Menopause is a process that every woman goes through in her life. Mood swings, hormonal changes, pain, and hot flashes are normal. Unfortunately, it is a natural process in a female’s life, But did you know that it is possible to treat the symptoms of menopause?
Hey Brazilian consensus on climate hormone therapy 2024which updates guidelines for the management of menopausal hormone therapy (HT), enhancing the efficacy and safety of the treatment. The document was produced by Brazilian Climate Society (SUPRAC) In partnership with Brazilian Federation of Obstetrics and Gynecology Societies (Febrasgo).
“This new consensus is the latest reliable information on hormone replacement after menopause, reinforcing the many benefits of this treatment, which significantly outweigh the potential risks. Hormone therapy is recommended for almost all women with menopausal symptoms, with few contraindications,” says gynecologist Igor Badovici, in an interview with Terra.
Effectiveness of hormone therapy
The document reiterates the effectiveness of HT for the four indicators already defined: Hot flashes treatmentfrom Genitourinary syndrome of menopause (formerly called genitourinary atrophy), Prevention and treatment of bone loss related to menopause, and early menopause (Before age 45.) But in addition, the consensus points to many other already recognized benefits of hormone therapy.
“HT has been shown to provide cardiovascular protection for women, reduce mortality from various causes, reduce the risk of diabetes, improve sleep, symptoms of depression, sexual function, and reduce the risk of colorectal cancer and even Alzheimer’s disease. All of this is explicitly stated in the consensus,” says the gynecologist.
How to manage hormones
Another important point in the document is the guidelines on: The ideal way to administer these hormones to enhance effectiveness and minimize risks. According to the specialist, it is currently recommended to carry out hormone therapy with hormones via a “non-oral” route, for example, through the skin.
“Most of the known risks of hormone therapy are due to incorrect administration or use of synthetic and oral hormones, and the treatment regimens used in the past,” says Igor.
According to the gynecologist, HT has some risks, but they are very small and can be controlled by following the correct recommendations also explained in the document.
Does hormone therapy have any contraindications?
According to the doctor, Uterine cancer is a potential risk for HT.It occurs due to uncontrolled development of the lining of the uterus caused by the hormone estrogen. However, to control this process, the patient is given the hormone progesterone.
“Another possibility is breast cancer, but this risk is very small: less than one case per thousand women. Therefore, the vast majority of women can undergo hormone therapy without any concerns,” he says.
Other contraindications mentioned in the document are: Decompensated liver disease, some cardiovascular and venous diseases, breast and endometrial cancer, and vaginal bleeding of unknown cause. But even these situations There are no absolute contraindications.
“Often, HT may be indicated, after careful assessment of the risks and benefits. It is important to remember that there are also risks to not using hormonal therapy, such as an increased risk of cardiovascular disease, osteoporosis and fractures, as well as symptoms that can significantly affect quality of life.
Igor Badovici highlights the Brazilian consensus on climate hormone therapy 2024 It should be mandatory for all gynecologists and endocrinologists.
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