Menopause is the loss of ovarian follicular activity where a female fails to receive periods for a year. It can cause symptoms that can affect your well-being. The symptoms include hot flushes, palpitations, sweating, psychological symptoms, progressive bone loss, urogenital symptoms and susceptibility to heart disease.
Treatment of menopause symptoms
As mentioned above, the symptoms may adversely affect the psychological, emotional and physical health of a female. It is therefore important to get treatment that can improve, reduce or prevent the symptoms. Hormone replacement therapy (HRT or HT) is the most effective and commonly used treatment. HT is the administration of estrogen or progesterone to alleviate the menopause symptoms and replace the depleting hormone levels.
The treatment can be administered through creams, patches, injections, vaginal rings, IUDs (intra uterine devices) and oral pills. What is oral hormone replacement therapy? The treatment tries to mimic the ovarian hormone cycle. The ET pills (ET) contain estrogen only and are taken every day. The other oral treatment method is EPT which is a combination of both estrogen and progesterone hormones. EPT may be taken daily. The progestin pill includes synthetic progesterone though natural progesterone is used especially for the adult ladies with high levels of cholesterol.
Women taking small doses of estrogen and progesterone every day (daily continuous therapy) may experience vaginal bleeding for the first few months. It is recommended that women with a uterus use the EPT method. However, women who have undergone hysterectomy should use the ET. Testosterone (an androgen) can be added to the progestin pills to treat libido loss.
What is the prescription of oral HT? The dose, regimen, and duration of the oral pills should be based on an individual’s situation. The lowest effective dose should be taken for the shortest time possible to minimize health risks. The progestin pill is taken daily for two weeks every month and later twice per week (maintenance therapy) depending on the severity of the symptoms.
Benefits of Hormone Replacement Therapy
- Manage sexual dysfunction
- Improves mood changes
- Lowers risk of colorectal cancer
- Protection against dementia
- Reduces vasomotor symptoms
Who cannot use the HRT treatment?
Not every woman in the postmenopausal, menopause or perimenopause stages can use this treatment, because of the risks which may at times override the benefits. Those with previous history of endometrial, breast or ovarian cancer should avoid the HRT. Those with deep vein thrombosis and those with coronary heart disease should refrain from the treatment. Women who have abnormal vaginal bleeding need evaluation before embarking on the treatment.
Whether your menopause will occur naturally or through premature ovarian failure or through a surgical procedure, you can get some relief from the oral HT. HT will help you keep your male friend by treating vaginal dryness and increase your libido. Improve your health and life by treating the symptoms that are making your life unbearable.