Weighing Your OptionsTuesday, April 10, 2012 - 11:57
Here are some things to consider when deciding whether to begin hormone replacement therapy:
- Who would benefit most from HRT?
- Other medicines for menopause-related concerns
- What about soy?
- Other types of therapies
- The decision is a personal one
Virtually any woman past
- Who have severe menopause symptoms, like
- Who are at increased risk for
- Who had experienced an early menopause and who need to prevent early onset of osteoporosis. This includes young women who have amenorrhea (a condition in which
menstrual periodsstop because of severe weight loss, excessive physical training, chemotherapy, radiation therapy, or other causes).
- Who are young but whose
ovarieshave never developed properly and who need estrogento develop mature female characteristics.
A number of other drugs are available that can help the discomforts of menopause and provide protection against certain diseases that can occur as a result of lower estrogen production.
- For hot flashes - Bellurgal is a non-hormonal drug that is approved for the treatment of hot flashes. It relieves symptoms in about half of the women who try it.
- To prevent osteoporosis - Newer medicines that can help prevent osteoporosis include alendronate (Fosamax), raloxifene (EVISTA), and calcitonin (Miacalcin, Calcimar).
- For vaginal dryness - Try moisturizers and non-estrogen lubricants such as KY Jelly or Replens.
- To prevent heart attacks - Aspirin and over-the-counter pain relievers can relieve discomforts. In addition, regularly taking a small dose of aspirin may help prevent colon polyps and heart attacks. Because aspirin can be associated with gastrointestinal problems, women should consult with their doctor before taking aspirin regularly.
- To lower
cholesterol- Cholesterol-lowering medications (statins) can be prescribed to bring down high cholesterol levels and have few side effects.
Recent attention has been turned to the benefits of soy . Soy has been shown to:
- Decrease hot flashes
- Lower cholesterol
- Have some of the same beneficial effects on blood vessels that estrogen has
- Slightly increase bone density
A diet with increased soy protein does seem to have beneficial effects. However, very little data is available on the safety of soy. One small study showed an increase in breast cancer among women who consumed soy.
The estrogen activity of soy is very low, so some of the major benefits of estrogen treatment cannot be obtained with soy alone.
Nice To Know:
The best advice for women who decide to take soy is to take it in moderation. For example, two servings of tofu or soybeans a day have been recommended as safe amounts.
Whether they are taking hormone replacement therapy or not, women should pursue a healthy lifestyle for protection against all aging-related conditions. A healthy lifestyle includes:
- Regular weight-bearing exercise such as brisk walking or dancing.
- Not smoking.
- Eating a healthy diet rich in fresh fruits, vegetables, and whole-grain foods.
- Staying active sexually (this helps preserve the lining of the vagina)
- Limiting alcohol use
Some women report great benefit in relieving menopause symptoms from stress-management techniques such as:
- Therapeutic massage
- Relaxation therapy
Many women ask about "natural" remedies. Certain herbs are thought to be effective, but few reliable clinical studies have been performed. But it is important to know that herbal and vitamin therapies also may have potentially dangerous side effects.
- Black cohosh, for example, is a plant estrogen that may have an effect on menopause symptoms - but it also may increase cell growth in the
uterus, which may be a risk factor for uterine cancer.
- Ginseng has hormonal qualities, and there are some reports of uterine bleeding associated with its use.
Need To Know:
The Decision Is A Personal One
The facts about hormone replacement therapy can be considered as a work in progress. Medical science does not have all the answers yet. Each study paints a little more into the picture, but the picture is far from completed.
Women are wise to gather as much information as they can and discuss it with their doctor. But ultimately, it is the woman herself who must decide what is best for her.