This is usually called combination therapy because it combines dosages of estrogen, as well as progestin, the synthetic kind of progesterone. It’s meant for women who still have their wombs. Taking estrogen with progesterone reduces your risk for cancers of the endometrium, the cellular lining of the uterus, compared to taking estrogen alone.
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While generally utilized as a kind of contraception, progesterone can aid treat lots of menopausal symptoms, such as hot flashes.
- Oral progestins. Consumed in tablet kind, progestin medications consist of medroxyprogesterone acetate, or Provera, as well as synthetic progestin pills, like norgestrel, and norethindrone. Many specialists now deal with the majority of their menopausal individuals with all-natural progesterone rather than artificial progestins. The study suggests that natural progesterone may not have an unfavorable impact on lipids, as well as is a good selection for females with high cholesterol levels. Additionally, all-natural progesterone might have other benefits when compared with medroxyprogesterone acetate.
- Intrauterine progestin. Low-dose IUD or intrauterine devices with levonorgestrel are marketed under the brand Liletta, Mirena, Kyleena, and Skyla. These are accepted for maternity avoidance, as well as bleeding control in the United States, and they’re often utilized “off-label” in addition to estrogen. If you have these IUDs when you enter perimenopause, your physician may recommend that you maintain them up until perimenopause is complete to help with irregular periods.
What are the Benefits of Hormonal Agent Replacement Treatment?
HRT may:
- Ease hot flashes, as well as evening sweats
- Reduce genital itchiness and dryness
- Assist your sleep better
- Make sex less agonizing
- Make some women likely to have cardiovascular disease
- Help avoid fractures brought on by osteoporosis, or thinning bones
- Lower your chances of mental deterioration
What Are the Threats of Hormone Substitute Therapy?
The study has shown that the advantages can be above the dangers for several ladies. Yet HRT may still increase your chances of:
Endometrial cancer cells, if you take estrogen without progestin, as well as you still have your womb.
- Blood clots
- Bust cancer cells
- Stroke
You may be less likely to have issues if you:
- Beginning HRT within 10 years of menopause or before age 60.
- Take progestin or progesterone if you are still having your uterus.
- Take the most affordable dosage that helps you for the shortest possible time.
- Get normal mammograms, as well as pelvic examinations.
- Inquire about other types of HRT besides tablets, like patches, mists, gels, vaginal suppositories, genital creams, or genital rings.
Who Should Not Take Hormone Substitute Therapy?
If you have these conditions, you may wish to prevent HRT:
- Embolism
- Liver, heart, or gallbladder disease
- Cancer, such as uterine, breast, or ovarian
- Heart attack
- Stroke
- Presumed or known maternity
- Inexplicable vaginal bleeding
Do you smoke? Your doctor might urge you to quit before suggesting HRT.