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Menopause: When to use HRT?

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Galal Lotfi
Galal Lotfi

Management of menopause, to use Estrogen therapy or not. Management of aging.

Santé & MédecineDivertissement et humour
1  sur  87
MENOPAUSE: HRT or NO HRT ? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Egypt
Suez Canal University Hospital
Starts as a date and continues as a status! ,[object Object],[object Object]
This is the Change The change is not a disease
For a woman without a uterus? ,[object Object],[object Object]
Which is best name?
Do we deal with Menopause or Climacteric? ,[object Object],[object Object]
Starts by a date that never ends? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Menopause is OK but its sequalae are not OK Hot flashes Osteo, Urogenital CVD Mood Collagen
Physiology ,[object Object],[object Object],[object Object],[object Object]
 
Ovarian Process. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
1. Physiology of Menopause ,[object Object],[object Object],[object Object],[object Object],[object Object]
Physiology of Menopause ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
2. Reproduction and Meno. ,[object Object],[object Object],[object Object],[object Object]
3. Hormonal Changes ,[object Object],[object Object],[object Object],[object Object],[object Object]
4. Effects of Declining Estrogen ,[object Object]
 
1. Brain and CNS ,[object Object],[object Object],[object Object],[object Object],[object Object]
Brain and CNS ,[object Object],[object Object],[object Object]
2. Hot Flushes ,[object Object],[object Object],[object Object],[object Object]
Hot Flushes ,[object Object],[object Object]
3. Vision ,[object Object],[object Object]
4. Collagen ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
5. Urogenital Atrophy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
6. Bone Loss ,[object Object],[object Object],[object Object],[object Object]
Bone Loss ,[object Object],[object Object]
Bone Loss ,[object Object],[object Object],[object Object]
7. CardioVascular ,[object Object],[object Object],[object Object],[object Object],[object Object]
CVD ,[object Object],[object Object],[object Object],[object Object]
CVD ,[object Object],[object Object],[object Object],[object Object]
7.Sexuality ,[object Object],[object Object],[object Object]
7.Sexuality ,[object Object],[object Object]
How They Perceive Menopause ,[object Object],[object Object],[object Object]
Women’s Perceptions of Menopause ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
If she does not have any of these, why not to leave her alone??
How to Manage? ,[object Object],[object Object],[object Object],[object Object]
Preventive measures for menopause ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
1. Diet & Excercise ,[object Object],[object Object]
Diet & Exercise ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
2. Supplement ,[object Object],[object Object],[object Object],[object Object]
3. Therapeutic Options ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
a.Estrogen for vasomotor ,[object Object],[object Object],[object Object],[object Object]
b.Bisphophonate for osteoporosis ,[object Object]
c. Other treatment for osteoporosis. ,[object Object],[object Object]
Other treatment for osteoporosis. ,[object Object],[object Object],[object Object],[object Object]
d. SERM ,[object Object]
SERMs ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Ideal SERM ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
[object Object]
Women perception of HRT ,[object Object],[object Object],[object Object]
Women perception of HRT ,[object Object],[object Object]
Benifits ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Vasomotor ,[object Object],[object Object],[object Object]
Osteo, Preven & TT ,[object Object],[object Object]
 
CHD ,[object Object]
Reversal of urogenital atrophy ,[object Object]
Improv. Mood and Cognitive functions ,[object Object],[object Object]
Improv. Mood and Cognitive functions ,[object Object],[object Object]
What about risks?
RISKS ,[object Object],[object Object],[object Object],[object Object]
Idiosyncratic Reactions ,[object Object],[object Object]
Idiosyncratic Reactions ,[object Object],[object Object]
Vag Bleeding ,[object Object],[object Object],[object Object]
Endometrial Dis. ,[object Object],[object Object],[object Object],[object Object],[object Object]
Breast Cancer ,[object Object],[object Object],[object Object],[object Object]
Breast Cancer ,[object Object],[object Object],[object Object]
Breast Cancer ,[object Object],[object Object],[object Object]
Tibolone; another progestogen ,[object Object],[object Object],[object Object]
Compliance ,[object Object]
HRT status in 2010 ,[object Object],[object Object],[object Object]
Conclusions ,[object Object],[object Object],[object Object]
Conclusions ,[object Object]
[object Object]
[object Object]
[object Object]
[object Object]
[object Object],[object Object],[object Object]
[object Object]
Conclusions ,[object Object],[object Object],[object Object],[object Object]
Conclusions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Conclusions ,[object Object],[object Object],[object Object],[object Object]
Thank you

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Menopause: When to use HRT?

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  • 5. This is the Change The change is not a disease
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  • 10. Menopause is OK but its sequalae are not OK Hot flashes Osteo, Urogenital CVD Mood Collagen
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