Menopause And Hormone Replacement Therapy (HRT)

The walls of the vagina get thinner and drier due to lower levels of estrogen. Estrogen helps protect the bladder and urethra as well, maintaining a healthy ph balance, so it is important for women to monitor urinary health. Though sex can become uncomfortable with dryness, an OBGYN can suggest several options for women to consider.

Recent studies have suggested that bioidentical hormone replacement therapy (BHRT) might prove to be an effective treatment

The article, “Hot flashes in menopause may have genetic links”, by Catharine Paddock is relevant to our class because it addresses an important topic of women’s biology and period of time in women life. When we discussed the topic of menopause we went over the perimenopause which is the signs of women experiencing menopause like headaches. Similarly in the article Paddock explained the symptoms of hot flash and night sweats women commonly expressed during or after menopause. We learned in class about the symptoms but we did not explore further into it to understand why this occurs in the women’s biology.

EP seems concerned about the hormonal therapy (HT) due to risks involved with HT such as strokes, blood clots, and breast cancer. However, the provider should educate her on the benefits of HT, since it is considered the most effective treatment for menopausal symptoms. Benefits of HT include easing of hot flashes, night sweats and vaginal dryness. HT can be prescribed as a short-term treatment with a low-dose of estrogen therapy (ET) such as an oral Ethinyl estradiol 0.025 mg daily, if she has undergone hysterectomy. If EP still have her uterus, estrogen/progestogen therapy (EPT) is recommended and she can take Prempro, combined therapy containing 0.625mg conjugated equine estrogen (CEE) + 2.5mg medroxyprogesterone acetate (MPA) daily. The doses can be adjusted according to the symptoms after one month of therapy (Elder & Thacker,

There is a lack of collective focus regarding the recommendation of estrogen hormone therapy (ET) for postmenopausal women. For advanced practice nurses (APRN), clarification is necessary in order to inform their clients experiencing menopause of the risks and benefits of hormone therapy use. In the United States, breast cancer is the second leading cause of female death behind cardiovascular disease and its etiology is recently becoming more fully defined (Eccles, 2013). Breast cancer is exacerbated by the number of years clients use hormone therapy as well as each client’s lifestyle (Beckmann, 2014). Hormone therapy combination, dose and length of therapy as well as the client’s medical history all impact onset of malignancy, but the

Before going with synthetic, use food supplements and medicinal herbs to prolong the functioning of the ovary. The body, from a certain age, does not absorb nutrients from food. Therefore, I provide vitamins and essential fatty acids, which help the body to produce hormones. If still hot flashes and other symptoms continue, then opts for acupuncture, phyto-hormones, such as soy is flavones, or by homeopathic treatment. I only use chemical hormone replacement when they're exhausted all other possibilities.

Hot flushes and night sweats are the most common symptoms of menopause. Potential triggers such as caffeine, smoking, alcohol, an overheated room, the wrong clothing and spicy food can all exacerbate these and other menopause symptoms. Keep a diary of where you were and what you were doing and within a

Symptoms can emerge as the female body adjusts to the decrease in estrogen levels as a result of natural or surgical menopause. Conversely, some women may experience no symptoms where others may experience one or all. Inadequate estrogen levels can also contribute to changes in the vaginal and urinary tracts, which can cause painful intercourse and urinary infections. Symptoms may last for several months or years and have been reported to vary greatly in onset and severity. Fleeting hot flashes, night sweats, and fatigue are the most frequently communicated symptoms. Osteoporosis, a condition characterized by decrease in bone mass and density, causes the bones to become fragile and is a long-term condition associated with menopause.

3. Menopause happens when the ovaries no longer release an egg every month and menstruation stops.

Menopause is a transitional phase that every woman must endure. The affects that hormonal changes create during this transition can produce feelings of sadness and irritability. Menopause can be viewed as closing a chapter of life and eagerly awaiting the finale. A new beginning or a time of frustration; this transition can only be defined by the individual experiencing this phase.

An estrogen supplement is also important for Margaret on the grounds that Estrogen is a sex hormone that is key to female bone health, promoting the activity of osteoblasts, which are cells that create bone. At the point when estrogen levels drop amid menopause, the osteoblasts aren't ready to viably deliver bone. Estrogen inadequacy is a key factor in the the pathogenesis of postmenopausal

While these options are not as effective for some as they are others, it is important to educate and include the patient in the decision making process. According to Santen (2015), black cohosh is not recommended to treat hot flashes or any other menopause symptom. Also, studies suggest that black cohosh can stimulate breast tissue similar to estrogen and most studies revealed the same effect as placebos during study trials (Santan, Loprinzi, & Casper, 2016). I would educate my patient about this information and go over her risk factors with her. If she had history or family history of breast cancer, I would not recommend. Otherwise, I would offer this supplement is an option before going to hormone therapy. In some cases, this product may provide relief of symptoms or at least make the symptoms more tolerable for them. I would tell my patient that this product is fairly expensive, and the active ingredient can be bought in other brands that are much

·     Menopause is the time in a woman’s life when the function of the ovaries ceases.

If the patient doesn’t present contraindications to therapy and predisposing disease or risks that would increase the likelihood of an adverse event, I would recommend L.L. hormone replacement therapy (HRT) for her postmenopausal symptoms and bone loss. A consensus statement made by the American Society for Reproductive Medicine, the Asia Pacific Menopause Federation, the Endocrine Society, the European Menopause and Andropause Society, the International Menopause Society, the International Osteoporosis Foundation, and

Weight gain the hormonal changes of menopauses can add to weigh problems particularly in the mid-section causing increased belly fat named visceral fat that is underneath the subcutaneous fat. By exercising regularly during the day and not at night. Taking control of your diet intake play a huge part during menopause and weight gain, by monitoring your sugar and caffeine intake. Hair changes there are two issues while going through menopause. Thinning hair on the scalp and unwanted facial hair on the chin and chest area. It is caused by the rapid drop in estrogen levels combined with the slower reduction in androgen levels (a male sex hormone, testosterone). Skin changes can run the gamut, from dry itchy skin to oily skin causing adult acne. Irregular menstruation, hot flashes and night sweats, which transmit to insomnia and sleep issues. The best bedtime habits to have for hot flashes and insomnia, is going to bed at the same time each night and limit long naps during the day, wear cotton pajamas and keep your bedroom cool with good ventilation. There is also elevated heart rate causing you to feel like you’re having a panic attack, palpitation and the feeling of your heart pounding rapidly. Mood changes when hormones are fluctuating during this time, making it difficult to concentrate, you tend to be more forgetful, irritability, fatigue, anxiety and depression. Vaginal discomfort and urinary issues, because of the decline of estrogen the lining and tissues of the vagina and urinary tract become thinner and drier leading to less elastic and muscle control. Bone loss plays a big part during a woman’s life especially during menopause and postmenopause the risk factors for osteoporosis are higher during this time. Research indicates that up to 20% of bone loss can occur during these stages (Hormone Health Network page 22). A good way to prevent bone loss is through dairy products by eating dark