Hormone replacement treatment: How to negotiate a safe action plan for women facing menopause, by examining the science, myths, pros and cons of hormone replacement
In the U.S., approximately 6,000 women each day (2 million per year) enter menopause, and 80 percent of then will experience untoward symptoms. Such symptoms are reflected in work days lost or impaired and intimate relationships stressed.
Hormone dysfunction can occur at any age and affect a patient’s overall health, vitality and longevity. However, most of the medical controversy has settled around the management of menopause.
With women now living well into their 80s and beyond, diseases which have not been significant in premenopausal women (osteoporosis, heart disease, stroke and dementia) are now some of the top killers of women.
The initial recommendations based on the very large Women’s Health Initiative use what are now known as very poor imitation hormones which may actually harm both the cardiovascular system and the breast tissue. These artificial products can also lead to joint pain and urinary tract issues.
Newer data has shown that using synthetic hormone was, in part, responsible for the poor cardiovascular outcomes. We are now confident that by using bioidentical hormones, not only can one avoid these poor outcomes, but indeed improve cardiovascular, bone and cognitive function, thus impacting (i.e. slowing) the biologic aging which would otherwise be occurring either without hormones or using synthetic products.
A clinician must screen for any contraindications that a person might have to using hormones, and be familiar with the correct applications (oral, transdermal, etc.) and the correct use of laboratory analysis form (saliva, serum, capillary blood spot). Such an approach can yield great strides in health for women in the years following menopause.
Now that Linda Foshagen DO (Family Practice) and Rachel Kramer NP-C are participating in a new medical specialty at the St. Moritz Medical Center, they have access to the most current recommendations, and to multiple acclaimed researchers, professors and clinicians in functional medicine.
St. Moritz Medical Center is located at 202 Providence Mine Road, Suite 105, in Nevada City. To find out more about Hormone Replacement Treatment, or any of the other services offered at St. Moritz Medical Center, or to RSVP, call 530-264-7475.
Source: St. Moritz Medical Center
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