When low dose topical estrogen is used, such as Estriol, Estrace cream, Estring or Vagifem, the risks associated with using estrogen are very low. These products can be used at least on a temporary basis in virtually all women, even those with usual contraindications to estrogen use. Generally, we like non-oral routes if the patient agrees, such as patches, creams, drops and rings.
This means that a lower dosage can be used because the hormone does not have to be digested to get to the bloodstream. Topical routes allow the hormone to be absorbed directly into the bloodstream. Good diet Fiber Low fat High calcium use a high quality supplement if food sources are inadequate. Many new vaginal lubricants are available commercially now. We have two high quality products available in the office for discreet purchase.
Any product chosen should be water-based. For more difficult cases of vaginal sensitivity, a short course of vaginal cream or similar product Estrace Cream, Vagifem tablets, Estring can offer rapid and lasting improvement. Increase intake of foods high in phytohormones, especially soy protein-based foods.
Increase foods rich in calcium. Milk, yogurt, cheese, Total cereal, etc — see list. Phytohormones closely resemble our human hormones, providing Estrogen and Progesterone effects and may have less risks and side effects than are associated with prescription hormones.
Soy-based Foods and Products — Tofu, soy nuts, tempeh, soymilk, soy-fortified foods. Special fortified source products — Nutlettes cereal 1- Alfalfa, apples, barley, carrots, cherries, date palms, fennel, garlic, green beans, oats, parsley, pomegranates, potatoes, red beans, rice, rye, sage, sesame, tomatoes, wheat, yams.
This Italian clinical trial documented safe and effective treatment for improved vaginal and bladder health after breast cancer treatment using three CO2 fractionated office laser treatments monthly for three months. Dense breast tissue on mammogram is a normal finding but is linked to increased risk for cancer detection problems and possibly developing invasive breast cancer. With direction from colleagues at the Cleveland Clinic and with training and support from Alma Laser specialists, we provide the latest technology in treating a number of vaginal and bladder issues with fractionated CO2 vaginal laser therapy.
Swor and Dr. Weaning Off or Stopping Hormone Therapy. My most common recommendation is as follows: 1. If it does not, they may suggest changing your dose, or changing the type of HRT you're taking.
A GP can give you advice to help you choose which type is best for you. You may need to try more than 1 type before you find 1 that works best. Find out more about the different types of HRT. There's no limit on how long you can take HRT, but talk to a GP about how long they recommend you take the treatment. Most women stop taking it once their menopausal symptoms pass, which is usually after a few years. The risk is linked to all types of HRT except vaginal oestrogen.
The increased risk of breast cancer falls after you stop taking HRT, but some increased risk remains for more than 10 years compared to women who have never used HRT.
Gradually decreasing your HRT dose is usually recommended because it's less likely to cause your symptoms to come back in the short term.
Contact a GP if you have symptoms that persist for several months after you stop HRT, or if you have particularly severe symptoms. You may need to start HRT again.
As with any medicine, HRT can cause side effects. Side effects usually improve over time, so it's best to try the treatment plan you have been prescribed for at least 3 months. Many women believe taking HRT will make them put on weight, but there is no evidence that this is the case. You may gain some weight during the menopause, but this often happens whether you take HRT or not. Exercising regularly and eating a healthy diet can help you to maintain a healthy weight.
Recent findings show that although not completely risk-free, HRT remains the most effective solution for helping with symptoms of menopause and is also effective for the prevention of osteoporosis. It may also provide protection against heart disease. When deciding whether to have hormone replacement therapy HRT , it is also important to understand the risks.
You may have heard about a link between breast cancer and HRT. If you would like to start HRT, it is a good idea to have an initial discussion with your GP or practice nurse at your local primary care practice. They can discuss the risks and benefits with you, so you can decide what is right for you.
Every woman experiences the menopause differently, so there is no way of knowing how long symptoms will last and so how long HRT will need to be taken.
Some women who have continued symptoms into the longer term, may need to keep taking HRT to help with symptoms and good quality of life. Further information about the benefits and risks of HRT. Most women are able to stop taking HRT after their menopausal symptoms finish, which is usually two to five years after they start but in some cases this can be longer. Gradually decreasing your HRT dose is usually recommended, rather than stopping suddenly. You may find that your menopausal symptoms come back after you stop HRT, but these should pass within a few months.
Treatment may need to be restarted, usually at a lower dose. After you have stopped HRT, you may still need help to manage vaginal dryness and to prevent osteoporosis. Read about the best ways to prevent osteoporosis. Cream, lubricants and local oestrogen preparations are available for vaginal dryness and discomfort.
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