The active ingredient is progesterone utrogestan
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, A natural female sex hormone. In combination with other female hormone estrogen
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, It is used in hormone replacement therapy.
What is hormone replacement therapy
In the period before the onset of menopause, the ovaries begin to secrete less of hormones, causing the level of estrogen in the blood decreases. Low levels of estrogen leads to the appearance of symptoms such as irregular periods, excessive sweating at night, sudden unexplainable mood swings, dryness and itching of the vagina.
To facilitate these symptoms assigned to receive estrogen. Simultaneous administration of progesterone is necessary because estrogen stimulates growth of the inner lining of the uterus (endometrium), which can lead to cancer of the endometrium. Progesterone reduces the effects of estrogen on the endometrium and reduces the likelihood of developing cancer, although it can not protect against it entirely. This treatment is called combination hormone replacement therapy
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.
Estrogen taken throughout the course of therapy.
How to take utrozhestan?
Utrozhestan can be taken two ways.
- First option: the capsules utrogestan containing 200 mg of progesterone once daily at bedtime for twelve days in the second half of the cycle (for example, by the fifteenth day of the twenty-sixth). At the same time within a week after receiving utrogestan starts bleeding, similar to menstrual.
- Second Embodiment: utrogestan taking capsules containing 100 mg of progesterone daily to the first through the twenty-fifth day of the cycle. Bleeding at the same time or very little, or not at all.
Utrozhestan should be taken before going to bed on an empty stomach. Do not eat at least three hours before bedtime
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. This drug causes dizziness and drowsiness, which is why it is recommended immediately after a sleep.
Women who undergo hormone replacement therapy in any form, should be regularly examined by a gynecologist.
Risks reception utrogestan
Before starting treatment, it is important to understand all the risks involved. One of the biggest of its dangers is that the patients during hormone replacement therapy significantly increases the risk of breast cancer. You must carefully consider the benefit of therapy and its risks before starting to receive hormonal medication. Throughout the course of treatment need regular mammograms and consult your doctor when it detects any changes in the structure of the breast.
In addition, women who undergo hormone replacement therapy slightly increases the risk of stroke and blood clots in the veins. The likelihood of these diseases is even higher in patients with risk factors such as family history of stroke, smoking, obesity, certain blood diseases. If the doctor decides that you undergo therapy to be too risky, do not insist - it really is not as harmless as we would like patients.
The risk of blood clots in the veins (thromboembolic events) may temporarily increase after injury, surgery and long periods spent without movement (including travel on the bus or on the plane lasting more than five hours). Most doctors advise to stop taking estrogen and utrogestan before elective surgery (usually 4-6 weeks), especially if the operation is carried out on the abdominal or lower limbs). If you will be a long journey, talk to your doctor in advance whether to continue therapy during this period.