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Menopause

TRADITIONAL THERAPIES





ESTROGEN REPLACEMENT THERAPY

BENEFITS OF ESTROGEN REPLACEMENT THERAPY:

  • Relief Of Menopausal Symptoms:
    • hot flashes
    • depression
    • forgetfulness
    • vaginal dryness
    • loss of libido
  • May Prevent Atherosclerosis:
    • increase HDL
    • prevent oxidation of cholesterol
  • Slows Down Osteoporosis

SIDE EFFECTS OF ESTROGEN REPLACEMENT THERAPY:

  • Increased Risk Of:
    • blood clots
    • hypertension
    • abnormalities of blood sugar
  • Increased Incidence Of Gall Bladder Disease
  • Nausea And Vomiting
  • Headaches
  • Fluid Retention
  • Worsening Of Estrogen-Dependent Conditions:
    • fibroids
    • endometriosis
    • breast pain
    • worsening of fibrocystic disease of the breast
  • Increased Risk Of Endometrial Cancer If Used Without Progesterone
  • Risk Of Breast Cancer With The Use of Estrogen


Studies show that the use of estrogen in women with a pre-existing and unknown estrogen-sensitive breast tumor can accelerate the growth of such a tumor. However, use of estrogens for up to 5 years has shown no increase in incidence of the development of the onset of new breast cancer.

Some studies indicate that there may be a slightly increased risk (up to 3%) of developing new onset breast cancers when estrogen therapy exceeds five years. The population risk for breast cancer is one in ten or 10%. Therefore the risk increases from 10% to 13%.

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ESTROGENS

Hormone replacement with estrogen is available in various forms. Which one you use is determined by several factors: personal risks involved in the use of estrogen (such as contraindications, adverse or side-effects), personal preferences for natural estrogens that are chemically identical to human estrogen (estradiol-17ß), and convenience.

METHOD
DESCRIPTION
TABLETS:
"Premarin" or "C.E.S." (Conjugated Estrogens)

"Ogen" (Estropipate = Estrone)

"Estrace" (Estradiol-17ß)
PATCH:
"Estraderm" (Estradiol-17ß)

"Climara" (Estradiol-17ß)
GEL:
"Estragel" (Estradiol-17ß)
VAGINAL RING:
"Estring" (Estradiol-17ß)
CREAM:
"Premarin" in cream form
TRI-EST:
Contains Estradiol-17ß, Estriol and Estrone

Compounded by pharmacist

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PROGESTERONE REPLACEMENT THERAPY


BENEFITS OF PROGESTERONE:

  • Reduces Risk Of Unopposed Estrogen Causing Endometrial Cancer
  • Relieves Symptoms Of Menopause:
    • insomnia
    • anxiety
    • heavy bleeding
    • breast tenderness


SIDE-EFFECTS OF PROGESTERONE:

  • Blood Clots
  • Fluid Retention
  • Breast Tenderness
  • Nausea
  • Jaundice
  • Depression

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PROGESTERONE PREPARATIONS

Progesterone replacement is available in several forms. The one you use is determined by several factors; personal risks to use of progesterone (such as contraindications, adverse or side-effects), personal preferences for more natural progesterones and convenience.

NAME DESCRIPTION
TABLETS
"Provera" Medroxyprogesterone Acetate
"Prometrium" Micronized Progesterone
PATCHES
"Estracomb" Estradiol-17ß + Norethindrone Acetate
TRI-EST WITH PROGESTERONE Compounded by pharmacist


BENEFICIAL EFFECTS OF HORMONE REPLACEMENT TREATMENT
  • Relief Of Menopausal Symptoms
  • Reduction In Incidence Of Cardiovascular Disease By ~50%
  • Reduction In Incidence Of Osteoporosis And Reduction (~50%) Of Fractures Due To It
  • Improvement Of Memory
  • Decrease Of Strokes
  • Decrease Of Aging Of Skin

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THERAPY FOR SPECIFIC DISEASES

This involves treatment of specific conditions often found associated with the menopause. For example:
  • Lipid-Lowering Drugs For High Blood Cholesterol
  • Medications For High Blood Pressure
  • Bisphosphonates For Osteoporosis
SKIN TREATMENTS:
  • Skin Care Program
  • Glycolic Acid
  • Salicyclic Acid
  • Vitamin A And Retinols
  • Skin Injections
  • Hyaluronic Acid
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SELECTIVE ESTROGEN RECEPTOR MODULATORS (SERMs)

These comprise a new class of medication. They mimic estrogen activity in selected tissues. In other tissues, they may exhibit estrogen-blocking activity or little or no effect. Consult your physician for their uses.
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