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Is Hormone Replacement Therapy Good For Menopausal Women?
I am going through some weird times right now. I am currently in that initial menopausal stage of my life, you know, the stage where everything just hits you all at once. I am experiencing some symptoms and my mind is racing. I have been told that hormones are the best route to feeling myself again. Do you have any information in regards to this matter?
Hormone replacement therapy (HRT) has been considered to be a staple in the management of the life phases associated with postmenopausal women for some time now. This time period brought about some interesting findings. Observational reports suggest that HRT is responsible for additional benefits, which scope well beyond those associated with managing hot flashes, vaginal dryness, and mood swings. Additionally, HRT can possibly extend the lives of women.
The most significant benefit associated with HRT is its protective abilities against cerebrovascular events. Furthermore, benefits such as protection from osteoporosis, improved mental function, and reduced symptoms of incontinence are also linked with HRT. The validity of the beneficial theories associated with HRT stem from observational studies, anecdotal reports, and randomized data. However, there is also some significant clinical data refuting HRT's theoretical benefits, which has been evident for years. The Women's Health Initiative Study and the Heart and Estrogen/Progestin Replacement Study, both report similar outcomes. These studies noted that HRT has no significant role in protecting women from diseases and conditions associated with aging.
There is a lack of evidence in regards to the positive associations of HRT. New data must show HRT treatment regimens actually reducing the risk of cerebrovascular events, reducing incontinence, reducing bone fracture, improving cognition, and improving the quality of life in postmenopausal women. These finding should be evident prior to suggesting HRT as treatment. Finally, HRT is effective in relieving some menopausal symptoms; all other associations are yet to be proven relevant. This is a choice that only you can make, the evidence is here right before your eyes. Whatever the decision may be I strongly suggest that go into the choice with a positive expectancy of outcome. Best of wishes!
Gupta G, Aronow WS. Hormone replacement therapy: an analysis of efficacy based on evidence. Geriatrics. 2002; 57: 18-24.