Fitness Friday: Medical Societies Reach Harmonize Hormone Therapy Advice

Hormone therapy is one of the most studied treatments in medicine. The effects of estrogen, the main component in most hormone therapy, are so wide ranging, that it's important that each individual work with a provider to decide if and when to begin therapy, what dosages and formulations to use, when to change, how to monitor, and when to stop. Given that large population studies have only given pieces of advice to providers, often women have been told what they perceive is conflicting advice. Much of the confusion stems from an interpretation of 'risk' and what some perceive as too much risk is viewed as virtually no risk to others. Given that some women are willing to assume more risk than other women, we have to recognize that Women do need to discuss their individual risk factors, and it is going to be the most beneficial if you begin your therapy within the first 10 years after your natural age of menopause, or at least by age 60. A new Revised Global Consensus statement on hormone therapy has just been issued and endorsed by many organizations.An important revelation is that the societies agree that multiple symptoms including joint pain, muscle aches, mood changes and sleep disturbances may all improve with hormone therapy. They agree that Menopausal Hormone Therapy (MHT) is the only therapy that has shown actual bone fracture prevention in women who have normal to osteopenic bone density scores. The Consensus statement also goes on to say that hormone therapy can prevent recurrent urinary tract infections. There is much to discuss with your provider

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