Hormone Replacement Therapy HRT - Alternative for hormone replacement therapy

The estrogen most commonly prescribed for women as hormone replacement therapy HRT after menopause is Premarin derived from the urine of pregnant mares (horses). The progesterone prescribed to most women is synthetic progestin. A recent big drop in breast cancer cases might be due to millions of women going off hormone replacement therapy. Hormone use plummeted after a 2002 study found that it raised the risk of breast cancer, heart disease and other problems.
   Starting hormone replacement therapy (HRT) many years after menopause increases the risk of heart and vascular events and blood clots. Hormone replacement therapy not only increases the risk of first-time breast cancer, it also makes recurrence of the malignancy more likely. Journal of the National Cancer Institute, April 2, 2008.

Natural hormone replacement therapy - hormone replacement therapy treatment
Natural hormone replacement therapy is achieved by using natural bioidentical hormones. Another option is to use over the counter hormones such as pregnenolone and DHEA. Still, some people may consider the use of phytoestrogens in herbs or extracts such as isoflavones as natural hormone replacement therapy.

Menopause hormone replacement therapy
Did you hear the news that fewer women are being diagnosed with breast cancer? Estrogen and progesterone hormone use plummeted after a 2002 study found that hormone replacement therapy after menopause raised the risk of breast cancer, heart disease and other problems. Before that, the regimen was believed to prevent many of these conditions, and doctors prescribed them as little fountains of youth. The decline in new breast cancer cases in 2003 is thought to have come because millions of postmenopausal women stopped hormone replacement therapy in 2002. There appeared to be a 7 percent drop in breast cancer incidence between 2002 and 2003 and most researchers believe it is related to the discontinuation of the hormones.
   My comments: Many of you already know that the estrogen most commonly prescribed for women as hormone replacement therapy after menopause is Premarin derived from the urine of pregnant mares (horses). The progesterone prescribed to women by doctors most often is a synthetic progestin, not actual progesterone made by the body. Some people claim that the use of natural bioidentical hormones would not cause as many problems in women as the use of Premarin or progestins. However I have not seen any long term studies comparing the two regimens and for the time being I will assume that the risk for breast cancer in women with the use of bioidentical hormones is similar until proven otherwise. Lately Suzanne Somers, the TV actress, has been heavily - and somewhat irresponsibly -  promoting her book suggesting women use bioidentical hormones to improve their health. I think this is a better option than artificial estrogens and progestins, but there is no evidence that they are safer and before you take high doses of these hormones keep in mind that it is a possibility that future research may show misuse of these bioidentical hormones carries serious risks. There are two natural hormones -- DHEA and pregnenolone -- available over the counter. Be cautious with their use since they can have serious side effects. Hormone supplements are
not to be toyed with but be treated with respect, even if they are available without a prescription.


Hormone replacement therapy side effects - hormone replacement therapy risk
Tumors in patients who use hormone replacement therapy are larger and more likely to spread beyond the breast compared with those who do not use HRT. Pro and cons of hormone replacement therapy continue to be debated, however there now appears to be more cons than pros. Research scientists at the Northern California Cancer Center and Kaiser Permanente's Division of Research have found significant reductions in both the use of hormone replacement therapy and the incidence of breast cancer in California in the years following the release of the 2002 Women's Health Initiative (WHI) trial results. Previous studies have shown that long-term use of hormone replacement therapy is linked to increased risk of breast cancer. For example, the WHI randomized trial and other studies discovered that estrogen plus progestin hormone therapy use increased a woman's risk of breast cancer. This new analysis, the first to use the most recent 2004 California Cancer Registry data, supports the theory that women who discontinue hormone replacement therapy use may reduce their chances of being diagnosed with breast cancer. "Hormone therapy use dropped 68 percent between 2001 and 2003, and shortly thereafter we saw breast cancer rates drop by 10 to 11 percent. This drop was sustained in 2004, which tells us that the decline wasn't just a fluke," notes Dr. Christina A. Clarke, the Northern California Cancer Center scientist who led the study. In the current study, researchers examined yearly prevalence of hormone therapy use and breast cancer incidence from 1994 to 2003 for women ages 50 to 74 in Kaiser Permanente's Northern California Region and in the 2004 California Cancer Registry. They found consistent evidence of corresponding trends in decline in both hormone therapy use and breast cancer incidence.

Meningioma associated with hormone replacement therapy
Hormone replacement therapy may increase the risk of meningioma. Multiple lines of evidence link meningioma with female hormones, including expression of estrogen and progesterone receptors and higher incidence in women and in patients with breast cancer.

After hysterectomy hormone replacement therapy benefit
After a hysterectomy and/or bilateral ovariectomy, many women will experience hot flashes and lack of libido or sex drive, loss of bone mass, deterioration of the urinary and genital tissues. For women who undergo a hysterectomy and/or bilateral ovariectomy the effect of estrogen and progesterone deficiency is profound. Hormone replacement therapy benefit for a woman include stronger bones thus reducing the risk for osteoporosis, and improvement in sexual energy.

Male hormone replacement therapy HRT - hormone replacement therapy for man
The use of hormone replacement therapy in men is controversial. Levels of DHEA and testosterone drop as we age, but there is no proof as of now that hormone replacement therapy with testosterone or DHEA prolongs life span. It may be possible to enhance quality of life along with libido and vitality by taking certain hormones, but if you plan to do so, use very, very, low amounts of hormones and take frequent breaks.

Drug for hormone replacement therapy
The medicines used for hormone replacement therapy are hormones, not drugs.
hormone replacement therapy patch

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natural alternative to hormone replacement therapy
hormone replacement therapy estrin

Female hormone replacement therapy questions
Q. First let me say how much I have enjoy reading your postings and information on your websites. I have subscribed to your newsletters and look forward to receiving those regularly. I am constantly learning!! I am a 51 year old healthy female who had been taking synthetic hormones in the form of an estradiol patch (highest dose available for 1.5 years) and a Prometrium tablet for about 1 year until November 2006. I was not happy with this form of female hormone replacement therapy. Yes, it did resolve the hot flashes and the mood swings were manageable but I didn't like taking synthetic hormones. I was introduced to your website and pregnenolone while searching for other options. I started taking about 2.5 mg of pregnenolone orally (from a 15mg capsule). I am experiencing lower back pain and leg cramps similar to the cramps I had when I started a menstrual cycle. When I began taking the Prometrium (October 2005), my cycles stopped. I have had 3 since then and experienced spotting on occasion. Right now, I am experiencing hot flashes - day and night - and the cramping. I am prepared to do a saliva test to determine how my body is handling the stress hormones and what exactly is going on with my hormones. Should I be concerned about the leg cramps (which wake me up) and should I discontinue using the pregnenolone or increase the dose for the symptoms of menopause?
   A. This is a personal question that you need to discuss with your doctor regarding the best option in your case for optimal femaile hormone replacement therapy. Without knowing your full history, blood work, or doing a medical evaluation, we would not be able to provide accurate suggestions.