Hormone Replacement in Menopause (HRT)

Should menopausal women use the hormone estrogen?????

The question that haunts every menopausal woman?

After the WHI and HERS studies published in the early 2000s showed that hormone replacement increased the risk of breast and uterine cancer in women, obstetricians and, of course, menopausal women approached hormone replacement quite distantly.

If possible, they preferred to overcome this process with natural treatment methods.

The fact that women's life expectancy has increased and that they spend a lot of time in working life during menopause has accelerated the studies on hormone replacement. In recent years, the general opinion is that synthetic and oral hormone replacement can be risky. However, it is believed that the local application of bioequivalent hormone replacement, which most closely resembles the hormone synthesized in the body, locally as a cream, patch or vaginally, will have more advantages than disadvantages. These advantages include prevention of osteoporosis, prevention of cardiovascular disease, improved sleep quality and prevention of brain fog.

Can Every Menopausal Woman Use Hormone Replacement?

Before hormone replacement, a detailed gynecological examination, smear test, vaginal ultrasonography, bone densitometry and blood tests are performed by your physician. If the physician deems appropriate as a result of these values, hormone replacement therapy can be started.

Women in Good General Health: Healthy women can use HRT without serious health problems.

Women with Severe Menopausal Symptoms: For women whose menopausal symptoms severely affect their quality of life, HRT can be effective in relieving symptoms.

Early Menopause or Surgical Menopause: For these women, HRT may be recommended to offset the increased health risks due to the early onset of menopause.

However:

- Those with a History of Breast Cancer: HRT is generally not recommended for women with a history of breast cancer, as it may increase the risk of breast cancer.

- Those Who Have Had a Stroke: HRT may be risky for these women.

- Those with Blood Clotting Disorders: HRT may not be suitable for women with such disorders as it may increase the risk of blood clots.

- Those with Liver Disease: Because HRT is metabolized by the liver, it may not be suitable for women with liver disease.