2023-07-20 17:17:46
Title: Hormone Replacement Therapy: A Viable Option for Menopausal Symptoms, Experts Say
Subtitle: Outdated concerns about hormone therapy are deterring women from seeking relief
Menopause, a natural phase in a woman’s life, is often accompanied by a range of stressful symptoms such as hot flashes, depression, and bone loss. However, due to concerns about breast cancer and other risks, many women are hesitant to consider hormone replacement therapy as a treatment option. Experts argue that this reluctance may be based on outdated notions about the therapy, which are preventing women from finding relief.
According to the Federal Center for Health Education (BZgA), approximately one-third of women experience distressing side effects during menopause, while another third experience milder symptoms. The German Menopause Society states that symptoms like hot flashes, mood swings, sleeping problems, bladder weakness, and vaginal dryness can occur up to ten years before the last menstrual period and persist for more than a decade.
Contrary to popular belief, estrogen does not cause cancer. Gynecologist Peyman Hadji explains, “Otherwise, every woman by 50 would have breast cancer.” However, a study from the Women’s Health Initiative (WHI) in 2002 initially raised concerns about the potential link between hormone replacement therapy and an increased risk of breast cancer. This study had a significant impact, dissuading both doctors and patients from considering hormone therapy.
As a result, the number of working women between the ages of 45 and 65 using hormone preparations for menopausal symptoms dropped dramatically. A report by the Techniker Krankenkasse indicates that only about six percent of women in this age group took hormone preparations in 2022, compared to 37 percent in 2000.
However, views on hormone therapy have since evolved. Dr. Hadji, who is also a board member of the German Menopause Society, highlights that today’s hormone preparations are not comparable to those of 20 years ago. Modern hormone therapies use different, natural estrogens in lower dosages. They are available in various forms such as gels, sprays, and patches, which allow for more individualized prescriptions and reduce the risk of blood clots.
Recent studies have also shed light on the potential benefits of hormone therapy. Chinese scientists found that hormone therapy may help reduce the risk of lung cancer, while a study in the journal “Jama Neurology” showed that early hormone therapy could prevent the increased risk of Alzheimer’s dementia in women after menopause.
Timing is crucial when it comes to hormone therapy. Starting early can have protective effects on the cardiovascular system, reduce the risk of type 2 diabetes mellitus, and prevent osteoporosis. However, it is essential to identify risk factors and tailor treatment accordingly. For example, hormone therapy may not be advisable for older patients who are obese and smoking.
The evolving understanding of the advantages and disadvantages of hormone therapy calls for a more pragmatic approach to menopause treatment. Canadian physicians recommend hormone therapy as an initial treatment for women without risk factors who are suffering from menopausal symptoms. This recommendation emphasizes the importance of individualized care and taking into account each patient’s specific circumstances.
It is crucial for women to be well-informed about hormone therapy options and to consult with their healthcare providers to determine the best course of action for managing menopausal symptoms. With advancements in hormone therapy and a deeper understanding of its benefits and risks, women can make more informed decisions about their health and well-being during menopause.]
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