Doctor insights on:
Treatment Of Postmenopausal Osteoporosis
Yes: Tamoxifen has been shown to increase the risk of uterine cancer, not unlike estrogen replacement therapy, with an incidence of ~1:500. However, this is almost-always caught at its earliest stage, with very high cure rates. If you compare the benefit of tamoxifen for either treating or preventing breast cancer compared to this risk, the benefit far outweighs the risk. ...Read moreSee 1 more doctor answer
Is there a global standard of care related to oopherectomy/arimidex re bisphosphonates for rapid secondary severe osteoporosis ?
The standard is to : Treat but there are a variety of treatment options that need to be customized to the individual based on their medical status and as to what is available locally for that individual. ...Read more
Osteoporosis: Osteoporosis is not common in young women unless there is a specific condition that causes it. Surely if your doctor has ordered a bone density test she/he has put you on the proper medication. If you have not had a test, how do you know you have osteoporosis? Can you provide me with other details please. ...Read more
Multiple: N-telopeptide in urine is an older one. It is measured on the second voided urine specimen of the day and so is a little complicated to get. C-telopeptide is a newer one that is measured in blood-can be collected anytime so is used more often. If treatment is good, these markers will be low (they are measures of bone turnover). Your 25 hydroxy vitamin d level should also be above 30. ...Read moreSee 1 more doctor answer
Yes: The chance is about 1% and treatment is hysterectomy. With such a low chance then tamoxifen is worth the risk. A gynecologist needs to keep track of the patient and any unusual bleeding evaluated. There are also other hormone alternatives with less risk. Check with your medical oncologist to see which drug is best for a particular patient. ...Read moreSee 1 more doctor answer
Yes: Migraine usually first occurs in teens when their estrogen levels are spiking. Many women tend to get more migraines at certain times of their cycle. Menopause may offer relief as estrogen levels go down, but taking estrogen may make migraine worse. However, if a woman has not had migraine before, taking estrogen in menopause is unlike to cause it. Other causes for headaches should be considered. ...Read more
Many things: Osteoporosis can be the result of low calcium, low Vitamin D, decreased bone production, increased bone turnover, disuse of a limb due to injury or pain, or other medical conditions such as hypothyroidism or kidney disease. Therefore, it is important to have osteoporosis evaluated with a physical and blood work so that the correct treatment can occur and prevent fractures. ...Read more
Several options: First is weight bearing exercise, such as walking and/or using light weights, to stress and therefore build bones. Calcium and vitamin d supplements are recommended. Numerous medication options are available, including oral and parenteral bisphosphonates, anabolic agents, nasal calcitonin, etc. Drug holidays have been recommended for patients on bisphosphonates - talk to your physician. ...Read more
Is testosterone treatment for aging men comparable for hormone replacement therapy for menopausal women?
Yes: Having been in this situation, i can tell you that balancing out hormones in men is just as important as doing so for women. Men lose their sex drive, become Insulin resistant, lose their vitality. I'll post a page later that describes my own personal treatment success. I feel great at almost 52 years of age. ...Read moreSee 4 more doctor answers
What are the side effects of radiation therapy for a women at the age of 60 suffering from uterine cancer?
Vit D3, ?Ca+2 ?Meds: Bone basically cartilage hardened with ca+2 & po4-2 ions, called hydroxyapatite. Vitamin d3 essential for ca+2 absorption & getting it into bones. Check vitamin d3 level, if low supplement to 50 ng/ml range or > & supplement dietary ca+2 with dairy and/or supplements, citracal one of the best. Bone stress also important (just not enough to break), exercise, not low impact. Biphophanate med option. ...Read more
Varies: First, be sure you are getting enough calcium and vitamin d because no treatment will work if you do not have enough of these. After that, it depends on your general health and if you have ever received any treatment in the past. If you already have a 'collapsing spine', you would be best to see a specialist who is an endocrinologist or rheumatologist that treats osteoporosis for an expert opinion. ...Read more
Not likely: Hormone replacement therapy remains one of the most effective means of controlling and sometimes eliminating these symptoms. Our current thinking is that for healthy women in their 50s -- women who have not had breast cancer or a history of blood clots -- and have been experiencing the symptoms of menopause for less than 10 years, hormone therapy can be very effective for symptom relief. ...Read more
Many: The classic B12 deficient people are severe alcoholics and vegan type vegetarians. Obviously, the reason for the deficiency is different in the two groups. Vegans simply don't eat enough B12 containing foods. Alcoholics are a bit more complicated than that. ...Read moreSee 1 more doctor answer
Pt. with renal cell cancer develop metastates to the pelvic bone
what are the treatment of such pt..
Chemotherapy: and RadiationGet a more detailed answer ›
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