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How Long Do You Take Hrt After Menopause

Find Out More About The Different Types Of Hrt


How long does it take before hrt starts to work. Other women who may have to take hrt are those who undergo surgical removal of their ovaries or have treatment that causes their ovaries to stop producing estrogen. Hrt can be an effective, safe, and sustainable treatmentbut it doesnt work overnight. Unfortunately you really have to be patient with hrt ,you need to give it at least one month before deciding anything really.

You may need to try more than 1 type before you find 1 that works best. Don’t be a matyr, obviously they haven’t got your mix right. It usually takes a few weeks before you will feel the initial benefits of hrt and up to three months to feel the full effects.

How long does hrt take to work? The majority of people experience changes within days or weeks of starting trt testosterone replacement therapy. I noticed an improvement within three days with the transdermal bioidentical oestrogen gel and then after 15 days i took the 15 days of the micronised progesterone capsules, per day for half the month.

So how long does hrt take to work? Hormone therapy works best when combined with proper nutrition, a personalized exercise program and additional lifestyle changes. I started using patches twice a week one week ago for symptoms of menopause

They seemed to help straight away but then today i felt low again. How long before hormone therapy works? How long do patches take to work?

Using a simple household object like a chair to workout

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Mayo Clinic Q And A: Estrogen Replacement Therapy After Ovary Removal

DEAR MAYO CLINIC: I have been using an estrogen hormone patch for two years since having a hysterectomy at 38. I had my ovaries removed as part of the procedure. How often should I have my estrogen levels tested, and how long will I need to continue hormone replacement?

ANSWER: For a woman in your situation, estrogen replacement therapy typically is recommended until the average age of natural menopause usually around 51. This is done mainly to reduce the risk of long-term health problems associated with removal of the ovaries. To ensure youre receiving the right dose, its a good idea to have your estrogen level checked at least once a year, and eight to 12 weeks after any dose changes.

A hysterectomy is surgical removal of the uterus. As in your case, the procedure often is combined with removal of the ovaries a surgery known as an oophorectomy. If the surgery involves removing both ovaries, its called a bilateral oophorectomy. When only one ovary is removed, its a unilateral oophorectomy. Because the ovaries make the main hormones responsible for a womans menstrual cycle, removing your ovaries results in menopause.

When both ovaries are removed before a woman goes through menopause naturally, there is an increase in the risk of a number of serious long-term health problems. They include heart disease, cognitive dysfunction and dementia, mood disorders, bone thinning, and early death. The younger a woman is when she has bilateral oophorectomy, the higher the risk.

Hrt And Surgical Menopause

So what is surgical menopause? It’s menopause that develops suddenly after the ovaries — the main producers of the hormone estrogen — are surgically removed.

The removal of the ovaries is called an oophorectomy. The procedure is often combined with a hysterectomy — removal of the uterus — but not always. And in fact, women who only have their uterus removed will not go into surgical menopause. Their ovaries are still making estrogen. They’ll go into menopause naturally when they get older, although sometimes a bit earlier than usual.

Estrogen plays a key role throughout the body. It affects the brain, the bones, the skin, the heart, the blood vessels, and more. While estrogen levels lower gradually during natural menopause, they plummet with surgical menopause. That sudden drop in estrogen can lead to menopausal symptoms that can be quite severe.

Hormone therapy after surgery — either with estrogen and progestin or with estrogen alone — is a way to counteract the supply of estrogen you’ve lost. Women who have both the uterus and ovaries removed usually just get estrogen replacement therapy alone. But women who have only the ovaries removed need both estrogen and progestin. That’s because estrogen alone can increase the risk of cancer in the uterus. Adding progestin removes this risk.

Rarely, if ever, will both ovaries be removed without the uterus. Often, only one ovary may be removed, which will negate the need for HRT at the time of surgery,

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Hormone Replacement Therapy Treatments

There are several different types of hormone treatments. For menopause and sex hormone-related conditions, many women take either estrogen, progesterone, or a combination of both.

Types of hormone replacement therapy

Hormone therapies can be taken in several ways including:

  • Estrogen cream, tablets, or rings inserted into the vagina
  • Estrogen cream, lotion, or gel applied to the skin
  • Progesterone cream applied to the skin
  • Estrogen or estrogen-progesterone skin patch
  • Estrogen or progesterone tablet taken by mouth
  • Dehydroepiandrosterone cream inserted into the vagina

Some women prefer to use bioidentical hormone replacement therapy, which involves natural, plant-derived, or compounded hormone preparations. These may offer some benefits, however, there isnt enough research to know the risks.

Your doctor may start with a low dose for several months to monitor the effects on your body and see if it helps. Many doctors disagree about how to use hormone therapy and studies indicate there are some risks associated with hormone replacement therapy.

You should speak to your doctor about whether hormone replacement therapy is right for you if you:

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Hormone Replacement Therapy and Menopause

Hormone imbalance can affect women at every stage of their lives. Instead of living with symptoms of hormone deficiency, take back control of your life and consider hormone replacement therapy. Youll find that treatment can be adjusted to fit your needs at every age, and with the help of your doctor, you can continue to experience true balance for years to come. To learn more about this revolutionary treatment, find a Pellecome provider today and schedule an initial consultation today.

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Should More Women Be Taking Estrogen Recent Data Says Yes

Hormone Replacement Therapy.

Until about 20 years ago, physicians routinely prescribed the hormones estrogen and progestin for women after menopause, when levels of both of these hormones decline. This seemed like a logical treatment, and the hope was that it would slow down bone loss , reduce the risk of heart disease, and treat other age-related problems. Estrogen also has the benefit of increasing sexual desire for women.

This all came to a screeching halt in 2002, when the Womens Health Initiative published its first findings about the effect of estrogen and progestin. Although the initial results did show benefits for osteoporosis, the main finding, trumpeted loudly at the time by NIH and in various press releases, was that the combination therapy increased the risk of breast cancer. As the US Office on Womens Health says today on their website, the 2002 study found that women taking combination hormone therapy for menopause symptoms had an increased risk for breast cancer, heart disease, stroke, blood clots, and urinary incontinence. Although women using combined hormone therapy had a lower risk of fractures and colorectal cancer, these benefits did not outweigh the risks.

It turns out that this was not the full story.

Not surprisingly, the use of hormone replacement therapy plummeted after that, and has remained low since.

Menopause And Healthy Aging

Although menopause brings difficulties, the experience also prompts women to think anew about their health and sexuality — and to consider future directions in their lives as they accept aging.

Easier said than done, but experts say Richardson and other women her age can look forward to a number of payoffs once they get through menopause: freedom from fear of pregnancy when menstruation stops, freedom to reignite a loving relationship after children leave home, and freedom to undergo a personal metamorphosis as another life stage begins.

To help chart her way through the big M, Richardson read everything she could âto understand what was happening to my body as it shifted into this new me,â she says. Her hope was âto recapture some of the things that I enjoyed when I was youthful âmeâ and not feel embarrassed or ashamed about the changes my body was experiencing.

âI will take a âmenopauseâ to celebrate this midpoint in my life,â she adds. And to get the party started, reports Richardson, she has started to dance again.

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Taking Estrogen With A Progestin Vs Estrogen Alone

Treating menopausal symptoms with estrogen and progestin together is known as estrogen-progestin therapy or combined hormone therapy. Although estrogen alone improves the symptoms of menopause, it increases the risk of cancer of the uterus . Adding a progestin to the estrogen lowers the risk of endometrial cancer back to normal. Because of this, EPT is given to women who still have a uterus . EPT can be given 2 ways:

  • Continuous EPT means the same dose of estrogen and progestin is taken each day. Women often prefer continuous EPT because it rarely leads to menstrual-like bleeding.
  • Sequential EPT means different amounts of each hormone are taken on specific days. There are different ways to do this. For example, estrogen can be taken by itself for 14 days, then estrogen plus progestin for 11 days, then neither hormone for 3 to 5 days. Other schedules involve taking progestin only every few months. This lowers the amount of progestin that you are exposed to. Monthly regimens are also thought to result in hormone levels that are more like the natural menstrual cycle. Cyclical EPT can produce bleeding like a menstrual period, but it can occur less often than monthly.

What Are The Advantages Of Hrt

When to STOP Taking Estrogen Replacement Therapy for Menopause – 88

Hormone replacement therapy can be beneficial for many menopausal symptoms caused by a womans natural depletion of estrogen and progesterone. Minor symptoms may be alleviated, such as:

  • Hot flashes
  • Dryness leading to painful sex
  • Adult acne and other skin disorders
  • Urinary tract infections.
  • Diabetes
  • Risk of fracture
  • Colon cancer prevention: Combined estrogen and progesterone therapy appears to lower the risk of developing colon cancer.

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Benefits Of Taking Estrogen After Menopause

  • Post author Scientific review: Dr Heben’s Team

In this article, I will explain the benefits of taking estrogen after menopause. Menopause happens in middle-aged women . Menopause is a condition where menstrual cycle stops, or the end of reproductive period. This is a natural condition, and all women will experience this. But the menopause symptoms give anxiety in women, since the stopping of menstrual cycle means the stopping of reproductive hormone production, such as estrogen and progesteron.

Estrogen is a steroid hormone, produced by theca follicle cells in ovaries. Estrogen functions are: promotes secondary sexual signs in women, promotes proliferation of endometrium cells, influences electrolytes balance, and improves protein anabolism with growth hormones, as in growth of reproductive organs such as the womb and vagina.

Pre-menopause Symptoms

When a woman reach pre-menopause period, her estrogen production is much decreased. The symptoms are:

  • irregular menstruation
  • reduced bone density, which will lead to osteoporosis and bone fractures
  • increased risk of atherosclerosis and cardiovascular disease

1. Prevents Dryness in Vagina

Vaginal dryness is caused by lack of estrogen. This makes difficulties and pain during sexual intercourse, which can lead to physical and psychological trauma . Taking estrogen after menopause can maintain vaginal lubrication and elasticity.

2. Increases Libido

3. Prevents Pre-menopause Syndrome

6. Prevents Atherosclerosis

How Do The Hormones Used In Mht Differ From The Hormones Produced By A Womans Body

The hormones used in MHT come from a variety of plants and animals, or they can be made in a laboratory. The chemical structure of these hormones is similar, although usually not identical, to those of hormones produced by womens bodies.

Non-FDA-approved hormone products, sometimes referred to as bio-identical hormones, are widely promoted and sold without a prescription on the Internet. Claims that these products are safer or more natural than FDA-approved hormonal products are not supported by credible scientific evidence. The FDA provides more information about these products on its Menopause page.

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What Is Known About Hormone Therapy And The Risk Of Heart Disease

Scientists continue to learn about the effects of HT on the heart and blood vessels. Many large clinical trials have attempted to answer questions about HT and heart disease. Some have shown positive effects in women who started HT within 10 years of menopause some have shown negative effects when started greater than 10 years of menopause. Some studies have raised more questions about the potential benefits of HT.

Based on the data, the American Heart Association issued a statement for use of HT. They say:

  • Hormone therapy for the sole purpose of preventing heart disease is not recommended.

Types Of Studies Of Hormone Therapy And Cancer Risk

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Different types of studies can be used to look at cancer risk from menopausal hormone therapy .

Randomized controlled trials: In this kind of study, a group of patients get the drug being studied , and another group gets a placebo . Results from this kind of study are powerful because which group a patient is in is based on chance. This helps assure that the groups are similar in all ways, such as risk for cancer, except for the drug thats being studied. This is the best way to see the effects of a drug. These types of studies can also be double-blinded, which means neither the people in the study nor their doctors know which group they are in. This lowers the chance that thoughts or opinions about treatment could affect the study results. Unfortunately, these kinds of studies are costly, which limits the number of people in the study, how long the study can continue, and the number of studies done.

A major drawback of observational studies is that the people getting the treatment being studied may have different cancer risk factors than the people who arent. Plus, the treatment can differ between the people being studied. This makes it less clear that the differences seen are only due to the drug being studied and not other factors.

When observational studies and randomized controlled trials have different results, most experts give more weight to the results of the randomized controlled trial.

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Can Increase The Risk Of Blood Clots

Studies have shown that HRT may raise your risk of blood clots and stroke. This risk may be highest for people over 60 or who started menopause over a decade ago. The longer you take HRT, the greater the increase in your risk.

Because of this risk, health experts recommend the lowest possible HRT dose for the shortest period of time for people over 60 or who are 10 years past the onset of menopause.

Waiting 5 Years To Start Hormone Replacement Therapy Offers Less Risk

Many studies have shown a link between increased breast cancer risk and hormone replacement therapy to treat bothersome menopausal symptoms. While the results of all the studies aren’t exactly the same, there is good evidence that:

  • HRT increases the risk of being diagnosed with invasive breast cancer
  • breast cancer risk increases within the first several years of HRT use risk appears to increase the longer a woman uses HRT
  • combination HRT increases breast cancer risk more than estrogen-only HRT
  • high-dose HRT increases risk more than low-dose HRT

A study found that breast cancer risk was higher in women who used HRT during the first 5 years after menopause started compared to women who waited more than 5 years to start HRT.

This research is part of the very large Million Women Study. The Million Women Study included nearly 1.3 million women in the United Kingdom and was designed to identify links between diet and lifestyle factors and health problems such as cancer. The women, who were about 57 years old, started the study between 1996 and 2001.

More than half of the women had used some form of HRT at some time in their lives and 35% were using HRT when the researchers did the analysis. The researchers recorded 15,759 breast cancers diagnosed in the 1.3 million women.

More than 60% of the breast cancers were diagnosed in women who had used HRT at some point 45% of the breast cancers were diagnosed in women using HRT when the cancer was diagnosed.

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Artificial Estrogen And Natural Estrogen

With the side effects mentioned above, many doctor advise the intake of natural estrogen. Natural estrogen can be found in beans and fruits. Estrogen that are found naturally in plants is called phytoestrogen. Significant amount of phytoestrogen can be found in soya beans and papaya. See health benefits of wholegrains.

Moreover, phytoestrogen contained in plants are easier to be absorbed, and has just the exact amount needed by our body. It is also easier to be elliminated from our body. Nowadays, it is easy to find soya bean products worldwide, such as tofu, tempe , soya milk, and energy bars that contain soya. Papaya can be found in any fruit market now, although the price can be expensive in subtropical countries. However, the highest amount of phytoestrogen is found in soya milk.

Soya products are cheap in Asian countries, therefore much more economical than artificial estrogen.

To get the best result of getting rid of pre-menopause syndrome, it is advised to combined estrogen with regular exercise, not smoking, consuming calcium and foods that contain calcium, and consuming a lot of fruits, vegetables and beans. Young women can also take natural estrogen, to prevent osteoporosis and pre-menopause syndrome which could happen decades later.


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