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Why Is Estrogen Given For Menopause

What Happens To The Pelvic Floor After A Hysterectomy

Why Estrogen Dominance After Menopause? Dr.Berg

These are better known as the pelvic floor muscles. During a hysterectomy, there is an increased risk of damage to pelvic floor supportive structures which often results in bladder problems after hysterectomy. If during surgery they remove the ovaries, estrogen levels in the body will drop. Low estrogen levels weaken the tissues in the pelvic area.

Other Benefits And Risks Of Hormone Therapy

The 2017 Hormone Therapy Position Statement of the North American Menopause Society and the 2015 Endocrine Society Clinical Practice Guidelines suggest other benefits and risks of menopausal hormone therapiesboth estrogens alone and estrogen combined with progestogen. Benefits and risks may vary according to patients preexisting medical disorders, hormone doses, formulations, and duration of therapy.

Important Questions To Ask About Menopause Hormone Medicines

  • Are hormones right for me? Why?
  • What are the benefits?
  • What are the serious risks and common side effects?
  • How long should I use hormone therapy?
  • What is the lowest dose that will work for me?
  • Are there any non-hormone medicines that I can take?

Want more information about menopause? Check the FDA website at:

The drug and risk information in this booklet may change. Check for the latest facts on each product listed in this booklet.

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Include Plenty Of Fibre In Your Diet

Cells in our digestive tract make the estrogen hormone. When estrogen levels are high, its important to activate estrogen and help remove it from your system so that estrogen dominance doesnt occur. Fibre helps move things along through our small intestine and colon where most of the estrogen metabolism occurs.

What Should I Know About Storage And Disposal Of This Medication

PDF EPUB KINDLE Estrogen Matters: Why Taking Hormones in ...

Keep this medication in the container it came in, tightly closed, and out of reach of children. Store it at room temperature and away from heat and moisture .

Unneeded medications should be disposed of in special ways to ensure that pets, children, and other people cannot consume them. However, you should not flush this medication down the toilet. Instead, the best way to dispose of your medication is through a medicine take-back program. Talk to your pharmacist or contact your local garbage/recycling department to learn about take-back programs in your community. See the FDA’s Safe Disposal of Medicines website for more information if you do not have access to a take-back program.

It is important to keep all medication out of sight and reach of children as many containers are not child-resistant and young children can open them easily. To protect young children from poisoning, always lock safety caps and immediately place the medication in a safe location â one that is up and away and out of their sight and reach.

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Progesterone Also Helps With Menopause

One of the most troublesome symptoms of menopause is delayed or interrupted sleep.

ability to think clearly during the day.

This study also confirmed the results of earlier trials that showed progesterone had the ability to reduce the severity of night sweats, which can awaken people from an otherwise sound sleep.

What Is Known About Hormone Therapy And The Risk Of Breast Cancer

Taking combined hormone therapy can increase your risk of developing breast cancer. Here are some important findings:

  • Taking combination hormone therapy showed a rare increase of absolute risk of less than one additional case of breast cancer per 1000 person years of use.
  • There was a nonsignificant reduction in breast cancer seen in women with hysterectomies on estrogen only therapy.
  • If youve been diagnosed with breast cancer you should not take systemic hormone therapy.

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Do You Need Progesterone Therapy After Menopause

Hormone replacement therapy with progesterone can be a great option to address common postmenopausal symptoms, such as hot flashes and night sweats. Another one of the benefits of progesterone after menopause is that it can also help with other symptoms and concerns.

  • Vaginal symptoms, including dryness, itching, burning, and painful intercourse
  • Bone loss and fracture due to osteoporosis
  • Heart disease and stroke
  • Mood changes and disorders like depression and anxiety

Researchers have also found several other possible benefits of progesterone after menopause.

  • In one study, taking progesterone at bedtime was associated with a higher quality of deep sleep and less severe night sweats.
  • Another study found that taking progesterone may improve visual and verbal memory in menopausal women. However, other studies didnât find these same cognitive benefits.

While estrogen is often the primary ingredient in many forms of hormone replacement, youâll also want to consider including progesterone to reduce menopausal and postmenopausal symptoms.

This is especially true if you still have your uterus. Progesterone helps thin the uterine lining and prevents endometrial hyperplasia . Doing so helps reduce the risk of developing endometrial, or uterine, cancer. Thereâs also evidence that taking estrogen and progesterone together may reduce the risk of getting colorectal cancer.

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Whats Been Approved By The Us Food And Drug Administration

Why Estrogen Dominance During Menopause?

The U.S. Food and Drug Administration approves all estrogen therapy medications. Some hormones are sold as bio-identical hormones and are not FDA-approved. They are available without a prescription, and they are not held to the same safety standards as prescription medications. Despite marketing claims, these hormones are also not more natural than the FDA-approved treatments.

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Aromatase Inhibitors For Breast Cancer Prevention

Tamoxifen fails to prevent ER-negative breast cancer, and one-third or more of ER-positive breast cancers . The incomplete efficacy, increased risk of serious adverse events, and the lack of survival benefit with tamoxifen given as primary prevention fuels the effort to develop safer and more effective primary-prevention strategies. The superior DFS observed for AIs compared with tamoxifen in the adjuvant setting combined with the lack of increase in thromboembolic events or uterine cancer has led to the initiation of multiple primary-prevention trials in high-risk women without prior breast cancer. Currently, there are several major multi-institutional primary-prevention trials in postmenopausal women in which an AI is being compared with placebo .

How Your Estrogen Levels Affect You

During menopause, your estrogen levels can fluctuate wildly. Estrogen is the hormone that regulates your menstrual cycle and helps to regulate fluid and sodium retention. When levels of estrogen fluctuate, it can be the cause of a variety of menopause symptoms, like vaginal dryness, itchy skin, and irregular periods.

The simple remedy to this is to balance out your estrogen levels attain that ideal level where all your menopause woes disappear. Unfortunately, the science behind this is more complicated than the simple theory suggests.

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What Is An Aromatase Inhibitor And How Does It Work

Aromatase inhibitors and inactivators interfere with the body’s ability to produce estrogen from androgens by suppressing aromatase enzyme activity. Before menopause, ovarian aromatase is responsible for the majority of circulating estrogen and is exquisitely sensitive to changes in luteinising hormone . Following menopause, aromatase in fat and muscle may be responsible for much of the circulating estrogen. Aromatase in highly estrogen-sensitive tissues, such as the breast, uterus, vagina, bone, brain, heart and blood vessels, provides local estrogen in an autocrine fashion . The aromatase gene promoter in breast tissue is less sensitive than the gene promoter in the ovary to fluctuations in LH but much more sensitive to increases in inflammatory cytokines. Circulating inflammatory cytokines increase with age, and breast tissue inflammatory cytokines increase with proliferative breast disease and breast cancer. Thus, it comes as little surprise that breast aromatase activity is increased in proliferative breast disease and many cases of breast cancer .

Schematic of organs with substantial aromatase activity

What Are The Symptoms Of Low Estrogen

Why use Estrogen Cream?

First off, it is worth saying that low estrogen symptoms can be also a result of smoking, hereditary predisposition, and excessive exercising. So, whenever a woman wants to prevent the fast onset of menopause, she should avoid such activities, and inform a dedicated expert about signature genetic details. In such a case, he will be able to appoint hormone replacement therapy or recommend health supplements that will stabilize the levels as much as possible. Besides, such treatment can alleviate the symptoms of low estrogen, and let the woman live a comfortable life.

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What Are The Fda

Currently hormone therapy is approved for the following:

  • Relief for vasomotor symptoms in menopause
  • Prevention of bone loss and reduction of fractures in menopausal women
  • Prevention of bone loss and menopausal symptoms in women who have premature ovarian failure, underactive ovaries or have had their ovaries removed
  • Treatment of genitourinary syndrome of menopause

Hormone therapies are individualized based on the individuals conditions and symptoms. The therapy may consist of estrogen alone or a combination of estrogen and a progestogen. Following are the FDA-approved hormone therapies, which are administered in four forms:

Oral products

Most oral tablets are taken once daily. The FDA-approved drugs include:

Estrogen with SERMs

SERMs are selective estrogen receptor modulators, which act as both agonists and antagonists to estrogen. SERMS help estrogen bind with certain tissues like bone and help prevent bone loss, but block estrogen from binding to breast tissues and protect against breast cancer.

  • Bazedoxifene and conjugated estrogens


  • Progesterone in peanut oil, micronized

Estrogen-progesterone combination products

Transdermal products

Skin patches

Skin patches may be prepared with only estrogen or a combination of estrogen and progesterone. Skin patches are placed on the lower stomach and replaced with new ones once or twice weekly.

  • Estrogen-only formulations
  • CombiPatch
  • Climara Pro

Gels, topical creams and sprays

Vaginal products

Avoid Plastic Containers And Bottled Water

When plastic freezes, it tends to break down into smaller particles that become toxins, our bodies inadvertently consume them when they seep into water or food they contain. The body takes these compounds as xenoestrogen, and it adds to the hormonal imbalance, not to mention the strain on your liver for detox.

Xenoestrogens also make it hard to lose weight. Learn more about the female hormone weight lossconnection.

Our Tip: Balance hormones naturally by simply ditching plastic! Switch to a reusable glass or metal water bottle.

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What Happens When The Estrogen Level Drops

The estrogen levels might drop either due to genetic defects or poor nutrition, the most common risk factor for low estrogen level is age. When there is a decrease in levels of estrogen, progesterone, and testosterone in the body, it can increase the risk of various diseases like It can disturb sexual functions and increase the risk of obesity, cardiovascular disease, and osteoporosis. These reiterate the fact that estrogen is essential to maintain good health.

Hrt For Breast Cancer Survivors

Perimenopause: Your Changing Body Part 1

It is advisable for women with a history of breast cancer to avoid HRT unless other treatments are ineffective, and their quality of life is made intolerable by menopausal symptoms. In these circumstances, HRT should only be prescribed in consultation with the womans breast surgeon or oncologist.

Evidence has not conclusively shown that HRT will increase the risk of breast cancer recurring in a woman with a history of the disease. However, oestrogen and progestogens may stimulate some types of cells in the breast and some types of HRT use have been associated with an increase in the risk of breast cancer in women without a history of breast cancer.

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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.

Why Sex Is More Difficult After Menopause

The menopause is something that all women know they will eventually have to deal with, and many also have an idea of the type of symptoms they will experience when that time comes. The most commonly anticipated symptoms of the menopause are hot flashes, night sweats, mood swings, irritability and difficulty sleeping. There are quite a number of other symptoms that women are likely to experience during the menopause, but one of the more challenging menopause symptoms is sexual problems.

Sex after the menopause is likely to be more difficult because of the bodily changes you inevitably go through, but rest assured this does not mean that sex will be impossible, or not enjoyable. With education on the products and practices to help you deal with the physical aspects of the change, you will be able to find some equilibrium in your sexual life once again.

The average age for women to reach menopause is 51, although in some cases it arrives later. For others still, the menopause comes earlier than expected, starting at between 41 and 45. This is known as premature menopause and affects around 1% of women. Most women enter the pre-menopausal phase in their late 40s, and that can last for up to ten years. It is called the perimenopause, and it happens when estrogen and progesterone production starts to slow down. During this phase, women are likely to experiences changes in the monthly cycle and other menopause symptoms, just at a lesser degree of intensity.

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Fenugreek Extract Clinically Tested For Menopause

The research comes from the Jayadeva Institute of Cardiovascular Sciences and Research at the University of Agricultural Sciences in Bangalore, India. In this randomized, double-blinded and placebo-controlled study, 88 women with an average age of 59 were tested for three months. Each of the women had clinically significant menopausal discomforts including those listed above.

The women were divided into two groups. One group was given a daily dose of 1,000 milligrams per day of a standardized extract of fenugreek in the form of a supplement called FenuSMART. The other group was given an inactive placebo.

To gauge their menopause discomforts before and after the trial period, the researchers utilized clinical examinations and blood testing, the Greene Climacteric Scale and the Short-form 36 for quality of life testing.

After the 90-day treatment period, blood estrogen levels more than doubled on average among the 44 fenugreek-treated women. Their blood estradiol levels went from 131.22 to 288.46pmol/Liter.

The reduction of critical symptoms among the fenugreek group included a 57 percent drop in night sweats, 68 percent drop in mood swings, 75 percent drop in insomnia and 54 percent drop in headaches.

The researchers also found the fenugreek decreased other symptoms related to menopause.

The researchers wrote:

What Happens To Our Bodies After Menopause

Estrogen Headaches Menopause Benefits Gain Weight ...

In truth, menopause, while it is usually thought of as a discrete period in our 50s, has long-lasting effects on our bodies. Many of the hormonal changes that take place, stay with us for the rest of our lives.

In my recent conversation with , a naturopath and nurse, we discuss some natural ways to get your hormones back in balance after menopause. I hope that Julies tips help you to understand what is going on in your body.

More importantly, I hope that her comments inspire you to give your aging body the nutrition and exercise that it deserves.

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How To Use Vaginal Estrogen Cream

If youre going through menopause and experiencing some of the discomforts of a hormonal imbalance, estrogen cream can help alleviate some of those symptoms.

Vaginal cream is designed to be used inside your vagina. It can be used right at the vaginal opening or inserted deeper inside.

To use vaginal estrogen cream, you need to be able to insert it into your vaginal canal. Follow these steps to get your applicator filled with the correct dosage:

  • Wash your hands thoroughly with soap and warm water.
  • Remove the cap from the tube of vaginal cream.
  • Screw the nozzle part of the applicator onto the open end of the tube.
  • Find the correct dosage. The applicator has markings on it that indicate how much cream will be inserted. Your doctor will give you the dosage amount they want you to use.
  • Gently squeeze the tube so the cream fills the applicator to the required dosage mark.
  • Unscrew the applicator from the tube, replace the cap on the tube, and set the tube aside.

Now that your applicator is filled and ready for use, you can insert it. You will be inserting the applicator tip into your vagina, so give yourself a few minutes of privacy and either wear easy-access clothing like a robe or remove your clothing. You will need to be in a room where you can lie down on your back.

How to insert the applicator:

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