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Women seeking safer hormone replacement therapy

...During the heyday of HRT, almost 80 million prescriptions were filled every year for estrogen or estrogen-and-progestin products.

So far this year, fewer than half that many prescriptions have been filled.Now women are looking for alternatives.

It is estimated that 5,000 American females enter menopause every day.

They are experiencing symptoms such as hot flashes, night sweats and vaginal dryness.Many women have questions about what to do: "I am 55 and going through menopause.

My physician had me on Premarin for several years.

We discussed the advantages and disadvantages of this treatment several times, and he assured me that Premarin helped with bone density and heart attacks as well as other problems associated with the change of life."When I heard of the study showing problems with I would still like some relief from my uncomfortable symptoms, and I asked him about natural hormones.

His answer was, `I don't know anything about that, so I can't give any advice on it.'"I have gone to this doctor for years, and I felt abandoned.

I am really suffering with hot flashes, mood swings and trouble sleeping.

My physician has no suggestions for me at all."Many women like her are looking for alternatives to relieve symptoms without increasing their risk of heart attacks, strokes or breast cancer.Over the past few years there has been a huge increase in the sales of so-called bio-identical hormones.

Compounding p...

Estrogen and your heart: Does it help or hurt?

...The average age of these women was 63 and many were twelve or more years past their menopause transition.  The majority of women were overweight or obese (a cause for underlying atherosclerosis) and few had significant menopausal symptoms of hot flashes, or night sweats.

After less than five years - amidst much media attention - the trial was halted.  The treated women had an increased rate of heart attack, stroke, pulmonary embolism, and clots in the deep veins as well as an increase in the incidence of breast cancer.

But there was some good news, the treated women had fewer osteoporotic fractures and were less likely to develop colon cancer.Was it the Premarin (Prem) or the Provera (Pro) that was to blame for some of these risks?

Possibly it was the Provera.

If you add Provera to Premarin when treating female monkeys whose ovaries have been removed, the Provera opposes the ability of the estrogen to limit plaque formation in the arteries.

Natural types of progesterones have not been found to have this negative effect.

In studies in female humans (not just monkeys), researches have found that Premarin and other estrogens lower bad cholesterol (LDL), increase good cholesterol (HDL), and improve the ability of vessels to dilate so blood flow is facilitated.

Provera blunts these cardiovascular benefits.  And while we're discussing side effects of hormone replacement, let's go to the issue of breast cancer.

...

The pros and cons of female hormone therapy

...During the heyday of HRT, almost 80 million prescriptions were filled every year for estrogen or estrogen-and-progestin products.

So far this year, fewer than half that many prescriptions have been filled.

Now women are looking for alternatives.

It is estimated that 5,000 American females enter menopause every day.

They are experiencing symptoms such as hot flashes, night sweats and vaginal dryness.

Many women have questions about what to do: "I am 55 and going through menopause.

My physician had me on Premarin for several years.

We discussed the advantages and disadvantages of this treatment several times, and he assured me that Premarin helped with bone density and heart attacks as well as other problems associated with the change of life.

"When I heard of the study showing problems with I would still like some relief from my uncomfortable symptoms, and I asked him about natural hormones.

His answer was, 'I don't know anything about that, so I can't give any advice on it.' "I have gone to this doctor for years, and I felt abandoned.

I am really suffering with hot flashes, mood swings and trouble sleeping.

My physician has no suggestions for me at all." Many women like her are looking for alternatives to relieve symptoms without increasing their risk of heart attacks, strokes or breast cancer.

Over the past few years there has been a huge increase in the sales of so-called bio-identical hormones.

Compound...

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