Medical Menopause Treatment


                If menopausal symptoms are severe, a woman may go to a doctor for a menopause treatment. Hormone replacement therapy is one category of menopause treatment. The types of hormones used and the delivery method for the hormones vary depending on the treatment. There may be risks associated with the long term use of hormone replacement therapy. A doctor may prescribe other drugs for severe menopausal symptoms. Be sure to understand the possible risks and benefits of any menopause treatment before taking it.

Hormone Based Menopause Treatment

                Hormone replacement therapy, also known as menopausal hormone therapy, supplies the hormones that a woman's body is less able to produce after menopause. Before menopause, a woman's ovaries produce estrogen and progesterone in response to follicle stimulating hormone and luteinizing hormone. After menopause a woman's body produces much less estrogen and progesterone. Hormone replacement therapy compensates for this decline in hormone production. A woman may receive estrogen alone or she may receive estrogen along with progesterone. There are different types of estrogen and progesterone available with subtle variations.
                Today, there are many delivery methods for hormone replacement therapy. Estrogen and progesterone pills for oral delivery were developed first. Estrogen is also available in a skin patch, a vaginal tablet, a vaginal cream, an implant, a shot, a gel, a spray, or a vaginal ring insert. Progesterone can be delivered through a skin patch, a shot, an intrauterine device, a vaginal suppository, or a gel. Some delivery methods are better suited to address certain symptoms and to minimize certain risks.

                There may be risks associated with hormone replacement therapy.  These risks can  include increased change of stroke, heart disease, blood clots, and breast cancer. Women who start hormone replacement therapy after age 65 possibly may face an increased risk of dementia. Women with a history of liver disease should be cautious about using hormone replacement therapy.   Less serious side effects of hormone replacement therapy can include breast tenderness, spotting, a return of monthly periods, cramping, and bloating.

Other Menopause Treatments

                Other medications are available to address  sevee menopausal symptoms. A doctor should explain the risks and benefits of an option before recommending any given medication. A doctor may prescribe a low dose of a antidepressants, blood pressure medication, or an anti-seizure drug to reduce hot flashes. These medications may not benefit  other symptoms of menopause such as vaginal dryness and a declining sex drive.

                Women can choose from many different menopause treatments. Hormone replacement therapy replaces declining hormones. A woman may receive estrogen alone or estrogen with progesterone. Various versions of these hormones with small differences are available. There are many delivery methods for hormone replacement therapy. Like any treatment, hormone replacement therapy may have some risks. Non-hormonal menopause treatments are available to address some of the more severe signs of menopause. Discuss the options thoroughly with a doctor before starting any menopause treatment.



Summary: Severe Symptom Menopause Treatments


Estrogen, Progesterone and Estrogen


Antidepressants, Blood Pressure Medication, Anti-seizure Medications





1. Menopause. Cedars-Sinai Medical Center.

2. Menopause. University of Maryland Medical Center.

3. Hormones and Menopause. National Institute on Aging. National Institutes of Heath

4. Hot Flashes. Mayo Clinic.

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