20 September 2017

Women's Hormone Replacement Therapy Treatment for Menopause

Dr Hinson is a woman's doctor, helping women to navigate through the uncomfortable symptoms menopause. Treatment of menopause might include some form of hormone replacement therapy. Hormone replacement therapy (HRT) in women is the use of female hormones to replace hormones the body no longer makes after menopause.

Hormone replacement therapy may be a good choice for certain women, depending on their risk factors - current age, age at menopause, family history, and others critical factors.  Dr Hinson will guide you through the benefits and risks of HRT.

Choosing whether or not to use postmenopausal hormone therapy is an important woman's health decision.  It is a decision that is best made with the guidance of a doctor. Dr Hinson provides her patients with important information about the risks and benefits of long-term menopausal hormone therapy.  If you are experiencing moderate to severe symptoms of menopause make an appointment with Dr Hinson today.

Benefits of Hormone Replacement Therapy

Systemic estrogen is still the most effective treatment for menopausal symptoms. The benefits of hormone replacement therapy may outweigh the risks if you're healthy and:

  • Experience moderate to severe hot flashes or other menopausal symptoms
  • Have lost bone mass and either can't tolerate or aren't benefitting from other treatments
  • Stopped having periods before age 40 or lost normal function of your ovaries before age 40

Women who experience an early menopause, particularly those who had their ovaries removed and don't take estrogen therapy until at least age 45, have a higher risk of:

  • Osteoporosis
  • Coronary heart disease
  • Earlier death
  • Parkinsonism
  • Dementia
  • Anxiety or depression
  • Sexual function concerns

Early menopause can lower the risk of breast and ovarian cancer. For women who reach menopause prematurely, protective benefits of hormone replacement therapy outweigh the risks. The benefits of hormone therapy depend, in part, on whether you take systemic hormone therapy, low-dose vaginal preparations of estrogen, or transdermals.

Systemic Hormone Therapy: Systemic estrogen, which comes in pill, skin patch, gel, cream or spray form, remains the most effective treatment for relief of hot flashes and night sweats. Estrogen can also ease vaginal symptoms of menopause, such as dryness, itching, burning and discomfort with intercourse.

Low-dose Vaginal Products: Low-dose vaginal preparations of estrogen — which come in cream, tablet or ring form, effectively treat vaginal symptoms and some urinary symptoms, while minimizing absorption into the body.

Risks of Hormone Replacement Therapy

For women who experience menopause naturally, estrogen is typically prescribed along with progesterone or progestin (progesterone-like medication). When estrogen is taken alone, and not balanced by progesterone, can stimulate growth of the lining of the uterus.  This can increase the risk of uterine cancer.

In clinical trial, studies show that a combination estrogen-progestin increased the risk of certain serious conditions, including:

  • Heart disease
  • Stroke
  • Blood clots
  • Breast cancer

Clinical trials evaluating estrogen taken alone in women who previously had a hysterectomy found no increased risk of breast cancer or heart disease. The risks of stroke and blood clots were similar to the combination therapy.

Making an Important Decision with your Doctor

The benefits and risks of hormone replacement therapy may vary depending on whether estrogen is given alone or combined with a progestin.  Also, your current age and age at menopause is considered when weighing the benefits vs. risks.  Moreover, the dose and type of estrogen you take, and other health risks, such as heart and blood vessel (cardiovascular) disease, cancer risks, and family medical history.

All of these risks should be considered and weighed with the benefits when deciding whether hormone therapy might be an option for you.  Dr Hinson goes to great lengths to educate and inform her patients to help make the best informed decision. Your age, type of menopause, and time since menopause began does play a significant role in the risks associated with hormone replacement therapy. Talk with Dr Hinson about your personal benefits and risks.

Why Choose Dr. Hinson

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Passionate about her vision. Treating women as people, respecting their value as females, and as people.

25 years of OB/GYN experience, acting as the only doctor for most of her patients , treating other medical needs as well.

Emphasizes a partnership with the patient in her health care, strongly advocating her responsibility in her health.

Focused, nonjudgemental listener, effective communicator and educator.

Considers the patient's overall health, mental state, and social issues as possible factors contributing to her present problems.

Considers the female body as a whole, not just the pelvic region.

Committed to staying current with changing guidelines and treatment options.

Continuously updating skills with emphasis on minimally invasive and in-office procedures.

More About Dr. Hinson

For 25 years Dr. Joanne S. Hinson has provided compassionate healthcare to the women of Salt Lake City, Utah and beyond. From puberty to menopause, Dr Hinson provides the best personalized GYN services… caring for the whole woman.

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