The North American Menopause Society just released the 2017 hormone therapy position statement. This is the up-to-date information of all the new evidence and consensus recommendations since the last update of 2012.
In the past:
There has been a lot of anxiety over the potential side effects of hormone replacement therapy (HRT): breast cancer, heart diseases, endometrial health and dementia. In the past a few years many females have unnecessarily suffered from the menopausal symptoms of hot flashes, insomnia, mood swing and night sweats. Some women have been put on antidepressant and opioids due to the fear and hesitance of using HRT.
In the new:
The new recommendation is to swing back to the HRT regimen comprised of estrogen and progesterone combination in order to improve the symptoms.
- For cardiovascular diseases, there haven’t been increased risk for the duration up to twenty years after menopause.
- The statements list the beneficial effects of HRT including decreased death from cardiovascular diseases, decreased incidence of osteoporosis and fractures, improved vasomotor symptoms, mood, sleep, cognition, and liver and gall bladder health.
- There is no proven correlation to lung cancer and colon cancer. The only negative effect is the increased risk of venous thromboembolism.
- The overall life quality is significantly improved. For breast cancer, there is a slight increase with the estrogen alone treatment.
Integrative medicine, including the traditional eastern medicine use foods and herbs that contains estrogen and progesterone hormones. HRT, however, provides quick and lasting therapeutic effects that is recommended in the new statement of 2017.