When do you need to use hormones to control your symptoms?

Posted on 06/20/2021 18:05 Updated on 06/20/2021 8:09


(Credit: Site Familia / Reproducao)

The word menopause comes from a Greek man. This means month or month (temporary marker, cycle), and pause means pause, end. The North American Menopause Association estimates that by 2025 there will be 1 billion people worldwide between menopause (premenopause) and postmenopause. Your life, “No one should feel lonely with this.”

When adolescence functions like a hormone explosion, the end of the reproductive period is indicated by a decrease in the ovarian hormones estrogen (or estrogen) and progesterone between the ages of 45 and 55. Irregular menstruation is the main symptom. A woman is officially considered menopausal if she does not have 12 months of menstruation. This is a physiological and natural process, not a defect or illness.

However, this stop is often accompanied by hot flashes, night sweats, sleep disorders, and insomnia. This is a very unpleasant adaptation. Therefore, endocrinologist Dolores Pardini, a member of the Brazilian Endocrinologist Society (SBEM), recommends that women begin treatment as soon as they notice signs after medical evaluation.

And when it comes to reducing discomfort, hormone therapy, in addition to being shown in certain cases, is gold, depending on the complications of this stage, in the case of premature menopause, or when it occurs surgically. It is considered a standard. Substitution is performed at doses compatible with female organisms by administration of estrogen-derived hormones that may or may not be associated with progesterone or testosterone derivatives. They can be taken orally, which is the most common and is applied transdermally (skin) or transvaginally.

When to start

The period during which replacement is recommended is called the window of opportunity. It usually lasts up to 10 years after the onset of menopause. “At that time, the benefits outweigh the risks,” the doctor points out. If a woman has irregular menstruation before she reaches the age of 40, which is often accompanied by health problems, it is a sign of primary ovarian insufficiency known as premature menopause. As mentioned above, hormones are mainly recommended for people in this condition.

And when do you stop? According to endocrine, the indications for the timing of treatment are controversial. “Of course, I’ll accompany women in their 80s who continue to take turns under supervision, and they continue to feel better,” he believes. Symptoms relapse when you stop using hormones. “What I’m seeing is that patients who feel uncomfortable when starting a replacement don’t give up. The most common reason to give up is usually because of the price of hormones or because the doctor didn’t give all the instructions.” He says. add.

A 49-year-old civil servant, Milene Guimalães, began a shift when she was still before menopause, the so-called premenopause. This transition was accompanied by loss of muscle tone and hair loss, feeling uneven mood, hot flashes, irregular menstruation, and some physical sensations. To confirm her hormonal determination, she underwent a blood test and imaging tests requested by an obstetrician and gynecologist.

Milene uses estradiol sachets transdermally and takes progesterone tablets orally. “With 9 months of hormone therapy, I feel more happy than before the menopause. When I slept and didn’t rest, I became swollen and dull,” she says.

 Menopause: Time to make the right choice for the rest of your life
Menopause: Time to make the right choice for the rest of your life
(Photo: Context Editor / Disclosure)

Risks, doubts, myths

Some women have little effect, but what they feel is intense and unpleasant. The reverse is also true. Some people show some typical signs of menopause, but in a mild way. The impact this has on the patient’s life and the lifestyle she guides is a decisive factor in the indication. The exchange is not for everyone and does not necessarily have to be. “Systemic therapy considers not only hormone prescription, but also diet, sleep quality, physical activity, chronic disease control, and mental health. Hormones interact with anxiety-relieving drugs, antidepressants, herbal medicines, and vitamins. We also need to consider how it works. ” Dr. Denise Gomes, a specialist in genitoscopy and hysteroscopy.

The reason many people reject this method is the fear of side effects. Dennis states that supplementation as an extrinsic dose of synthetic hormones has something to do with the acceleration of hormone-dependent cancers and pre-existing cancers. However, this scenario varies. People who are at high risk of cancer, have a family history of illness, or have had previous changes in imaging tests need to be more careful and evaluate contraindications.

The relationship between hormone use and cerebrovascular accident (CVA) is also important. The risk is high if there are other risk factors such as smoking, lack of exercise, and obesity. For Dolores Pardini, overweight is already vulnerable to illness, sometimes consistent with the age at which women enter menopause and natural aging. This explains the high risk of stroke.

Also, in this sense, reduced estrogen production helps justify the tendency of other cardiovascular events during menopause-not necessarily for replacement. Estrogen is a hormone with a vasodilatory function that prevents the accumulation of LDL (“bad cholesterol”) in blood vessels and promotes HDL (“good cholesterol”), and is deficient at this stage.

Dennis Gomez also points to common behavior that hides the lack of quality information. Deserves attention. ” In fact, poor health, mood swings, decreased libido, and even vaginal dryness may require treatment.

It’s worth remembering that the effectiveness of all methods, especially the use of hormones, varies from woman to woman. “We can’t expect the same reaction from everyone or standardize side events,” emphasizes the obstetrician and gynecologist.

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