Dep. Hormonal changes in susceptible women can affect moods.
Mostly yes. Pharmacologically yes, although the amount of estrogen in hrt is usually lower than in ocp; therefore symptomatically it might be different. Some hrt also contains different estrogen types, for example conjugated equine estrogens, but the basic effect is still similar.
If I am taking menopausal hormone therapy (mht) how does that affect the amount of iron I should take?
Iron. Usually after menopause the persons need for iron drops drastically because the menstrual periods have stopped. Blood loss requires lots of iron to manufacture new red blood cells. After menopause it is advisable not to take iron as too much iron can cause illness in the body e.g. Iron buildup in the liver called hemochromatosis.
Iron therapy. No effect. Usually no extra iron is needed in otherwise healthy women after menopause. Ask the doctor if you need it since you aren't menstruating.
Most definitely. The symptoms of menopause are caused by the deficiency of ovarian hormones, especially estrogen and progesterone. These hormones are critical to many aspects of metabolism and normal physiology. Replacement of the deficient hormones with bio-identical hormone replacement therapy can restore natural balance, improve function, and make you feel better.
Controversial. Yes, but treatment is still controversial. A recent study showed no change in the cardiovascular risk in women who use hormone therapy. However, a past large study showed that during the first year of hormonal treatment, the rate of heart attacks and cardiovascular disease was significantly higher. Most physicians no longer prescribe hormone therapy. There are other non-hormonal options though.
Yes, but..... Hormone replacement can treat the symptoms of menopause (hot flashes, vaginal dryness, etc.) but this is not without risk. Some studies have shown that taking hormone replacement therapy (hrt) can increase one's risk for heart disease and breast cancer. Other factors should be taken into account when deciding on hrt, including family history of heart disease, breast or other gynecologic cancers.
Yes. Hormone therapy can help treat menopausal symptoms, but it is not for everyone. Talk with your doctor about whether or not you would be putting yourself at high risk for such things as breast cancer and heart disease if you start hormonal therapy.
BHRT. My advise is to seek out a physician who is trained and open to prescribing bioidentical hormone replacement therapy. This requires a compounding pharmacy, which need not be in your state. Premarin (conjugated estrogens) was introduced in 1949 and despite overwhelming data indicating it should be taken off the market, many physicians are still reluctant to be open to bhrt. I suggest you read suzanne summers books.
Borage or primrose. Consider borage oil or primrose oil as well. It is inexpensive and I have seen patients benefit from it as well.
Yes. Take iron only if you are anemic and iron deficient. Excessive iron can cause other problems.
No. Most women who take HRT do so in a "continuous" regimen that does not result in menstrual-like bleeding. Therefore, no blood (and iron) is lost, and one's iron needs should not change. If a woman takes a "cyclic" regimen that causes monthly periods, then one's iron needs would increase in proportion to the amount of blood lost each month.
Shouldn't? In general there's no over-ruling reason they shouldn't take it, but ask instead what's the reason for them to take it? Often there may be other more suitable forms of treatment. Ther are of course specific reasons why an individual women might be cautioned against hrt.
Perimenopause. Is the months before the cessation of menses. Many women have adequate estrogen during these months. Most women do not ovulate or ovulate sporadically during this transition so they do not produce progesterone. A blood test can determine your need.
Yes. Symptoms are usually hot flashes, that may occur at night, and vaginal dryness. Hormone replacement therapy can definitely help these, there are risks to this but for healthy people the risks are small and usually the benefits are great. Ask your doctor, preferably a gynecologist or women's health specialist.
Invalid. There is no validity to following blood estrogen levels in order to adjust the dosage of hormone replacement. At age 32, I would not expect that you should need hormone replacement, unless you went through early menopause or had surgical removal of your ovaries. In postmenopausal women the dose is adjusted based on symptoms (hot flashes, sleep issues), not blood levels.
I need to know what is the range for healthy blood level of estrogen when on hormone replacement therapy?
No range. There is no meaningful range to follow blood levels. That's not how its done.
0.025mg/day. The lowest transdermal patch is 0.025 mg/day. There are also several topical gels and a spray in this range.