Besides improving menopausal symptoms, what are other benefits of Bioidentical hormones?
One other benefit of bioidentical HRT is that they can strengthen bone and reduce fractures. Short-term studies with bioidentical HRT have revealed that these hormones are very useful and do help women avoid the ravages of osteoporosis and reduce the risk of heart disease. These bioidentical hormones work exactly like the natural estrogen and progesterone. Recent studies indicate that bioidentical HRT taken soon after menopause protect against early dementia.
How long can one safely take bioidentical hormones?
Bioidentical HRT is meant to be used only for shorten therapy (usually anywhere from 2-5 years).
Who should not take bioidentical hormones?
Bioidentical HRT is not suitable for women who have liver disease, those who have a history of blood clots or have vaginal bleeding which has not yet been diagnosed.
What are side effects of bioidentical hormones?
The typical side effects of bioidentical HRT include headache, bloating, stomach cramps, diarrhea, anxiety, and breast tenderness. These side effects do not occur in everyone and even the intensity will vary. In most cases, the side effects disappear as soon as the hormone therapy is discontinued.
Should there be follow up when taking bioidentical hormones?
Yes, definitely. There is always a potential for complications or side effects and all women who do intend to take these hormones should be followed by a health care professional
Monday, April 13, 2009
Bio identical hormonal therapy 101
Is Hormone replacement therapy (HRT) a new concept?
No, Hormone replacement therapy has been practiced with pharmaceutical products for more than 50 years. Women have been prescribed hormones to treat menopause and a variety of disorders where fertility has been affected. However, today HRT has gained impetus chiefly because women want to get rid of symptoms of menopause
What happens during menopause?
During menopause, all women stop making the natural sex hormones, estrogen and progesterone. The loss of these sex hormones is associated with many physical and emotional effects. Thirty years ago, estrogen and progesterone were widely prescribed to treat menopause. However, as clinical evidence accumulated, it was realized that the safety of these hormones in the long run was an issue. Laboratory research showed that long-term use of sex hormones after menopause could lead to growth of breast or uterine cancers.
So what is happening now?
Well we have now come full circle. Instead of using the prescription based synthetic estrogen and progesterone, there is a big demand for the naturally occurring sex hormones. Bioidentical hormones are naturally occurring hormones found in plants. The bioidentical hormones also require a prescription; however, many pharmacies can adjust the formulation so that one can have the right amount of estrogen or progesterone.
Who uses Bioidentical hormones?
Bioidentical HRT is very useful for women who have undergone hysterectomy and those who are undergoing menopause. Younger women who have premature ovarian failure or have undergone a hysterectomy may take the bioidentical HRT for many more years.
How are bioidentical hormones available?
These hormones can be delivered as a patch, pill, cream, gel, or even an injection. The two basic formulations are ones which have a constant dosage and those which have a varying dosage of sex hormones. Bioidentical hormones can also be compounded with testosterone to provide a boost to libido.
No, Hormone replacement therapy has been practiced with pharmaceutical products for more than 50 years. Women have been prescribed hormones to treat menopause and a variety of disorders where fertility has been affected. However, today HRT has gained impetus chiefly because women want to get rid of symptoms of menopause
What happens during menopause?
During menopause, all women stop making the natural sex hormones, estrogen and progesterone. The loss of these sex hormones is associated with many physical and emotional effects. Thirty years ago, estrogen and progesterone were widely prescribed to treat menopause. However, as clinical evidence accumulated, it was realized that the safety of these hormones in the long run was an issue. Laboratory research showed that long-term use of sex hormones after menopause could lead to growth of breast or uterine cancers.
So what is happening now?
Well we have now come full circle. Instead of using the prescription based synthetic estrogen and progesterone, there is a big demand for the naturally occurring sex hormones. Bioidentical hormones are naturally occurring hormones found in plants. The bioidentical hormones also require a prescription; however, many pharmacies can adjust the formulation so that one can have the right amount of estrogen or progesterone.
Who uses Bioidentical hormones?
Bioidentical HRT is very useful for women who have undergone hysterectomy and those who are undergoing menopause. Younger women who have premature ovarian failure or have undergone a hysterectomy may take the bioidentical HRT for many more years.
How are bioidentical hormones available?
These hormones can be delivered as a patch, pill, cream, gel, or even an injection. The two basic formulations are ones which have a constant dosage and those which have a varying dosage of sex hormones. Bioidentical hormones can also be compounded with testosterone to provide a boost to libido.
Nutrition and Menopause Part 2
Supplements: Menopause is a difficult time and associated with mood swing(s) and even depression. Many women do not want to take pharmaceutical products nor do they want to eat an unhealthy diet. For these individuals, supplements may be necessary. During menopause, obtaining sufficient levels of vitamins and nutrients can make a significant difference in having healthy bones and controlling symptoms of menopause. Of the supplements, most physicians recommend Vitamins C, D and E.
However, one should realize that if one is eating a healthy wholesome diet with a decent amount of fruit and vegetables, then why bother to take an artificial pill- which may sometimes be fake or may even contain contaminants!
Before one goes on a mega Vitamin supplement diet, it is essential to see a dietician to supervise the initial phase of dietary manipulation. Large doses of calcium or vitamins have serious side effects. Vitamins A and D in large doses can be particularly dangerous.
As menopause sets in, women realize that they have less energy, have a decline in their physical activity and also a loss of lean body mass. To avoid ravages of age and hormonal changes of menopause, one should start some type of physical activity. Walking, swimming and even light jogging may be a start. The important thing is not to allow the access weight of menopause to continue. There are numerous drugs for weight loss but definitely not recommended. They have far too many potent side effects. The most important is to resume some physical activity. In the end, a healthy body always represents a healthy mind.
However, one should realize that if one is eating a healthy wholesome diet with a decent amount of fruit and vegetables, then why bother to take an artificial pill- which may sometimes be fake or may even contain contaminants!
Before one goes on a mega Vitamin supplement diet, it is essential to see a dietician to supervise the initial phase of dietary manipulation. Large doses of calcium or vitamins have serious side effects. Vitamins A and D in large doses can be particularly dangerous.
As menopause sets in, women realize that they have less energy, have a decline in their physical activity and also a loss of lean body mass. To avoid ravages of age and hormonal changes of menopause, one should start some type of physical activity. Walking, swimming and even light jogging may be a start. The important thing is not to allow the access weight of menopause to continue. There are numerous drugs for weight loss but definitely not recommended. They have far too many potent side effects. The most important is to resume some physical activity. In the end, a healthy body always represents a healthy mind.
Nutrition and Menopause
Everyone agrees that a well balanced diet is essential for good health and this is especially true when it comes to menopause. However, the exact nutritional requirement for the menopausal female are varied and change with age. Some of the basic essential nutrients should include:
Calcium: A healthy premenopausal woman should have about 1,000 mgs of calcium per day. A 1994 Consensus Conference at the National Institutes of Health recommended that women after menopause consume 1,500 mgs per day if they are not using hormonal replacement or 1,000 mgs per day in conjunction with hormonal replacement. Foods which are high in calcium include milk, yogurt, cheese, some sea food products and dark green leafy vegetables (spinach and broccoli). Calcium is also available as a pill or a powder and is easily absorbed from the gut. For those who have milk intolerance, acidophilus milk is more tolerable.
Vitamins D: This bone forming vitamin is now becoming an important additive for all women nearing menopause. It enhances calcium absorption and helps to strengthen bone. Numerous studies have shown that post menopausal women who take Vitamin D have a lower incidence of spinal fractures and joint pains. Other studies reveal that vitamin D consumption is associated with a marked decrease in bone pain. However, these issues remain controversial because not all patients demonstrate the same benefit. One also has to be aware that excess consumption of vitamin D can lead to formation of kidney stones, constipation, abdominal pain and even bone pain.
Low fat diet: Most dieticians and physicians indicate that an overall healthy diet for the menopausal female should consists of foods with low fat and less saturated fat. This diet is ideal not only for menopausal females but overall good health. The fat intake should be less than 30% of the daily calories
Vegetables: Eating fruits, vegetables, and whole grain cereal products, especially those high in vitamin C and carotene are absolutely vital for obtaining all the essential nutrients for bone growth. Other plants foods highly recommended include oranges, grapefruit, carrots, winter squash, tomatoes, broccoli, cauliflower, and green leafy vegetables. These foods are good sources of vitamins and minerals and the major sources of dietary fiber. The increased fiber content not only helps with constipation but is associated with a decrease in colon cancer. Menopausal females are encouraged to consume 20 to 30 grams of fiber per day.
Meat: We have come to realize that meat and meat like products are fun to eat but not good for health. These products have been associated with numerous health problems, including blood pressure, obesity, heart disease and colon cancer. They do not contain any essential nutrients for bone growth
In general, a common sense approach to diet is needed. Anything in excess is bad. The most important thing is to enjoy the foods, eat a little of everything you desire, walk a little more and remember, menopause is not the end- but just the beginning of a new lifestyle
Calcium: A healthy premenopausal woman should have about 1,000 mgs of calcium per day. A 1994 Consensus Conference at the National Institutes of Health recommended that women after menopause consume 1,500 mgs per day if they are not using hormonal replacement or 1,000 mgs per day in conjunction with hormonal replacement. Foods which are high in calcium include milk, yogurt, cheese, some sea food products and dark green leafy vegetables (spinach and broccoli). Calcium is also available as a pill or a powder and is easily absorbed from the gut. For those who have milk intolerance, acidophilus milk is more tolerable.
Vitamins D: This bone forming vitamin is now becoming an important additive for all women nearing menopause. It enhances calcium absorption and helps to strengthen bone. Numerous studies have shown that post menopausal women who take Vitamin D have a lower incidence of spinal fractures and joint pains. Other studies reveal that vitamin D consumption is associated with a marked decrease in bone pain. However, these issues remain controversial because not all patients demonstrate the same benefit. One also has to be aware that excess consumption of vitamin D can lead to formation of kidney stones, constipation, abdominal pain and even bone pain.
Low fat diet: Most dieticians and physicians indicate that an overall healthy diet for the menopausal female should consists of foods with low fat and less saturated fat. This diet is ideal not only for menopausal females but overall good health. The fat intake should be less than 30% of the daily calories
Vegetables: Eating fruits, vegetables, and whole grain cereal products, especially those high in vitamin C and carotene are absolutely vital for obtaining all the essential nutrients for bone growth. Other plants foods highly recommended include oranges, grapefruit, carrots, winter squash, tomatoes, broccoli, cauliflower, and green leafy vegetables. These foods are good sources of vitamins and minerals and the major sources of dietary fiber. The increased fiber content not only helps with constipation but is associated with a decrease in colon cancer. Menopausal females are encouraged to consume 20 to 30 grams of fiber per day.
Meat: We have come to realize that meat and meat like products are fun to eat but not good for health. These products have been associated with numerous health problems, including blood pressure, obesity, heart disease and colon cancer. They do not contain any essential nutrients for bone growth
In general, a common sense approach to diet is needed. Anything in excess is bad. The most important thing is to enjoy the foods, eat a little of everything you desire, walk a little more and remember, menopause is not the end- but just the beginning of a new lifestyle
Sunday, April 12, 2009
Herbal therapy and menopause
Today, herbal therapies are also being used in the treatment of menopause. The herbs which are currently touted to control many of the symptoms of menopause include:
Phytoestrogens: There are certain vegetable foods that are known to contain phytoestrogens (similar to the female sex hormone-estrogen). There are two main types of phytoestrogens — isoflavones and lignans. Isoflavones have been found in soybeans, chickpeas and peas. Lignans have been found in flaxseeds, whole grains and some fruits and vegetables. Researchers in the Orient first noticed that women in that part of the World had very mild menopausal symptoms and a much lower incidence of heart disease and osteoporosis. It was later discovered that their diet was rich in Phytoestrogens which provided the protective effect. However, addition of isoflavones to western diets has not been found to be effective at least in the short-term and longer term follow up is required. There has also been a concern that high estrogen levels after menopause may be associated with an increased incidence of breast cancer.
So far the data on soy products remains unknown and all reports remain anecdotal. But research on this topic is ongoing.
Vitamin E. Vitamin E has been widely postulated to diminish the symptoms of menopause. Its effects are immediate. However, the reports are scant and the agent only works in a few individuals. As to why it does not work in all women remains a mystery. Some nutritionists recommend higher doses of vitamin E in women who do not respond to the low dose of vitamin E. However, the FDA strongly advises against taking more than 400 IU of this vitamin because of the potential for serous toxicity.
Black cohosh: This herb has been widely used in northern Europe for more than 2 decades and has recently become popular in North America. However, even the European data indicates that it does not work in all women and even today there are no scientific data on its clinical benefits. However, the product is safe. The North American Menopause Society does supports short-term use of black cohosh for treating menopausal symptoms because it seems to have a low risk of side effects when used for up to six months. But the exact effects of long term use are not known. Some recent studies have found that the herb doesn't reduce hot flashes any better than a placebo.
Miscellaneous: There are numerous other dietary supplements available which have been postulated to treat menopausal symptoms- many of the females even swear by it. These products include dong quai, licorice, chasteberry, evening primrose oil and wild yam (natural progesterone cream). Even though these products have been around for more than 2 decades, there is no scientific data to back any of the claims made by the women users or the manufacturers. A few of these products have also been found to contain contaminants and there are even reports of fake products.
Before one starts to take a whole range of products with unknown ingredients and lack of any standardization, be sure to consult your doctor. There definitely are some herbals which are useful but the question is which one. And in the end, like all things in life, buyer beware.
Phytoestrogens: There are certain vegetable foods that are known to contain phytoestrogens (similar to the female sex hormone-estrogen). There are two main types of phytoestrogens — isoflavones and lignans. Isoflavones have been found in soybeans, chickpeas and peas. Lignans have been found in flaxseeds, whole grains and some fruits and vegetables. Researchers in the Orient first noticed that women in that part of the World had very mild menopausal symptoms and a much lower incidence of heart disease and osteoporosis. It was later discovered that their diet was rich in Phytoestrogens which provided the protective effect. However, addition of isoflavones to western diets has not been found to be effective at least in the short-term and longer term follow up is required. There has also been a concern that high estrogen levels after menopause may be associated with an increased incidence of breast cancer.
So far the data on soy products remains unknown and all reports remain anecdotal. But research on this topic is ongoing.
Vitamin E. Vitamin E has been widely postulated to diminish the symptoms of menopause. Its effects are immediate. However, the reports are scant and the agent only works in a few individuals. As to why it does not work in all women remains a mystery. Some nutritionists recommend higher doses of vitamin E in women who do not respond to the low dose of vitamin E. However, the FDA strongly advises against taking more than 400 IU of this vitamin because of the potential for serous toxicity.
Black cohosh: This herb has been widely used in northern Europe for more than 2 decades and has recently become popular in North America. However, even the European data indicates that it does not work in all women and even today there are no scientific data on its clinical benefits. However, the product is safe. The North American Menopause Society does supports short-term use of black cohosh for treating menopausal symptoms because it seems to have a low risk of side effects when used for up to six months. But the exact effects of long term use are not known. Some recent studies have found that the herb doesn't reduce hot flashes any better than a placebo.
Miscellaneous: There are numerous other dietary supplements available which have been postulated to treat menopausal symptoms- many of the females even swear by it. These products include dong quai, licorice, chasteberry, evening primrose oil and wild yam (natural progesterone cream). Even though these products have been around for more than 2 decades, there is no scientific data to back any of the claims made by the women users or the manufacturers. A few of these products have also been found to contain contaminants and there are even reports of fake products.
Before one starts to take a whole range of products with unknown ingredients and lack of any standardization, be sure to consult your doctor. There definitely are some herbals which are useful but the question is which one. And in the end, like all things in life, buyer beware.
Self-care Treatments for Menopausal Females
For most females, menopause is a transient period and the symptoms subside over a period of 1-3 years. However, even this short term period can be tormenting and there are a few steps one can take to reduce the burden of being a female at this time period:
Flashes: For those experiencing hot or cold flashes, exercise regularly and avoid spicy foods, hot beverages (coffee), alcohol and hot surroundings. Dress appropriate to prevent the congested feeling.
Vaginal irritation: Menopause is associated with dryness of the vagina due to the lack of secretions (due to low estrogens). There are numerous over the counter products available that can replace the secretions and even make sexual intercourse enjoyable. The products are available at any pharmacy and include lubricants such as Astroglide, K-Y Jelly, moisturizers (Replens, Vagisil) or vaginal estrogen.
Sleep: Sleep patterns are always altered during menopause and one should avoid aggravating this insomnia with hot beverages and alcohol. One should try relaxation techniques, deep breathing and muscle relaxations. Many books are available on these topics.
Kegel exercise: During menopause, the pelvic floors weaken and one feels like the whole bottom part of the body is sagging. One should learn how to perform Kegel exercises. These important and simple exercises will help you strengthen your pelvic and abdominal muscles. This will go a long ways to improving not only your sex life but also decrease the chance of developing urinary incontinence.
Exercise: When attempting to treat the symptoms of menopause naturally, nutrition and lifestyle changes can be one of your biggest allies. On the surface, aerobic exercise is simply all-around good for you; it helps keep your heart and lungs healthy and can help you to maintain bone density. These things are all the more important when going through menopause.
Exercise cannot prevent menopausal symptoms, but it can certainly help to alleviate the frequency and severity of some symptoms. Beginning and sticking with an exercise program can lessen occurrences of hot flashes, night sweats, insomnia, fatigue, irritability, anxiety, and depression. A moderate level of physical activity throughout the day helps most people to sleep better.
Flashes: For those experiencing hot or cold flashes, exercise regularly and avoid spicy foods, hot beverages (coffee), alcohol and hot surroundings. Dress appropriate to prevent the congested feeling.
Vaginal irritation: Menopause is associated with dryness of the vagina due to the lack of secretions (due to low estrogens). There are numerous over the counter products available that can replace the secretions and even make sexual intercourse enjoyable. The products are available at any pharmacy and include lubricants such as Astroglide, K-Y Jelly, moisturizers (Replens, Vagisil) or vaginal estrogen.
Sleep: Sleep patterns are always altered during menopause and one should avoid aggravating this insomnia with hot beverages and alcohol. One should try relaxation techniques, deep breathing and muscle relaxations. Many books are available on these topics.
Kegel exercise: During menopause, the pelvic floors weaken and one feels like the whole bottom part of the body is sagging. One should learn how to perform Kegel exercises. These important and simple exercises will help you strengthen your pelvic and abdominal muscles. This will go a long ways to improving not only your sex life but also decrease the chance of developing urinary incontinence.
Exercise: When attempting to treat the symptoms of menopause naturally, nutrition and lifestyle changes can be one of your biggest allies. On the surface, aerobic exercise is simply all-around good for you; it helps keep your heart and lungs healthy and can help you to maintain bone density. These things are all the more important when going through menopause.
Exercise cannot prevent menopausal symptoms, but it can certainly help to alleviate the frequency and severity of some symptoms. Beginning and sticking with an exercise program can lessen occurrences of hot flashes, night sweats, insomnia, fatigue, irritability, anxiety, and depression. A moderate level of physical activity throughout the day helps most people to sleep better.
Treatment of Menopause
It is important to remember that menopause itself is a normal part of life, not a condition or disease that requires treatment. However, treatment of some of the symptoms of menopause is possible if they become severe.
One of the most common menopausal treatments in the medical community is hormone therapy, also known as hormone replacement therapy (HRT). HRT, administered orally, consists of the female hormone estrogen, or a combination of estrogens and progesterone. This helps to maintain estrogen levels in the body and can control symptoms of menopause related to the decline of estrogen, such as hot flashes and vaginal dryness.
While an effective treatment method, HRT has been shown to have its risks. Long-term studies of women receiving hormone therapy with both estrogen and progesterone have shown an increased risk for heart attack, stroke, and breast cancer. Estrogen therapy alone has been associated with an increased risk of endometrial cancer.
Similar to HRT, there are also vaginal hormonal treatments available. Sometimes combined with oral estrogen treatments, local (vaginal) treatments include vaginal estrogen creams, tablets, and the vaginal estrogen ring. These treatments carry similar risks to those of oral estrogen treatments.
Oral contraceptive pills can be used as hormone therapy to treat women in the early stages of menopause who are experiencing irregular vaginal bleeding (“spotting” or “breakthrough bleeding”) by regulating menstrual periods. It can also aid in reducing hot flashes and night sweats. It is important to remember that while the pill is a very common prescription, it may not be right for all women, and carries it’s own host of risks. Some of the more serious risks include blood clots, stroke and heart attacks, which are increased if you smoke.
One of the most common menopausal treatments in the medical community is hormone therapy, also known as hormone replacement therapy (HRT). HRT, administered orally, consists of the female hormone estrogen, or a combination of estrogens and progesterone. This helps to maintain estrogen levels in the body and can control symptoms of menopause related to the decline of estrogen, such as hot flashes and vaginal dryness.
While an effective treatment method, HRT has been shown to have its risks. Long-term studies of women receiving hormone therapy with both estrogen and progesterone have shown an increased risk for heart attack, stroke, and breast cancer. Estrogen therapy alone has been associated with an increased risk of endometrial cancer.
Similar to HRT, there are also vaginal hormonal treatments available. Sometimes combined with oral estrogen treatments, local (vaginal) treatments include vaginal estrogen creams, tablets, and the vaginal estrogen ring. These treatments carry similar risks to those of oral estrogen treatments.
Oral contraceptive pills can be used as hormone therapy to treat women in the early stages of menopause who are experiencing irregular vaginal bleeding (“spotting” or “breakthrough bleeding”) by regulating menstrual periods. It can also aid in reducing hot flashes and night sweats. It is important to remember that while the pill is a very common prescription, it may not be right for all women, and carries it’s own host of risks. Some of the more serious risks include blood clots, stroke and heart attacks, which are increased if you smoke.
Bio identical hormones and menopause Part 2
Bioidentical HRT is very useful for women who have undergone hysterectomy. The hormones can be delivered as a patch, pill, cream, gel, or even an injection. Currently there are two basic formulations- one formulation that has a constant dose of estrogen and the other which comes with a varying dose of either estrogen or progesterone. There are even reports of some pharmacists adding testosterone to bioidentical hormones to boost libido.
In the short term, there is no question that bioidentical HRT can help strengthen bone, reduce fractures, improve mood and increase energy. There are many anecdotal reports, which claim that bioidentical HRT can help delay the onset of dementia and maintain cognition.
Bioidentical HRT, however, is not for everyone. Women who have liver disease, a history of blood clots or undiagnosed vaginal bleeding should not take these hormones. The typical side effects of bioidentical HRT include headache, bloating, stomach cramps, diarrhea, anxiety, and breast tenderness.
Because there is always a potential for side effects, all women who do intend to take bioidentical HRT should be followed regularly by a health care professional.
In the short term, there is no question that bioidentical HRT can help strengthen bone, reduce fractures, improve mood and increase energy. There are many anecdotal reports, which claim that bioidentical HRT can help delay the onset of dementia and maintain cognition.
Bioidentical HRT, however, is not for everyone. Women who have liver disease, a history of blood clots or undiagnosed vaginal bleeding should not take these hormones. The typical side effects of bioidentical HRT include headache, bloating, stomach cramps, diarrhea, anxiety, and breast tenderness.
Because there is always a potential for side effects, all women who do intend to take bioidentical HRT should be followed regularly by a health care professional.
Bio identical hormones and menopause
Hormone replacement therapy (HRT) is not a new idea. For more than 30 years, some women who have undergone menopause have taken some type of hormone replacement pill
Menopause is a physiological event in life and at this point in time, the ovaries stop making the natural estrogen and progesterone. The loss of these female sex hormones is associated with a number of disturbing physical and emotional effects. Thirty years ago, a varied combination of estrogen and progesterone were widely used to treat menopause. However, as medicine advanced many physicians became aware of the problems of prescribing sex hormones. Experimental work revealed that long-term use of these hormones led to the development of breast or uterine cancers. Soon many women were left with no treatment except for the occasional estrogen patch
Well we are now back to where we started nearly 40 years ago. Today, there is a lot of hype about bioidentical HRT that are widely sought by many women. Bioidentical hormones are naturally occurring hormones extracted from plants. These hormones were initially easily available without a prescription but the concern for safety led the FDA to introduce a prescription for these plant derived hormones. Bioidentical hormones are available in many formulations. There are even some pharmacies that can tailor the exact dosages of estrogen and progesterone.
Menopause is a physiological event in life and at this point in time, the ovaries stop making the natural estrogen and progesterone. The loss of these female sex hormones is associated with a number of disturbing physical and emotional effects. Thirty years ago, a varied combination of estrogen and progesterone were widely used to treat menopause. However, as medicine advanced many physicians became aware of the problems of prescribing sex hormones. Experimental work revealed that long-term use of these hormones led to the development of breast or uterine cancers. Soon many women were left with no treatment except for the occasional estrogen patch
Well we are now back to where we started nearly 40 years ago. Today, there is a lot of hype about bioidentical HRT that are widely sought by many women. Bioidentical hormones are naturally occurring hormones extracted from plants. These hormones were initially easily available without a prescription but the concern for safety led the FDA to introduce a prescription for these plant derived hormones. Bioidentical hormones are available in many formulations. There are even some pharmacies that can tailor the exact dosages of estrogen and progesterone.
Saturday, April 4, 2009
Varicose Veins during Pregnancy Part 6
What are options for varicose veins that develop during pregnancy?
Over the years, there have been many treatments developed to treat varicose veins. None is 100% percent effective but all work well. Recurrences are common with all present day available treatments. All pregnant females should wait after delivery to have varicose veins treated with surgery. Because many varicose veins disappear spontaneously after child birth, it is important to wait at least 3-6 months before visiting a surgeon.
The available surgical procedures to treat varicose veins include
Surgical Ligation and Stripping: this old method is still useful if one has “large rope” like veins which extend from the groin to the legs. The procedure does require anesthesia and a few days to recover. Surgical ligation does have a few more complication than some of the newer procedures but has the least known recurrence rate
Ligation and stabs: Here the vein is tied off in the groin and small incisions are used to remove the varicosities in other parts of the leg. The procedure does require anesthesia and there is a downtime of a few days. Recurrence is also quite common with this procedure
Ultrasound Guided laser therapy: In the last decade many newer minimally invasive procedures have been developed to treat varicose veins. Essentially a small thin wire is threaded up the vein and vein is heated with Laser or radiofrequency waves. This method can be used treat varicose veins in the thigh area. Because it is an outpatient and fast, almost every physician is now doing it. In fact, many physicians are treating patients with the mildest varicose veins- the reason – lots of money to be made.
The best surgical procedure can only determined by your surgeon and his experience. Before one embarks on vein surgery, read about it and you will know what to expect.
Is Varicose Vein Surgery covered by insurance?
Depends, if one has symptoms of leg swelling, pain, ulcers or clots. If yes, then most medical insurance carriers and Medicare will partly cover the cost of surgery. However, if the surgery is done purely for cosmetic reasons, then cost of the procedure is not covered. The average cost of varicose vein surgery per leg ranges from $ 300-$ 600.
Final Word
For the consumer it is essential to know what procedure your physician will use and whether you have symptoms. Remember this varicose veins (saphenous vein) is frequently used for open heart surgery and for bypasses in the leg. Once this vein has been removed, you will not have another vein to have open heart surgery. Too many physicians are now routinely removing this vein in individuals who could have been treated with compression garments. So all consumers, beware, read about the procedure, and more important, know your physician. While some health care professionals are decent, there are just as many who are interested more in your money than how your leg looks.
Over the years, there have been many treatments developed to treat varicose veins. None is 100% percent effective but all work well. Recurrences are common with all present day available treatments. All pregnant females should wait after delivery to have varicose veins treated with surgery. Because many varicose veins disappear spontaneously after child birth, it is important to wait at least 3-6 months before visiting a surgeon.
The available surgical procedures to treat varicose veins include
Surgical Ligation and Stripping: this old method is still useful if one has “large rope” like veins which extend from the groin to the legs. The procedure does require anesthesia and a few days to recover. Surgical ligation does have a few more complication than some of the newer procedures but has the least known recurrence rate
Ligation and stabs: Here the vein is tied off in the groin and small incisions are used to remove the varicosities in other parts of the leg. The procedure does require anesthesia and there is a downtime of a few days. Recurrence is also quite common with this procedure
Ultrasound Guided laser therapy: In the last decade many newer minimally invasive procedures have been developed to treat varicose veins. Essentially a small thin wire is threaded up the vein and vein is heated with Laser or radiofrequency waves. This method can be used treat varicose veins in the thigh area. Because it is an outpatient and fast, almost every physician is now doing it. In fact, many physicians are treating patients with the mildest varicose veins- the reason – lots of money to be made.
The best surgical procedure can only determined by your surgeon and his experience. Before one embarks on vein surgery, read about it and you will know what to expect.
Is Varicose Vein Surgery covered by insurance?
Depends, if one has symptoms of leg swelling, pain, ulcers or clots. If yes, then most medical insurance carriers and Medicare will partly cover the cost of surgery. However, if the surgery is done purely for cosmetic reasons, then cost of the procedure is not covered. The average cost of varicose vein surgery per leg ranges from $ 300-$ 600.
Final Word
For the consumer it is essential to know what procedure your physician will use and whether you have symptoms. Remember this varicose veins (saphenous vein) is frequently used for open heart surgery and for bypasses in the leg. Once this vein has been removed, you will not have another vein to have open heart surgery. Too many physicians are now routinely removing this vein in individuals who could have been treated with compression garments. So all consumers, beware, read about the procedure, and more important, know your physician. While some health care professionals are decent, there are just as many who are interested more in your money than how your leg looks.
Varicose Veins during Pregnancy Part 5
What will happen if the varicose veins are left untreated during pregnancy?
A few individuals who develop varicose veins during pregnancy will have only cosmetic complains. However, the majority of other individuals will develop complications of varicose veins. Today it is impossible to know who will develop complications and who wont. In general, the longer the varicose veins are in place the greater the chance of complications. The typical complication of long standing varicose veins during pregnancy include:
- Superficial thrombophlebitis – this simply means
that the vein has a blood clot inside. The blood
clot will cause irritation and tenderness of the
vein. The vein will appear red and indurated on
the surface. Most individuals may require a pain
killer, aspirin and warm compress to relieve the
symptoms.
- Bleeding – because varicose veins are engorged
with blood, even the slightest trauma or cut can
cause a fair amount of bleeding. The veins are
under fairly high pressure and bleeding can be
extensive. One simply presses at the site and
the bleeding will stop.
- Skin Dryness is a common feature of long standing
varicose veins
- Skin discoloration will occur in all individuals
if the varicose veins are long standing. The skin
discoloration typically starts around the ankle
and appears dark gray to brown. It is due to
blood leaking out of the vein and into tissues
- Venous Ulceration –when blood leaks out of the
vein, it irritates the tissues and over time,
some individuals develop an ulcer. Venous ulcers
are some of the most difficult ulcers to heal.
Can varicose veins recur after treatment?
Sure, recurrence is very common after treatment. There is no cure for varicose veins. There is no treatment today which can completely get rid of varicose veins. Even when the vein is completely stripped and removed, some minor branches may remain and develop into varicosities. Some individuals develop multiple spider veins which keep on recurring. To prevent varicose veins from coming back after treatment, one should wear compression stockings
Can varicose veins be treated with sclerotherapy?
Sclerotherapy is only useful for the minute spider veins. Varicose veins in pregnancy are too large to be injected with the sclerosant.
A few individuals who develop varicose veins during pregnancy will have only cosmetic complains. However, the majority of other individuals will develop complications of varicose veins. Today it is impossible to know who will develop complications and who wont. In general, the longer the varicose veins are in place the greater the chance of complications. The typical complication of long standing varicose veins during pregnancy include:
- Superficial thrombophlebitis – this simply means
that the vein has a blood clot inside. The blood
clot will cause irritation and tenderness of the
vein. The vein will appear red and indurated on
the surface. Most individuals may require a pain
killer, aspirin and warm compress to relieve the
symptoms.
- Bleeding – because varicose veins are engorged
with blood, even the slightest trauma or cut can
cause a fair amount of bleeding. The veins are
under fairly high pressure and bleeding can be
extensive. One simply presses at the site and
the bleeding will stop.
- Skin Dryness is a common feature of long standing
varicose veins
- Skin discoloration will occur in all individuals
if the varicose veins are long standing. The skin
discoloration typically starts around the ankle
and appears dark gray to brown. It is due to
blood leaking out of the vein and into tissues
- Venous Ulceration –when blood leaks out of the
vein, it irritates the tissues and over time,
some individuals develop an ulcer. Venous ulcers
are some of the most difficult ulcers to heal.
Can varicose veins recur after treatment?
Sure, recurrence is very common after treatment. There is no cure for varicose veins. There is no treatment today which can completely get rid of varicose veins. Even when the vein is completely stripped and removed, some minor branches may remain and develop into varicosities. Some individuals develop multiple spider veins which keep on recurring. To prevent varicose veins from coming back after treatment, one should wear compression stockings
Can varicose veins be treated with sclerotherapy?
Sclerotherapy is only useful for the minute spider veins. Varicose veins in pregnancy are too large to be injected with the sclerosant.
Varicose Veins during Pregnancy Part 4
Are varicose veins during pregnancy serious?
No, in most cases, the varicose vein during pregnancy are a cosmetic nuisance. However, as pregnancy progresses, the following symptoms may occur:
- Itching around the ankle
- Dry skin
- Skin discoloration which is more prominent around
the ankles
- Development of ulcers on inside of the ankles
(usually after long standing varicose veins)
- swelling of ankle and feet
- development of blood clots (these are different
from blood clots in the deep veins and are not life
threatening)
- redness of leg
- pain along the varicosity
- infection of vein
Do varicose veins develop clots during pregnancy?
Yes, varicose veins do develop blood clots. However, unlike blood clots in deep veins, these clots very rarely break off and move to the lungs. In the majority of cases the blood clot in the varicose veins will remain in the vein and disappear with time. The blood clot will cause mild tenderness (because it irritates the nerves). Blood clots in varicose veins do not need any blood thinning medications. Aspirin will suffice or better still- wear compression stockings.
How can I prevent varicose veins during pregnancy?
Because there is no ideal treatment for varicose veins, prevention is the best way to approach varicose veins. When one is planning a pregnancy or has just gotten pregnant, start to wear compression stockings. Stockings are best treatment for varicose veins. While they are cumbersome to wear during pregnancy, they can prevent varicose veins, limit swelling, maintain shape, and preserve the smooth cosmetic features of the extremities.
Other steps one can take to prevent varicose veins during pregnancy include
- exercise daily. At least walk for 30 minutes
twice a day. Walking stimulates muscles in the
legs which will squeeze the blood away from the
legs and to the heart
- When resting try and keep the legs elevated at
all times
- When sleeping, place a couple of pillows underneath
the legs and maintain leg elevation for the duration
of pregnancy
- When sleeping during pregnancy, avoid sleeping on
the back. Sleep on the left side because this will
prevent the fetus from compression large veins
in the pelvis
- Avoid standing around for long periods. If you do
have a job that requires prolonged standing, wear
compression stockings every day
- When lying down, do not cross the legs. The pressure
from one leg can easily block superficial veins in
the legs
- Make it a habit of wearing compression stockings
regularly
- Control your weight because varicose veins tend to
be more common in individuals who gain weight
- Avoid wearing tight garments around the abdomen and
groin area
- Eat a diet with low sodium because sodium does have
a habit of retaining fluids
No, in most cases, the varicose vein during pregnancy are a cosmetic nuisance. However, as pregnancy progresses, the following symptoms may occur:
- Itching around the ankle
- Dry skin
- Skin discoloration which is more prominent around
the ankles
- Development of ulcers on inside of the ankles
(usually after long standing varicose veins)
- swelling of ankle and feet
- development of blood clots (these are different
from blood clots in the deep veins and are not life
threatening)
- redness of leg
- pain along the varicosity
- infection of vein
Do varicose veins develop clots during pregnancy?
Yes, varicose veins do develop blood clots. However, unlike blood clots in deep veins, these clots very rarely break off and move to the lungs. In the majority of cases the blood clot in the varicose veins will remain in the vein and disappear with time. The blood clot will cause mild tenderness (because it irritates the nerves). Blood clots in varicose veins do not need any blood thinning medications. Aspirin will suffice or better still- wear compression stockings.
How can I prevent varicose veins during pregnancy?
Because there is no ideal treatment for varicose veins, prevention is the best way to approach varicose veins. When one is planning a pregnancy or has just gotten pregnant, start to wear compression stockings. Stockings are best treatment for varicose veins. While they are cumbersome to wear during pregnancy, they can prevent varicose veins, limit swelling, maintain shape, and preserve the smooth cosmetic features of the extremities.
Other steps one can take to prevent varicose veins during pregnancy include
- exercise daily. At least walk for 30 minutes
twice a day. Walking stimulates muscles in the
legs which will squeeze the blood away from the
legs and to the heart
- When resting try and keep the legs elevated at
all times
- When sleeping, place a couple of pillows underneath
the legs and maintain leg elevation for the duration
of pregnancy
- When sleeping during pregnancy, avoid sleeping on
the back. Sleep on the left side because this will
prevent the fetus from compression large veins
in the pelvis
- Avoid standing around for long periods. If you do
have a job that requires prolonged standing, wear
compression stockings every day
- When lying down, do not cross the legs. The pressure
from one leg can easily block superficial veins in
the legs
- Make it a habit of wearing compression stockings
regularly
- Control your weight because varicose veins tend to
be more common in individuals who gain weight
- Avoid wearing tight garments around the abdomen and
groin area
- Eat a diet with low sodium because sodium does have
a habit of retaining fluids
Varicose Veins during Pregnancy Part 3
Who develops varicose veins during pregnancy?
Varicose veins generally occur in most pregnant women, but there are some risk factors. If the female gains a lot of weight, is obese, stands for prolonged periods, or has had trauma to the leg, then varicose veins are more likely.
Varicose veins are also more common in women who take the birth control pill. Estrogen has been shown to weaken walls of the veins. Multiple pregnancies are also associated with varicose vein development. In most cases of multiple pregnancies, varicose veins generally get worse and most individuals become symptomatic.
What are symptoms of varicose veins during pregnancy?
The first and most obvious side effects is cosmesis. Varicose veins are not glamorous to look at. Secondly when varicose veins get very large they also cause feet to swell. A common complaint is tiredness and fatigue in the legs. Thirdly, as the various veins increase in size, they become hard and “rope like”. Often the varicose veins are tender to touch. Finally, if varicose veins are of long standing, most individuals will develop bluish or grayish discoloration around the ankles. This is chiefly due to the blood pigment leaking out of thin veins and into the tissues. At this stage in time, the color discoloration round the ankle is irreversible.
How does one make a diagnosis of varicose veins during pregnancy?
A simple physical examination is adequate. If the physician is competent, there should be no other studies indicated. When the varicose veins are extensive and surgical treatment is planned, the use of Doppler ultrasound may help reveal where the problem is. Ultrasound can also reveal presence of blood clots and leaky valves in the system. Ultrasound is a painless test and very effective in making a diagnosis of blood clots in the veins..
How does one treat varicose veins of the vulva?
There is absolutely no need to treat vulvar varicose veins during pregnancy. Once the baby has been delivered, almost all cases of vulvar varicosity subside with time. Any time a physician recommends treatment of vulvar varicosities means that he/she has only one concern in his mind- your money. After delivery, one must wait at least 6-12 weeks for the varicosities to disappear- and they do disappear. To further improve the varicose veins, lose weight, walk, and wear compression stockings. Surgery is never a choice for vulvar varicosities and even when undertaken the results are worse than the initial condition.
Varicose veins generally occur in most pregnant women, but there are some risk factors. If the female gains a lot of weight, is obese, stands for prolonged periods, or has had trauma to the leg, then varicose veins are more likely.
Varicose veins are also more common in women who take the birth control pill. Estrogen has been shown to weaken walls of the veins. Multiple pregnancies are also associated with varicose vein development. In most cases of multiple pregnancies, varicose veins generally get worse and most individuals become symptomatic.
What are symptoms of varicose veins during pregnancy?
The first and most obvious side effects is cosmesis. Varicose veins are not glamorous to look at. Secondly when varicose veins get very large they also cause feet to swell. A common complaint is tiredness and fatigue in the legs. Thirdly, as the various veins increase in size, they become hard and “rope like”. Often the varicose veins are tender to touch. Finally, if varicose veins are of long standing, most individuals will develop bluish or grayish discoloration around the ankles. This is chiefly due to the blood pigment leaking out of thin veins and into the tissues. At this stage in time, the color discoloration round the ankle is irreversible.
How does one make a diagnosis of varicose veins during pregnancy?
A simple physical examination is adequate. If the physician is competent, there should be no other studies indicated. When the varicose veins are extensive and surgical treatment is planned, the use of Doppler ultrasound may help reveal where the problem is. Ultrasound can also reveal presence of blood clots and leaky valves in the system. Ultrasound is a painless test and very effective in making a diagnosis of blood clots in the veins..
How does one treat varicose veins of the vulva?
There is absolutely no need to treat vulvar varicose veins during pregnancy. Once the baby has been delivered, almost all cases of vulvar varicosity subside with time. Any time a physician recommends treatment of vulvar varicosities means that he/she has only one concern in his mind- your money. After delivery, one must wait at least 6-12 weeks for the varicosities to disappear- and they do disappear. To further improve the varicose veins, lose weight, walk, and wear compression stockings. Surgery is never a choice for vulvar varicosities and even when undertaken the results are worse than the initial condition.
Varicose Veins during Pregnancy Part 2
Why do varicose veins occur in pregnancy?
The exact cause of varicose veins in pregnancy is unknown but are strongly associated with high pressure developed in the abdomen. The superficial veins from the legs carry blood forward to the heart. These veins also have valves to prevent the blood from flowing backwards. When these veins are blocked (by the fetus), they get engorged and become prominent. It is also believed that during pregnancy, valves in the vein become thin and dysfunctional, thus causing leakage of blood back into the thin veins.
While weight gain during pregnancy is also a factor in development of varicose veins, many thin women also develop varicose veins. The female sex hormone, estrogen, is believed to weaken wall of the veins and causes them to get engorged with blood.
Why does one develop varicose veins only in the legs and vaginal area?
Varicose veins occur more commonly in the legs during pregnancy,. Some females may also develop large bluish varicose veins on the vulva and vagina. The reason for this is fetus most likely lying on top of the veins and preventing the blood moving forward. When the vein is obstructed, it starts to engorge itself with blood. That is why pregnant women are encouraged to sleep on their sides to prevent the fetus from blocking these superficial veins. In some cases, the fetus may be lying very low in the pelvis and presses down over the groin; when this occurs varicosities in the vaginal area do become prominent. When a female has varicose veins of the vaginal area, she will almost always have varicose veins in the legs.
Do varicose veins resolve during pregnancy?
No, in most cases varicose veins that develop during pregnancy generally get worse until the baby is delivered.. Until the baby is delivered, the varicose veins usually get bigger, become more itchy and slightly tender. Most women complain of extreme fatigue in their legs when the varicose veins become large. in more than 80% of cases, the moment the child is delivered the varicosities subside immediately. If a female has had varicose veins during the first pregnancy, there is a great probability that they may occur in subsequent pregnancies.
The exact cause of varicose veins in pregnancy is unknown but are strongly associated with high pressure developed in the abdomen. The superficial veins from the legs carry blood forward to the heart. These veins also have valves to prevent the blood from flowing backwards. When these veins are blocked (by the fetus), they get engorged and become prominent. It is also believed that during pregnancy, valves in the vein become thin and dysfunctional, thus causing leakage of blood back into the thin veins.
While weight gain during pregnancy is also a factor in development of varicose veins, many thin women also develop varicose veins. The female sex hormone, estrogen, is believed to weaken wall of the veins and causes them to get engorged with blood.
Why does one develop varicose veins only in the legs and vaginal area?
Varicose veins occur more commonly in the legs during pregnancy,. Some females may also develop large bluish varicose veins on the vulva and vagina. The reason for this is fetus most likely lying on top of the veins and preventing the blood moving forward. When the vein is obstructed, it starts to engorge itself with blood. That is why pregnant women are encouraged to sleep on their sides to prevent the fetus from blocking these superficial veins. In some cases, the fetus may be lying very low in the pelvis and presses down over the groin; when this occurs varicosities in the vaginal area do become prominent. When a female has varicose veins of the vaginal area, she will almost always have varicose veins in the legs.
Do varicose veins resolve during pregnancy?
No, in most cases varicose veins that develop during pregnancy generally get worse until the baby is delivered.. Until the baby is delivered, the varicose veins usually get bigger, become more itchy and slightly tender. Most women complain of extreme fatigue in their legs when the varicose veins become large. in more than 80% of cases, the moment the child is delivered the varicosities subside immediately. If a female has had varicose veins during the first pregnancy, there is a great probability that they may occur in subsequent pregnancies.
Varicose Veins during Pregnancy
What are varicose veins?
Everyone has superficial veins in the legs. When these superficial veins get engorged with blood and appear blue, they are known as varicose veins. Varicose veins are most common on inside of the thigh and all along the leg up to the ankle. Varicose veins in general are harmless and in most cases are of a cosmetic nuisance.
Unlike the deep veins, blood clots in varicose veins are not of any concern. Women do not like varicose veins because they appear unattractive.
Varicose veins do become prominent in pregnancy chiefly because of the weight gain and also the growing fetus placing pressure on the superficial veins. Most women begin to show signs of varicose veins in the 2nd trimester.
Are Varicose veins during pregnancy permanent?
Not in all cases. Once the baby is delivered, there will be a dramatic relief in the varicose veins. However, at least 30% of women will have mild varicose veins left behind which will not go away. Further, some women may also develop spider veins around the thigh and buttock area.
How common are varicose veins during pregnancy?
During the first pregnancy, at least 30% of women will develop mild to moderate degree of varicose veins. With subsequent pregnancies, almost 50-80% of women will develop varicose veins. The varicose veins generally occur in the thigh and leg area. In some women, the varicose vein may also occur on the vagina, vulva, and groin area.
Where else can varicose veins develop?
Besides the legs, varicose veins are rare elsewhere in the body. Both hemorrhoids and Varicocele are other examples of varicose veins. Women who develop varicose veins during pregnancy are also more prone to hemorrhoids.
Everyone has superficial veins in the legs. When these superficial veins get engorged with blood and appear blue, they are known as varicose veins. Varicose veins are most common on inside of the thigh and all along the leg up to the ankle. Varicose veins in general are harmless and in most cases are of a cosmetic nuisance.
Unlike the deep veins, blood clots in varicose veins are not of any concern. Women do not like varicose veins because they appear unattractive.
Varicose veins do become prominent in pregnancy chiefly because of the weight gain and also the growing fetus placing pressure on the superficial veins. Most women begin to show signs of varicose veins in the 2nd trimester.
Are Varicose veins during pregnancy permanent?
Not in all cases. Once the baby is delivered, there will be a dramatic relief in the varicose veins. However, at least 30% of women will have mild varicose veins left behind which will not go away. Further, some women may also develop spider veins around the thigh and buttock area.
How common are varicose veins during pregnancy?
During the first pregnancy, at least 30% of women will develop mild to moderate degree of varicose veins. With subsequent pregnancies, almost 50-80% of women will develop varicose veins. The varicose veins generally occur in the thigh and leg area. In some women, the varicose vein may also occur on the vagina, vulva, and groin area.
Where else can varicose veins develop?
Besides the legs, varicose veins are rare elsewhere in the body. Both hemorrhoids and Varicocele are other examples of varicose veins. Women who develop varicose veins during pregnancy are also more prone to hemorrhoids.
Friday, April 3, 2009
Use of Testosterone to boost sex drive in women Part 2
Testosterone therapy should not be given unopposed. It should be combined with estrogen. Most experts in the field recommend only testosterone therapy for women who have sufficient levels of estrogen. Testosterone therapy is not recommended in any female who has very low levels of estrogen or is unable to take estrogens. Further testosterone therapy should not be administered to post menopausal women who have a history of breast or uterine cancer. Other females who have relative contraindications to testosterone therapy are those with heart or liver disease.
Today, testosterone is available in various formulations including foam, gel, paste, pill, or injection. Despite the fact that testosterone has been available for more than 60 years, there are no long term studies of this male hormone in females.
Some of the most common side effects of testosterone in females include oily skin, acne and excess facial hair. Other less common side effects include deepening of voice, enlargement of clitoris, risk of heart disease, behavioral changes (anger, depression) and personality changes.
While most of these side effects are transient and disappear when the hormone is stopped, voice deepening and clitoral enlargement may be permanent
For a female who has low libido and no reasons to explain it, perhaps a short course of testosterone may help. However, always ensure that you are under the guidance of a professional who is knowledgeable about these hormones. For those who want a safer sex stimulant- try Viagra.
Today, testosterone is available in various formulations including foam, gel, paste, pill, or injection. Despite the fact that testosterone has been available for more than 60 years, there are no long term studies of this male hormone in females.
Some of the most common side effects of testosterone in females include oily skin, acne and excess facial hair. Other less common side effects include deepening of voice, enlargement of clitoris, risk of heart disease, behavioral changes (anger, depression) and personality changes.
While most of these side effects are transient and disappear when the hormone is stopped, voice deepening and clitoral enlargement may be permanent
For a female who has low libido and no reasons to explain it, perhaps a short course of testosterone may help. However, always ensure that you are under the guidance of a professional who is knowledgeable about these hormones. For those who want a safer sex stimulant- try Viagra.
Use of Testosterone to boost sex drive in women
Recently there has been a lot of talk about bioidentical hormones and how they can improve lives of women. women now want to take extra hormones to treat a varying number of physical and emotional problems. Another related topic is the use of testosterone to improve libido in women entering menopause or who are post menopausal.
Testosterone is a male sex hormone and is important for development of male secondary sexual characteristics. Testosterone is also made in small amounts by the female and it plays a complex role in sexual enhancement. However, as such, testosterone does not have properties of an aphrodisiac nor it a sex stimulant. Men have been taking anabolic steroids and other testosterone products for decades and do not always have an increased sex drive; in fact in many cases, there is a loss of libido.
Women can have a low sex drive for many reasons and simply taking testosterone is not always the answer. The low sex drive in a menopausal female may be due to other declining levels of female sex hormonal, emotional problems, and physical changes like vaginal dryness, depression, or lack of a loving spouse.
In both men and women, levels of testosterone do decline with age. In females, the declining testosterone level with age is much more gradual than what is seen in men. More significant decline of testosterone levels in females are seen after a total hysterectomy and oophrectomy (removal of ovaries). In women who experience low sex drive after surgical removal of the ovary, perhaps one should first start with low dose estrogen therapy. Only if the estrogen therapy is not effective should low dose testosterone therapy be initiated. There are also some women who have a low sex drive but no cause can be identified. In such women, one may want to try low dose testosterone therapy. how long to continue low dose testosterone therapy in a female is unknown but should not be long term. If the testosterone works, the increase in libido is not instant but gradual over a few weeks.
Testosterone is a male sex hormone and is important for development of male secondary sexual characteristics. Testosterone is also made in small amounts by the female and it plays a complex role in sexual enhancement. However, as such, testosterone does not have properties of an aphrodisiac nor it a sex stimulant. Men have been taking anabolic steroids and other testosterone products for decades and do not always have an increased sex drive; in fact in many cases, there is a loss of libido.
Women can have a low sex drive for many reasons and simply taking testosterone is not always the answer. The low sex drive in a menopausal female may be due to other declining levels of female sex hormonal, emotional problems, and physical changes like vaginal dryness, depression, or lack of a loving spouse.
In both men and women, levels of testosterone do decline with age. In females, the declining testosterone level with age is much more gradual than what is seen in men. More significant decline of testosterone levels in females are seen after a total hysterectomy and oophrectomy (removal of ovaries). In women who experience low sex drive after surgical removal of the ovary, perhaps one should first start with low dose estrogen therapy. Only if the estrogen therapy is not effective should low dose testosterone therapy be initiated. There are also some women who have a low sex drive but no cause can be identified. In such women, one may want to try low dose testosterone therapy. how long to continue low dose testosterone therapy in a female is unknown but should not be long term. If the testosterone works, the increase in libido is not instant but gradual over a few weeks.
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