Menopause Treatment (HRT)
Treatment for menopause is necessary only if symptoms like hot flashes, night sweats, hair loss, osteoporosis etc. are severe enough to cause distress. However, many women do not have any symptoms at all during pre- as well as the postmenopausal time. Or if symptoms do occur, they are so mild that she does not require treatment.
Very often, any symptom that occurs in the perimenopause (the 1 – 2 years before the actual menopause occurs), is dismissed offhand as being due to the menopause.
But, it is always important to investigate the different complaints. Only after all medical conditions are ruled out should it be assumed that the complaints may have their basis on the decreasing estrogen levels after menopause.
For many women, psychological support and a description of the processes involved may be all that is necessary.
Since the symptoms of menopause are essentially those of estrogen deficiency, the ideal solution is to replace that hormone. Unfortunately, estrogen replaced from outside the body seem to have a different effect than the natural estrogen produced inside the body.
The benefits of hormone replacement therapy ( HRT therapy) like control of hot flashes and decreasing atrophy of the genitals, osteoporosis, hair loss etc. should be balanced against the risks of hormone replacement like cancer of the genital tract and breast, gallbladder disease, and cardiovascular problems.
Short-Term Hormone Replacement Therapy (HRT therapy)
Long-Term Hormone Replacement Therapy (HRT therapy)
Duration of HRT Therapy
It is believed that hormone replacement therapy (HRT therapy) should not be given continuously for more than 2 years. The patient is taken off hormones for 6 months, reassessed and the HRT therapy is again started for another 2 years if necessary.
Every year, the patient is assessed, a mammography to examine her breasts is done and her blood checked for cholesterol and lipid levels. If considered necessary, she should undergo an ultrasonography of the endometrium.
Treatment for menopause should be given to those women for whom the symptoms like hot flashes, night sweats, hair loss, osteoporosis etc, cause great discomfort. The standard treatment is by Hormone Replacement Therapy (HRT therapy). But alternatives to HRT therapy are also quite effective in some women.