Menopause does not mean the disease is part of a normal biological process, therefore, treatment is not required. However, you can alleviate associated symptoms. If they reduce the quality of life of women.
Hormone therapy, also known as hormone replacement therapy, consists of a progestin, estrogen or combination estrogen. It helps to control the levels of estrogen, and thus to mitigate such menopausal symptoms as hot flashes, vaginal dryness.
However, longitudinal studies treated in combined hormone therapy progestin and estrogen women were stopped when it was found that women were at increased risk of stroke, breast cancer, compared with women who did not receive therapy.
Safer is estrogen therapy, it may increase the risk of stroke, not a heart attack or breast cancer. Therapy with estrogen can cause cancer of the uterus in postmenopausal women, if their uterus has not been removed by surgery.
Hormone therapy can be prescribed in pill and spray form or patches (transdermal method). Transdermal methods are more advantageous, as there is no need to pass through metabolism and liver, as tablets. They do not affect the liver, so the majority of women receiving therapy in this way. However, a number of drugs for oral and transdermal method of doing therapy differs according to the quantity and composition of hormones.
The greatest interest in recent years causes bioidentical hormone therapy for women in perimenopause. Such identical hormones produced by the female hormones, they are created in a laboratory in a natural environment.
Some of these bioidentical hormones approved pharmaceutical companies, others are doing in pharmacies for the special recipe on an individual basis for each patient. These individual drugs are not regulated by the control service, as it is not standardized.
Generally, transdermal and biodentical hormonal therapy are introduced through the skin of the patient in the form of gel or cream. Using them will help to avoid potentially dangerous side effects of synthetic hormones. However, studies on the long-term safety of these products has not yet been carried out.
The decision to take hormone therapy individually, the physician must describe to the patient the risks and benefits of this therapy and to study carefully the history of women. Currently, it is recommended to use the lowest effective dose of hormones in the conduct of such therapy.
Oral contraceptives is one of the forms of hormonal therapy, they are often prescribed for women in perimenopause to treat irregular menstruation.
However, before you start treatment, the doctor must rule out other causes of irregular menstruation. Oral contraceptives help to restore the periodicity of menstruation, relieve the sensation of heat and work for its intended purpose - as contraceptives.
Vaginal hormone therapy and treatment without systemic hormonal effects
Also there is a local hormonal drugs for the treatment of symptoms of estrogen deficiency. This is a vaginal estrogen ring, vaginal estrogen cream or vaginal tablets. Sometimes methods oral and local estrogen therapy combined.
Local therapy using moisturizing lotions and creams and lubricants during intercourse, which eliminates discomfort from vaginal dryness.
The application of creams, sitting in a warm bath, it may be useful to relieve symptoms of vaginal pain during intercourse.
Other types of drug therapy
Will help with menopausal symptoms antidepressants selective inhibitors. They help get rid of tides up to 60 percent of women, in particular, drugs such as venlafaxine (Effexor), sertraline (zoloft), fluoxetine (prozac), paroxetine (paxil), citalopram (Celexa). However, these drugs can cause side effects, including sexual dysfunction and decreased libido.
Other medications can also bring relief from hot flashes, although not designed specifically to combat them. Because they can cause side effects, their use should be discussed with your doctor. Some of these medications include anticonvulsants clonidine (Catapres), and gabapentin (Neurontin), as well as drugs against high blood pressure.
Read all about menopause.