On menopause, why you think hormone replacement therapy is debated?

Evidence isn't clear. Prior to women's health initiative, observation studies suggested that every woman should receive hormone replacement therapy at menopause. After whi, we said every woman should not receive any no matter how bad she felt. After a decade, we're beginning to see that whi only applies to asymptomatic women who started hrt 10yrs after menopause. But it's not absolutely clear regarding menopausal women.
Legal. Most of the debate is about legal issues that arise. The whi average start age for hrt was 61 years, fully ten years after the average onset of menopause. Without hrt after age 50, the risk of heart disease, stroke et. Al increases to the level of a man's. Hrt, if started early, is cardioprotective based on the hers study in the uk. Men would probably benefit, but would have breast enlargement.

Related Questions

Any suggestions about treatments for menopause other than hormone replacement therapy?

Some suggestions. Tofu and other soy products as well as herbals like black cohosh and red clover can be helpful in taking the edge off of symptoms. They are not very potent however, and will be ineffective if symptoms are severe. Also calcium, vitamin d, a balanced diet, regular sleep and exercise are also helpful. Prescription medications like Prozac also have a role. Read more...

Anyone believe that women in menopause could benefit from hormone replacement therapy?

Yes. If someone is going through a miserable menopause, suffering from intolerable hot flashes & night sweats, emotionality, depression, cloudy thinking, etc, hormone replacement might help. But we do not recommend hrt in asymptomatic women for preventive purposes anymore since there is risk associated w/this therapy. Read more...

My menopause symptoms are making me uncomfortable. Is hormone replacement therapy recommended?

No. Hormone replacement therapy will not eliminate your menopausal symptoms. It will only delay them. Once you stop the hormone replacement therapy whatever menopausal symptoms you are destined to experience will occur at that time. In addition, hormone replacement therapy does have increased risk of blood clot and stroke. Menopause is like puberty. It is a natural part of our lives. Read more...
Yes. Yes, hormone replacement therapy is recomended as long as you do it using bio-identical hormones and you go to a doctor who is specialized in this therapy. You should check this website womeninbalance.Org or my web site acebohealthcenter.Com. Read more...
In many cases. While menopause is natural, so is dying from bacterial pneumonia. Most of us would take an antibiotic to treat the pneumonia, so it makes sense to treat menopause. 1) HRT to reduce/ eliminate symptoms and 2) long term health benefits of HRT such as bone strength, bladder &sexual health, memory, possibly prevent heart disease. Each woman should check with her md to balance her risk/benefit profile. Read more...

34 y/o female w/hormone imbalance, endo, Hashi's. Symptoms poss. Early menopause. Seeking low-risk and natural hormone replacement therapy. Advice?

Advice. You need to see a gynecologist as soon as possible. If you don't get useful answers ask your friends to let you know of better gynecologists. Read more...
Hormone imbalance? Not sure what you mean by hormone imbalance. If you are having regular periods, you do not have any significant female hormone imbalance, and should not be on any female hormone replacement. If you are not getting your period, you should see your gynecologist first. Read more...

Does black cohosh help relieve menopause symptoms? I keep hearing about black cohosh as an alternative for hormone replacement therapy for menopause. What is it? Does it really work? .

Hello. . Hello. There are studies that support that an extract of black cohosh can help menopausal symptoms to the same extent as a low-estrogen patch. Many women find this an attractive alternative to hormone replacement because there is no evidence that black cohosh thickens the endometrium or increases the risks for breast cancer or stroke. Read more...
When . When considering your options for hormone replacement i think it warrants at least one visit to a licensed practitioner to get to know your options and the possible risks and benefits of same. If you are particularly interested in herbs of course naturopaths or chinese medicine practitioners are likely to provide reasonable options. I have been influenced enough by chinese herbal medicine to believe that a combination of herbs is generally preferable to just one. Read more...

How does hormone replacement therapy to treat menopause symptoms affect the risk of cancer?

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...