Hormone Replacement Therapy (HRT) in menopause is a hormone treatment that replaces hormones normally secreted by the ovaries before menopause. We also talk about THM (hormonal treatment of menopause).
It consists of the combination of two hormones: estrogen and progesterone. Estrogens reduce climacteric symptoms including hot flashes and the risk of osteoporosis, while progesterone counteracts the action of estrogen and decreases the risk of developing cancer of the uterine body.
If the patient has had a hysterectomy, that is, removal of the uterus, she will not need to take progesterone.
Hormone replacement therapy is presented in different ways: patches, sprays, tablets, cream. It is indicated for troublesome climacteric symptoms, or in the case of early menopause. He also has an interest in reducing the risk of osteoporosis.Hormone replacement therapy may be prescribed only in the absence of contraindications, such as a history of breast cancer, thromboembolic disease, cardiovascular disease, etc.
The patient and her doctor should discuss together the expected benefits and risks of this treatment. As with any medical treatment, this treatment must be prescribed if the benefit is net in relation to the risk incurred. This is a discussion that women in menopause will have with their doctor or their gynecologist. The final decision is up to the patient. Hormonal replacement therapy is then prescribed for a few years continuously in optimal doses.
The doctor must see his patient regularly to evaluate the effectiveness of the treatment, to review the dosage if necessary or consider stopping after 3 or 5 years.
Gynecological surveillance is essential.
A major international debate took place in 2003 on the importance of hormone replacement therapy for menopause. The AFSSAPS (French Agency for Sanitary Safety of Health Products) has written a document dated 19 December 2003 on the "Update on hormone replacement therapy (HRT) for menopause".
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During the menopause, treatments can then be proposed to relieve these symptoms, according to the result of the medical assessment. But do these treatments increase the risk of breast cancer? The answer of the expert in video.You want to react, to give your testimony or to ask a question? Appointment in our FORUMS Menopause, Gynecology or A doctor answers you!
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