice bleeding and cramping following the insertion of an IUD. Light bleeding could last for up to several months, while the body adjusts to the device.

Are Imbalanced Hormones A Problem

Hormone Replacement Therapy (HRT) explained – a British Menopause Society video

The short answer to this question is yes. Imbalanced hormones are responsible for a range of subjectively negative side effects. Aside from leaving you feeling caught in a perpetual state of unease brought about by drastic changes in your normal bodily processes, imbalanced hormones are also the cause of physical and purely aesthetic changes.

Internal Processes

There are many bodily processes that are directly derailed by hormonal imbalances. Understandably, the internal bodily processes that are impacted by hormonal imbalances are reason enough to feel like a stranger in your own body. The effects you may feel from these changes include:

  • Chronic fatigue
  • Temperature changes, such as hot flashes
  • Mood swings
  • Trouble concentrating

Physical Changes

Imbalanced hormones are also associated with noticeable physical changes. These physical changes are surface signs of the imbalances that are happening within the body. For some, the physical changes associated with hormonal imbalances are a greater cause of distress than changes to the bodily process. The physical changes that are caused by imbalanced hormones include:

  • Weight gain
  • Thinning hair and hair loss
  • Dry skin
  • Inability to sustain an erection
  • Bloating
  • Osteoporosis
  • Excess sweating

Hormonal imbalances are inefficient, stressful, and cause many problems that directly impact daily living. This is why hormone imbalances are considered a problem for many people.

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Can You Stop Testosterone Replacement Therapy

You are probably familiar with the advantages of using Low T therapy to elevate deficient male hormone levels but have you asked yourself can you stop testosterone replacement therapy use safely? It is as important to understand what can happen if you decide to stop treatment for male hormone deficiency as it is to understand the benefits of using it.

While the symptoms of Low T can be debilitating, the descriptions that some men post online about what its like to stop using TRT seem to be equally debilitating, as well. Do their experiences reflect a universal depiction of what its like when a hormone therapy patient stops treatment for Low T or are there ways to stop your treatment, for whatever the reasons might be, without suffering in the same ways that some men have described?


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What Are Androgens?

How Do I Take Thyroid Hormone

Thyroid hormone is easy to take. Because it stays in your system for a long time, it can be taken just once a day, and this results in very stable levels of thyroid hormone in the blood stream. When thyroid hormone is used to treat hypothyroidism, the goal of treatment is to keep thyroid function within the same range as people without thyroid problems. Keeping the TSH level in the normal range does this. The best time to take thyroid hormone is probably first thing in the morning on an empty stomach. This is because food in the stomach can affect the absorption of thyroid hormone. However, the most important thing is to be consistent, and take your thyroid hormone at the same time, and in the same way, every day. If you are taking several other medications, you should discuss the timing of your thyroid hormone dose with your physician. Sometimes taking your thyroid hormone at night can make it simpler to prevent your thyroid hormone from interacting with food or other medications.

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Other Treatments For Menopausal Symptoms

Studies have shown that some prescription medications can reduce hot flushes and sweats. These treatments may be an option if HRT cannot be used for health or other reasons, and should be discussed with a doctor.

The herbal medicine, black cohosh, may take the edge off hot flushes and sweats, but there is no data to support long-term use. There is also a rare liver condition that may be associated with the use of black cohosh.

Other complementary and alternative medicines have not been shown to be effective for menopausal symptoms when compared with dummy or placebo treatment in research studies.

Commercially available vaginal moisturisers may reduce vaginal dryness if used regularly. Consult your doctor about what will work best for you.

Added Benefits Of Hrt

Hormone Replacement Therapy Los Angeles

HRT reduces the risk of various chronic conditions that can affect postmenopausal women, including:

  • diabetes taking HRT around the time of menopause reduces a womans risk of developing diabetes
  • osteoporosis HRT prevents further bone density loss, preserving bone integrity and reducing the risk of fractures, but it is not usually recommended as the first choice of treatment for osteoporosis, except in younger postmenopausal women
  • bowel cancer HRT slightly reduces the risk of colorectal cancer
  • cardiovascular disease HRT has been shown to reduce cardiovascular disease markers when used around the time of menopause.

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North American Menopause Society Updates Position Statement On Hormone Therapy Says Benefits Outweigh Risks For Some Women

In its updated guidelines on using hormone replacement therapy , the North American Menopause Society says that HRT is an effective treatment for hot flashes and other menopausal symptoms. For women younger than 60 or within 10 years of menopause who have no other contraindications, the benefits of HRT outweigh the risks when treating menopausal symptoms, especially hot flashes, and for women who have a higher-than-average risk of bone loss or breaking a bone.

The updated position statement was published in the June 2017 issue of Menopause: The Journal of the North American Menopause Society. Read The 2017 hormone therapy position statement of The North American Menopause Society.

Its extremely important to know that being diagnosed with breast cancer is a contraindication for HRT. Women who have a history of breast cancer should NOT take HRT.

“The use of hormone therapy continues to be one of the most controversial and debated topics,” said JoAnn V. Pinkerton, North American Menopause Society executive director. “The goal of this updated version of the Society’s position statement is to provide excellent, evidence-based, current clinical recommendations to menopause practitioners for the improvement of care for women depending on them to help relieve menopause symptoms.”

The statement also reviews the effects of HRT on various health conditions, such as cardiovascular disease and breast cancer, at different stages of a woman’s life.

Finding The Best Course To Living Your Best Life After Hrt

There comes a point in every womans life, as she gets older, where she will experience many profound changes within herself. This process, called the menopause, is not something that is desired, but it occurs nonetheless call it an inevitable rite of passage, if you will, preparing you for a new stage in life.

The symptoms associated with menopause include hot flashes, night sweats, fatigue, irritability, vaginal dryness, and low libido. Lets face it, theyre a nuisance at the best of times and can leave you feeling totally down in the dumps at their worst.

On the bright side, advancements in the fields of science and medicine have allowed for innovative therapies that can help alleviate some of Mother Natures inescapable effects. One such innovation, hormone replacement therapy , is designed to replenish sex hormones such as estrogen and progesterone that begin to naturally decline in a during menopause. This in turn helps relieve those pesky symptoms mentioned above.

Order safe hormone replacement therapy

With that said, read on to learn exactly how you should be planning your exit strategy from HRT so that you can emerge from it feeling your best.

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How Do You Wean Off Bioidentical Hormones

Weaning Off or Stopping Hormone Therapy

  • reduce estrogen daily dosage to next lower level every 2-4 weeks until the lowest dosage is reached.
  • if symptoms of lower estrogen become significant, then maintain current dosage for several weeks and, if necessary, increase to next highest dosage for 2-4 weeks.
  • Hrt Does Not Cause Weight Gain

    Should You Take Hormones for Menopause – Pros and Cons of Hormone Replacement Therapy

    Weight gain at the menopause is related to age and lifestyle factors. An increase in body fat, especially around the abdomen, can occur during menopause because of hormonal changes, although exactly why this happens is not clear. Normal age-related decrease in muscle tissue, and a decrease in exercise levels, can also contribute to weight gain.

    Most studies do not show a link between weight gain and HRT use. If a woman is prone to weight gain during her middle years, she will put on weight whether or not she uses HRT.

    Some women may experience symptoms at the start of treatment, including bloating, fluid retention and breast fullness, which may be misinterpreted as weight gain. These symptoms usually disappear once the therapy doses are changed to suit the individual.

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    Not An Elixir Of Youth

    Hormone therapy is not a magic bullet or an elixir of youth, and it shouldnt be used willy-nilly, Manson says.

    But women who are suffering with menopause symptoms should not be denied hormone therapy, she says, unless they are at increased risk of cardiovascular disease, breast cancer or other estrogen-sensitive cancers.

    The pendulum has swung widely from the perception that hormone therapy is good for all women to the perception that its all bad for all women, to now a more appropriate place in between where hormone therapy is perceived to be good for some but not all women, Manson says. Were recommending that hormone therapy be used for the duration that its needed to address symptoms at the lowest effective dose and with ongoing reassessment of the balance of risks and benefits.

    The time to start therapy is as soon as the symptoms start. Intervening earlier, rather than later, actually seems to carry less risk, Santoro says.

    Once symptoms start, they are unlikely to get better soon. On average, the menopause transition lasts about four years, Santoro says. Some women have symptoms that persist even longer, however. Although there are exceptions, most women wont go through menopause before 45, Santoro says.

    If youre 45 or older and starting to have hot flashes, night sweats or mood or sleep changes, it could be your hormones and it might be time to start some active management, she says.

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