HORMONAL THERAPY FOR THE WOMAN
Of the menarca to the climacteric and menopause

Menarca: the first sangramento

Syndrome climatérica: fall of production of the hormones
(estrogen and progesterone) and flotation of the same ones.

  • drought skin; - retention of liquids
  • brittle hair; - hypoglycemia;
  • decrease of hair; - interference with tiroidiana function;
  • libido; - increase of the cholesterol and triglycerides;
  • irritability; - allergic;
  • PMS; - increase in production of fatty fabric
  • depression; - heat waves;
  • irregular cycles; - fatigue;
  • headaches; - insomnia;


Menopause

  • Stop of the period for 6 to 12 months
  • Millions of women in the whole world are in the
    period powders menopause and million arrive there in the next decade.
  • Larger life expectancy - period larger powders menopause..
  • Psychological factors and symptomatology - life style.

Symptoms and Metabolic Alterations

  • Heat waves
  • incidence - 85% - dilation of the blood vessels.
  • termografia

Decrease of the Sexual Appetite

Osteoporosis

  • responsible for the spontaneous fractures - femur lap - dental loss.
  • other factors: smoke, coffee, sedentarismo, alcoholic drink.

Arterial disease Coronariana

  • equivalence to the infarct - 15 years after menopause HDL/LDL
  • others factors: smoke, hypertension, diabetes, family history.

Alzheimer Disease

  • larger prevalence in women;
  • prevalence 3/1 - in the same age group.
  • breast cancer - glue of the uterus and endometrium
  • estrogen and progesterone; they should not be administered in:
    - Suspects of breast cancer;
    - known or suspects - neoplasia dependent estrogen;
    - history current or last of tromboflebite (synthetic hormone)
    - diseases tromboembólicas (synthetic hormone)
    - alter vascular encephalic (synthetic hormone)
    - hepatic dysfunction.

    DATA IN FAVOR
    - Dose - that protects of the osteoporosis and vascular disease doesn't induce to the breast cancer.
    - progesterone - the second natural hormone.

    OSTEOPOROSIS
    - rarefaction of the bone;
    - disease affects millions of women in the whole world;
    - 1.300.000 of fractures a year - 10% senior women - 20 thousand annual deaths, only in the United States;


Outlines of Treatment


Hormones always natural with identical chemical structure to the produced by the feminine organism.

Cyclical------Estrogen + Estrogen and Progesterone

Continuous--------Estrogen + Progesterone

DHEA -

Testosterone - precocious menopause
- surgical menopause
- Bone loss in spite of HRT
- Decrease of the libido
Alternative outlines
SERM----for cases in that the estrogen is contraindicated
Fitohormônios----they protect of the breast cancer, but they don't work for replacement.


HORMONAL THERAPY FOR THE WOMAN

Do it or not?
1 - individualization
of the cases Symptoms
Bone loss
Cardiovascular disease
Alzheimer


2 - Including treatment
Thank you!

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