Hormone Therapy And All Cause Mortality.

Hormone therapy can be life changing, you can improve moods, you can have a better sex life, you can maintain your weight and your waist, you can have healthier bones and skin, as well as control sleep and cognition; however there are risks of starting, risks of continuing and now we know if you were ever taken off hormone therapy there are risks to discontinuing therapy. The risks are very individual and if you have ever been  too scared for hormone therapy the best strategy is to come in to discuss the therapy, and what your personal risks and benefits might be. There are many studies that we can look to for advice. It is not just a good idea to rely on only one study, or on statistics that may be misinterpreted. All of this is understandable in light of new findings that politics, and 'alternative interpretations' hampered the interpretation of the Women's Health Initiative study findings. To read about this perspective here are some editorial comments. The newest study in the September issue of JAMA by Dr.s Mason and her colleagues is that mortality is not changed by use of hormone therapy. There are individual risks and benefits, for sure, and to that end there is still a call to action as to the research. The good news is that there has been aggressive study of the following menopausal helpful strategies other than just life span because there are many potential risks and there has occasionally been overemphasis, and thus 'misinterpretation,' of the risks of hormone therapy:
1. A search for effective bust even safer dosages, you may need more or less dosage than other women you know. We may want you to get an app and figure out how many hot flashes a day you are really having.
2. A search for alternative therapy, especially if you are very early or very late in menopause you might be better off considering specialized dosing, or dosing that is modified with the right nutrition and supplements. Appropriate testing can help direct our advice.
3. A better understanding of long term bone health and the risks of alternative therapies, for this information we need to test your bones.
4. Nutritional and fitness management of menopause. Can you pass some very simple fitness tests? Let us check your abdominal muscles, your posture, and your gait to give you proper advice.
5. Non-medication laser therapy for sexual pain with menopause. As with other aspects of your medical care, prevention is an important strategy.
6. Non-hormonal management of irregular bleeding in perimenopause, of utmost important is to get proper tests for breast cancer, cervical cancer, colon and skin cancer.
7. Understand your long term risks in context of the type of hormone, the age of initiation, your response to hormone therapy.

All of these have significantly helped women, and thus we have to argue that this was a benefit of the WHI information. For more information, search some of the other posts on this topic in this blog.


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