Hormones during menopause are not always prescribed. In less severe menopause enough reducing energy intake and increasing physical activity. But in some cases, without the introduction of sex hormones can not do.

In which cases are assigned

At the request of the women hormone replacement therapy (HRT) can be assigned in any scenario during menopause, but only if there are no contraindications. In any case, the appointment of HRT improve the condition of women and warn complications that occur during menopause.

In practice, it turns out that HRT is appointed for severe menopause with metabolic disorders as central obesity, osteoporosis fractures, high blood pressure, diabetes and so on. Early administration of HRT shown in diseases of urinary organs, as well as difficult the menopause have a close relative (mother, sister, grandmother).

Today gynecologists believe that HRT can significantly reduce the unpleasant symptoms of menopause and to prevent serious violations of the metabolism and internal organs.

HRT is prescribed for a long period of time, up to five years or more. But sometimes they do not take so long - only to suppress the primary most pronounced symptoms of menopause, which is, of course, is not quite correct.

Preliminary survey and contraindications

HRT - this intense effect on the body, so it has a number of contraindications. Before the appointment of HRT should be carried out a survey of women, which includes consultation gynecologist survey of the breast (mammography and ultrasound), a survey of the state of the uterus and its appendages (ultrasound, if necessary - hysteroscopy Hysteroscopy - examination of the uterus inside , Smears from the vagina and cervix), the study of blood clotting, study the biochemical composition of the blood (including blood lipids, liver function tests), hormones, blood, ECG.

HRT is contraindicated uterine bleeding of unknown etiology (cause of which is not clear), cancer of genitals or mammary glands, a condition after just endured severe vascular complications (thrombosis, myocardial infarction, stroke, etc.), severe liver disease, kidney or thyroid, as well as patients who are on bed rest and who will be an operation.

Combined cyclic hormone therapy

Combined hormonal therapy is drugs, which include female sex hormones estrogen and progesterone. For the cyclic therapy is prescribed medications such as tsikloproginova, climate, klimonorma, Divina, femoston, divitren.

Assign these drugs in premenopausal when menstruation has not ceased, but have become irregular, often accompanied by painful and dysfunctional uterine bleeding Uterine bleeding outside of menstruation - a sign of a serious breach . Or, on the background of menopause in women there are such unpleasant symptoms like hot flushes blood to the head, sweating, nervous and so on.

Preparations of this series administered sequentially, in accordance with the phases of the menstrual cycle. Estrogens are accepted throughout the menstrual cycle and progesterone Progesterone - norm and pathology   attached to the second half of it, which causes bleeding menstrualnopodobnye. As hormonal contraceptives, they are used for 21 days followed by a break for seven days at the time of bleeding.

Different hormones for hormone replacement therapy of hormonal contraceptives in that they contain only small doses of natural estrogens, whereas in hormonal contraceptives contain the synthetic hormones.

Combined continuous hormonal therapy and monoterpaiya

Combined continuous HRT conducted in postmenopausal Postmenopause - is it possible to control it? When menstruation has stopped. To this end, these tablets are used drugs like kliogest and Livial and preparation for intramuscular injection ginodiandepo (it is administered once a month). In these preparations contain small amounts of natural female hormones estrogen and progesterone, which prevent the development of complications of menopause without causing bleeding menstrualnopodobnoe.

Medications for monotherapy contain only estrogen are intended for the treatment of menopausal women with hysterectomy. These drugs are proginova, estrofem, Premarin, hormopleks.

Side effects of hormone replacement therapy

Side effects of HRT include fluid retention (covert and overt edema), weight gain, bloating and mild morbidity of mammary glands, headaches, increased oily skin (it promotes the appearance of pustular rash), the phenomenon of thrombophlebitis, irregular menstrualnopodobnye bleeding (for HRT they should start on time).

When some side effects you need to consult a doctor, perhaps, hormonal drug should be replaced.

Hormone replacement therapy is prescribed only after a preliminary examination of the gynecologist.

Galina Romanenko

Women face many changes during menopause, but least known of these is the loss of hair. Although the hair should grow back again after menopause, it does not mean that it causes less discomfort. How to improve the procedure for hair, change the diet and reduce stress How to beat stress? Create an oasis To help to reduce hair loss during menopause?

On average, a woman's head is about 100 thousand hair, 50-100 of which falls naturally every day. However, hormonal changes, a woman's body through which extends at menopause in almost 75 percent of women can lead to thinning or loss of hair. Fortunately, the hair should grow back between six months to two years after the menopause, but at the same time, there are some simple steps you can take to help reduce hair loss during menopause.

Nourishes the hair

Since dry skin Dry skin: care and treatment   head - as a result of lack of estrogen at menopause - is likely to exacerbate hair loss, it is important to use a moisturizing shampoo and conditioner. Choose foods that are specially designed for dry and damaged hair and increase elasticity, as, for example, intensive moisturizing shampoo and conditioner Alterna Caviar Anti Aging.

To increase the effect of nourishing hair type in your scheme of care weekly hair mask, for example, anti-aging mask Phytodensium Anti-Aging Mask. This mask contains grape seed oil, black currant oil and wheat germ, which protect and nourish the hair, as well as vegetable protein complex, which increases the strength and elasticity of the hair.

Means for hair care at home: hair mask from the eggs and olive oil

This mask, which can be made at home, will help restore the natural balance of oily hair.

Mix two eggs with four tablespoons of olive oil, mix well. Then spread the mixture on the hair and cover the head with cling film. Wash thoroughly after 10 minutes.

Give your hair a break

Let your hair feel naturally at menopause, give them a break from the hair dye, hair dryers and rectifiers, which can potentially damage more sensitive curls. Try to skip a day between washing hair, your hair had time to work out the natural oils that help maintain the strength of follicles. Always let the hair dry naturally and avoid tight hairstyles such as tails and braids.

Moisturize your body

Maintaining an adequate level of water absorption during menopause not only keeps skin and hair healthy, but also improves blood circulation, which supports the food follicle, reducing hair loss. Doctors recommend drinking 8-10 glasses of water a day.

Fruits and vegetables

Some fruits and vegetables can also give the body the moisture it needs, while providing hair a healthy diet, so you should pay attention to moisture-rich fruits and vegetables such as watermelon, papaya, cucumber and celery.

Change diet

Maintaining a rich diet with vitamins and minerals to help maintain healthy skin and hair during menopause. Eat more proteins, omega-3 fatty acids (e.g., linseed oil Linseed oil - the healing properties of a beautiful flower , Rapeseed oil, fish oil Fish oil - so whether it is useful to think? , Pumpkin seeds, sunflower seeds), iron and vitamins A and C. This will help your hair stay healthy and lush.