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What about Hormone Replacement for Menopause Symptom Relief?

October 17th, 2008 by admin | No Comments | Filed in Menopause Symptom

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Recent studies are recommending that hormone replacement therapy using estrogen and progestin (HRT) be used only for short-term treatment of menopausal symptoms. Studies involving women taking estrogen without progestin (ERT) are still in progress. While ERT alone increases the risk of endometrial cancer, estrogen taken in combination with progestin (HRT) does not increase the risk. Women who have had a hysterectomy do not have an increased risk of uterine cancer. A woman who has a uterus and is unable to tolerate the side effects of progestin in hormone replacement therapy (HRT) may consider estrogen-only replacement therapy (ERT) if testing shows no abnormalities of the endometrium. Close observation for precancerous changes of the endometrium is required, including an annual pelvic exam and an annual endometrial biopsy. No studies have compared different type’s estrogens to see whether there is a difference in their effects. Some women prefer estrogens that do not come from animal products.

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How Can I Stay Healthy Throughout Menopause?

October 10th, 2008 by admin | No Comments | Filed in Menopause Treatment

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To stay healthy you can make some changes in the way you live. For example:

* Don’t smoke.

* Eat a healthy diet that is low in fat and cholesterol and moderate in total fat. Your diet should aim to be high in fiber and include fruits, vegetables, and whole-grain foods. It should also be well balanced in vitamins and minerals, including calcium.

* Lose weight if you are overweight.

* Take part in weight-bearing exercise, such as walking, jogging, running, or dancing, at least 3 days each week.

* Take medicine to lower your blood pressure if your doctor prescribes it for you.

* For vaginal discomfort, use a water-based vaginal lubricant (not petroleum jelly) or an estrogen cream.

* If you frequently feel an urgent need to urinate, ask your doctor about techniques such as pelvic muscle exercises, biofeedback, and bladder training that can help you improve muscle control.

* Be sure to get regular pelvic and breast exams, Pap tests, and mammograms. Contact your doctor right away if you notice a lump in your breast.

* If you are having hot flashes, keep a diary to track when they happen. You may be able to use this information to help find out what triggers them.

Try these tips to help manage hot flashes:

* When a hot flash starts, go somewhere cool.

* If hot flashes wake you at night, try sleeping in a cool room.

* Dress in layers that you can take off if you get too warm.

* Use sheets and clothing that let your skin breathe?

* Have a cold drink (water or juice) at the beginning of a flash.

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What about Heart and Bones for Menopause Symptom Relief?

October 3rd, 2008 by admin | No Comments | Filed in Menopause Symptom

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You may not even notice two important changes that happen with menopause.

* Loss of bone tissue can weaken your bones and cause osteoporosis.

* Heart disease risk may grow, due to age-related increases in weight, blood pressure, and cholesterol levels.

Osteoporosis. To maintain strong bones, the body is always breaking down old bone and replacing it with new healthy bone. For women, the loss of estrogen around the time of menopause causes more bone to be lost than is replaced. If too much bone is lost, bones become thin and weak and can break easily. Many people do not know they have weak bones until they break a wrist, hip, or spine bone (vertebrae). Doctors can test bone density (bone densitometry) to find out if you are at risk of osteoporosis. You can lower your risk of bone loss and osteoporosis by making changes to your lifestyle - regular weight-bearing exercise and getting plenty of calcium and vitamin D can help. There are also drugs available that prevent bone loss. Talk to your doctor to find out what is best for you.

Heart disease. Younger women have a lower risk of heart disease than do men of the same age. But after menopause, a woman’s risk of heart disease is almost the same as a man’s. In fact, heart disease is the major cause of death in women, killing more women than lung or breast cancer. It’s important to know your blood pressure, and levels of cholesterol, HDL, triglycerides, and fasting blood glucose. You can lower your chance of heart disease by eating a healthy diet, not smoking, losing weight, and exercising regularly. There are also drugs that can help. Talk to your doctor to be sure you are doing everything possible to protect your heart.

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What Are the Signs of Menopause and Menopause Symptoms?

September 26th, 2008 by admin | No Comments | Filed in Menopause Symptom

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Changing hormone levels can cause a variety of symptoms that may last from a few months to a few years or longer. Some women have slight discomfort or worse. Others have little or no trouble. If any of these changes bother you, check with your doctor. The most common symptoms are:

* Changes in periods. One of the first signs may be a change in a woman’s periods. Many women become less regular; some have a lighter flow than normal; others have a heavier flow and may bleed a lot for many days. Periods may come less than 3 weeks apart or last more than a week. There may be spotting between periods. Women who have had problems with heavy menstrual periods and cramps will find relief from these symptoms when menopause starts.

* Hot flashes. A hot flash is a sudden feeling of heat in the upper part or all of your body. Your face and neck become flushed. Red blotches may appear on your chest, back, and arms. Heavy sweating and cold shivering can follow. Flashes can be as mild as a light blush or severe enough to wake you from a sound sleep (called night sweats). Most flashes last between 30 seconds and 5 minutes.

* Problems with the vagina and bladder. The genital area can get drier and thinner as estrogen levels change. This dryness may make sexual intercourse painful. Vaginal infections can become more common. Some women have more urinary tract infections. Other problems can make it hard to hold urine long enough to get to the bathroom. Some women find that urine leaks during exercise, sneezing, coughing, laughing, or running.

* Sex. Some women find that their feelings about sex change with menopause. Some have changes to the vagina, such as dryness, that makes sexual intercourse painful. Others feel freer and sexier after menopause relieved that pregnancy is no longer a worry. Until you have had 1 full year without a period, you should still use birth control if you do not want to become pregnant. After menopause a woman can still get sexually transmitted diseases (STDs), such as HIV/AIDS or gonorrhea. If you are worried about STDs, make sure your partner uses a condom each time you have sex.

* Sleep problems. Some women find they have a hard time getting a good night’s sleep. They may not fall asleep easily or may wake too early. They may need to go to the bathroom in the middle of the night and then find they aren’t able to fall back to sleep. Hot flashes also may cause some women to wake up.

* Mood changes. There may be a relationship between changes in estrogen levels and a woman’s mood. Shifts in mood may also be caused by stress, family changes such as children leaving home, or feeling tired. Depression is NOT a symptom of menopause.

* Changes in your body. Some women find that their bodies change around the time of menopause. With age, waists thicken, muscle mass is lost, fat tissue may increase, skin may get thinner. Other women have memory problems, or joint and muscle stiffness and pain. With regular exercise and attention to diet, many of these changes may be eased or prevented.

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Menopause Symptoms, Hormones and Change

September 19th, 2008 by admin | No Comments | Filed in Menopause Symptom

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A woman’s body changes throughout her lifetime. Many of those changes are due to varying hormone levels that happen at different stages in life. Puberty often starts when a girl is about 12 years old. Her body changes, breasts and pubic hair develop, monthly periods begin.

Menopausal transition, commonly called perimenopause, is the time when a woman’s body is closer to menopause. At this time, a woman’s periods may become less regular, and she may start to feel menopause symptoms, such as hot flashes and night sweats. Perimenopause usually begins about 2 to 4 years before the last menstrual period. It lasts for about 1 year after your last period. Menopause is marked by a woman’s last menstrual period. You cannot know for sure what is your last period until you have been period free for 1 full year. Postmenopausal follows menopause and lasts the rest of your life. Pregnancy is no longer possible. There may be some symptoms, such as vaginal dryness, which may continue long after you have passed through menopause.

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About Menopause and Menopause Symptoms

September 12th, 2008 by admin | No Comments | Filed in Menopause Symptom

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Menopause is a normal part of life. It is one step in a long, slow process of reproductive aging. For most women this process begins silently somewhere around age 40 when periods may start to be less regular. Declining levels of the hormones estrogen and progesterone cause changes in your periods. These hormones are important for keeping the vagina and uterus healthy as well as for normal menstrual cycles and for successful pregnancy. Estrogen also helps to keep bones healthy. It helps women keep good cholesterol levels in their blood.

Some types of surgery can bring on menopause. For instance, removal of your uterus (hysterectomy) will make your periods stop. When both ovaries are removed (oophorectomy), menopause symptoms may start right away, no matter what your age.

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Menopause Symptoms

September 5th, 2008 by admin | No Comments | Filed in Menopause Symptom

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Although some women have few noticeable symptoms of menopause other than the ending of menstrual periods, most women will have some other symptoms. Symptoms may come and go, and more may develop, as the process of menopause progresses.

Symptoms that generally improve with time include:

* Menstrual period changes.

* Hot flashes.

* Emotional changes, such as mood swings or a change in sexual interest or response.

* Sleep disturbances (insomnia).

* Rapid, irregular heartbeat (heart palpitations).

* Generalized itching.

* Joint pain.

* Headaches.

* Problems with concentration and memory.

Symptoms of menopause that can be long-term and get worse with time include:

* Vaginal changes, such as:

* Vaginal dryness and itching.

* An increased risk of vaginal infections.

* Pain during sexual intercourse (dyspareunia).

Urinary tract problems, such as:

* An inability to control the leakage of urine (urinary incontinence).

* Urinary tract infections (UTIs).

* Changes in appearance.

Symptoms often end soon after menstrual periods stop. However, some women continue to have menopausal symptoms for several years after periods end. Many women report an increase in symptoms, such as hot flashes, following menopause caused by surgery, chemotherapy, or radiation therapy, and these symptoms also seem to be more severe.1 Some conditions, such as depression, sleep problems, anxiety, and irritability, may be made worse by menopause.

Although menopause can cause a wide variety of symptoms in some women, other women do not experience any symptoms other than the end of menstrual periods. Many women feel positive about the changes that occur with menopause, such as freedom from menstruation and the risk of pregnancy.

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Menopause Surgery

August 30th, 2008 by admin | No Comments | Filed in Menopause Treatment

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Surgery is not a treatment for menopause, but conditions requiring surgery become more common at the time of menopause.

Menopause Surgery Choices

Procedures that may be used to diagnose or treat problems, such as abnormal vaginal bleeding, that occur during or after menopause include:

* Dilation and curettage (D&C).

* Endometrial ablation.

* Endometrial biopsy.

* Hysteroscopy.

* Hysterectomy.

What to Think About When Deciding Menopause Surgery

Bothersome symptoms and abnormal bleeding often stop naturally after menopause is completed. If menopause is nearing completion, watchful waiting may be the best approach when uterine fibroids or endometriosis is present.

Some women may prefer the risks of surgery to the burden and inconvenience of their symptoms.

Surgery may be the most appropriate treatment for cancers of the reproductive organs.

Indications for Surgery During Menopause

Surgery to treat or prevent problems during menopause may be considered when:

* Vaginal bleeding is severe and interferes with your daily activities.

* Abnormal vaginal bleeding does not respond to other treatments and anemia develops because of blood loss.

* Other problems are found or suspected, including:

a) Endometrial hyperplasia.

b) Uterine fibroids.

c) Endometriosis.

d) Uterine prolapse.

e) Gynecological cancers, such as cancer of the cervix, the ovary, or the lining of the uterus (endometrial cancer).

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