‘Menopause’

Treatments for Menopause

Wednesday, December 30th, 2009

menopauseThere is the physician who can prescribe treatment for menopause with hormone replacement therapy (HRT), they are nevertheless evidence of strict recommendations to avoid for women at risk.

Only your doctor can prescribe the appropriate treatment based on hormones after having discussed all the risks and benefits.

Remarks on HRT:
1. When should I take hormone replacement therapy (HRT)
Treatment of menopausal hormone replacement (or HRT) at menopause have demonstrated during the 2004 recommendations of new (renewed by a French study of Inserm dated November 19 and 04 of 2005).
However, according to a new survey from Inserm (2005) HRT are not all identical, we distinguished between HRT with estrogen alone or in combination HRT estrogen and micronized progesterone (identical in structure to natural progesterone) and these two treatments (hormones estrogen alone and micronized) would present no (or less likely) to cause breast cancer in patients that conventional HRT.

For conventional HRT (combination estrogen progestin synthesis) doctors recommend taking hormones at menopause only when the patient feels hot flashes, most of it should not cons-indications in the patient (see below) which should always be informed by the medical risk-benefit ratio of prescribing hormone replacement therapy (HRT), duration of treatment should not exceed 3 years. You can also think, with the consent of your doctor, a natural alternative herbal,>> more.

Such caution in prescribing of HRT followed up 40% of breast cancers in HRT treatment, 40% may seem a lot but if we are talking about 5 women out of 1,000 aged 55 who develop breast cancer with or without HRT, we can speak of 7 women 2 more with HRT, and it is very little, hence the difficulty of taking HRT or not in case of severe symptoms of menopause, but only Your doctor can really tell you about this risk-benefit ratio. (more…)

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Overview of Menopause

Tuesday, December 29th, 2009

menopauseDefinition

Etymological, the term menopause means “cessation of rules.” Menopause or climacteric is a normal physiological process that marks the end of the fertile period. The cessation of ovarian function and secretion of female hormones – estrogen and progesterone – causes cessation of menses.

According to the Dictionary of Medicine Flammarion, “menopause is the time of the climacteric woman normally between 50 and 55, characterized by suppression of ovarian function and the total disappearance of menstruation. It is recognized that menopause installed where there were no rules for a year. After the surgical removal of ovaries (castration) in a woman yet settled, which follows the menopause is called artificial. ”

Menopause is preceded by a long transition period that begins at the age of 40 years and in which appear the first biological changes. This transition corresponds to the premenopausal and perimenopausal.

- The premenopausal means the period during which hormonal fluctations produce menstrual irregularities. It can vary from months to several years, it usually lasts 5 years.
- Perimenopause is the “period of one year immediately prior to menopause during which begins endocrinological signs characterizing biological and clinical approach of the menopause.” (Definition of Lucien Chaby extracted from his book on Menopause, Collection Dominos, Flammarion) (more…)

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Family Planning in menopause

Saturday, December 19th, 2009

menopause family planningDespite having started with the symptoms of menopause, there is still risk of pregnancy. We must prevent these situations if we want a child at this age.

1. The risk of pregnancy persists
Caution. At this stage it is recommended to take measures to avoid unwanted pregnancies.
Although perimenopause occurs in a significant decrease in the fertility of women, the risk of pregnancy persists.

The possibility of pregnancy is 10% approximately 40 to 44 years and 2-3% in women aged 45 to 49 years. Even after 50 years the risk of pregnancy in perimenopause is less than zero.

The wisest course is to use some method of contraception until 12 months after the last natural menstruation.

In a recent survey across the country, it was found that over 50% of women between 40 and 50 do not use any contraceptive method and 80% is because they believe they no longer get pregnant at this age.

Because of this lack of information, pregnancy at this stage of life are often not scheduled, so are rarely desired.

There is a mixture of feelings, from fear of social rejection and / or family by becoming pregnant at this age, to the concern of a complicated pregnancy or a baby with some type of malformation.

And it is true that complications of pregnancy and delivery increase with age, as well as birth defects in the fetus.

(more…)

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