Replacement hormonal therapy: what should your patients be afraid of?

Suchasnі zhіnki, like already "something over forty", more often than not for everything, they say that this century does not only give joy in professional success and significant life attainments, but also approaches special physiological changes in . How do women learn a new period in life without inadmissibility in health, I recommend Tetyana Oleksiivna Popova.

 

 

 

 

 

Tetyana Oleksiivna Popova
candidate of medical sciences, gynecologist-endocrinologist,
clerk at the "Women's Health Center" of the MDclinic

 

 

 Which symptoms indicate an approaching climax?

 

How to sleep a woman of the older generation – our mothers, that grandmother, as if they were watching themselves at that delicate woman, who, having overblown the menopause, they singly guess that they were, let’s say, not accepted. But most of them didn’t think to turn to a gynecologist for help. Dehto vvazhav, scho – a whole lot of natural nonsense, but it didn’t fall down to the thought that problems due to congestion, vice, tachycardia, acute chronic illnesses can be related to menopause.

And how do you perceive the age-old changes of modern women? Why do stinks go up to the gynecologist with questions about those that you can get for relief from these unacceptable feelings?

In the beginning of 1997, since I was practicing menopause at the Center for Pathology, more and more women do not want to put up with menopause and want to be beautiful and healthy. Want to save social and sexual activity that does not lie in life in the form of age-old changes in health’ї.

Some women come to the gynecologist for an appointment and declare at the doorstep that menopause may already have begun in them, so that they read about it here signs that they are aware of it. What symptoms effectively indicate to the doctor that the patient is approaching the menopausal period?

The menstrual cycle is changing at a slow pace: the torpor is short, the stutters are bleeding, the stutters are the first vegetative disorders – "hot", increased fluidity, chills, heartbeat, drops in arterial pressure; sleep breaks down and psuets character – vinikaє dratіvlivіst, tearfulness, schilnіst to depression.

The current knowledge of mass information allows women to take care not only about the symptoms of menopause, but also about medical problems, which can make it easier to manifest. Would you like to know the patients about replacement hormone therapy? What do you know? Are you ready to fawn over her?

Patients should know less about those who use hormonal therapy (which is just the preparation of HRT) and different amounts of dewy treatment (which is not, in fact, a replacement therapy). Most women start rozmovu from what they would like to do without hormones. Therefore, at the reception, it is necessary to explain the advantages and peculiarities of some of those other drugs.

Correctly choosing the right HRT for the home will significantly improve the symptoms of perimenopause.

If there are any other health problems in women, like "forty-somethings", do you need hormone replacement therapy?

Estrogens, as they learn from the process of exchange of speech after attaching the functioning of the ovaries, play an even more important role for all organs and systems of the female body. Okrim garnogo self-feeling, it has been proven that long-term use of HRT prevents osteoporosis and Alzheimer's disease.

How do you see HRT to be prescribed by doctors to Ukrainian women? What should gynecologists in other countries tell their patients? What is the difference?

There are three groups of HRT preparations: for women in perimenopause (at the hour of taking it, you hear a menstrual-like reaction), for women in postmenopausal women (at the hour of taking menstruation, there is no) and preparations for operated women (if the uterus and ovaries are removed). Outside the cordon, doctors vicorist one more group of preparations, which can be taken by women who have been diagnosed with breast cancer. Primary HRT preparations are contraindicated for such patients, but the so-called SERM (selective estrogen receptor modulators) can be accepted.

In some cases, the gynecologist recommends women to change hormonal therapy, and if – obov & rsquo;

You need to learn from the very beginning that you are taking HRT – ce therapy for the choice of a woman. Tobto not exultation in a pure look, but the replacement of hormones, as if pinned to vibrate in the body. Also, as a woman, you want – won’t accept, but if not – then live by the principle "the Lord is patient and commands us." When you talk about women, you can't take HRT, – tse can be driven by various ailments, both gynecological (RMZ, great leiomyomas, brushes thin), and severe (transferred thrombosis, active phase of hepatitis, swollen liver and other organs and localizations).

Some female patients of the gynecologist would like to take some medications in order to alleviate the symptoms of perimenopause, they will be afraid to take hormonal drugs. What are the possible complications or non-negligible side effects of HRT? Why should a woman work, if she decides, why should I accept the confessions of "it's going wrong"?

The most widespread problems of the adaptation period (the first 2-3 months of taking HRT preparations) – all the pain, that tension in the milk ridges, and those small, like smears, bloody visions. Sound the stench without any exuberance, after the adaptation of the body to hormones. Whether there are other problems that are blamed, an order of magnitude lower in significance, and require the respect of a doctor who guards for the health of the woman. It is more for all women to be afraid of the blame for breast cancer. I actually, after 5-7 years of continuous HRT intake, the incidence of illness on RMZ is insignificantly increasing, but the incidence of mortality due to illness is not increasing. Navpaki in the cohort of women who take HRT, most of the depression falls on the cob stage of the disease. Can you explain to them that women should take HRT, I’m more squeamishly set to my health and I’ll do all the necessary diagnostic procedures at the same time. Insanely, as if self-consciously for an hour to receive a likable turbulent woman, she is guilty of negainoly turning to the doctor.

Source estet-portal.com