Harmone replacement therapy

Hormone Replacement Therapy www.freelivedoctor.com

Why Hormone Replacement Therapy? ,[object Object],www.freelivedoctor.com

Since estrogen deficiency is a major cause of the long-term complications of the menopause, estrogen replacement is the rational treatment to address the cause of the problems after menopause .But as there are limitations of estrogen therapy as HRT, some other drugs are also used besides estrogen www.freelivedoctor.com What is hormone replacement therapy?

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],DRUGS USED IN HRT www.freelivedoctor.com 1) Estrogens-

DRUGS USED IN HRT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com 2) Progestins:

DRUGS USED IN HRT ,[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com 3) Tibolone- 4) Androgen - ,[object Object],[object Object]

DRUGS USED IN HRT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com Regimens

[object Object],[object Object],[object Object],[object Object],Benefits of HRT www.freelivedoctor.com

[object Object],[object Object],Benefits of HRT www.freelivedoctor.com

Benefits of HRT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com

Benefits of HRT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com

Benefits of HRT ,[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com

Benefits of HRT ,[object Object],[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com

Benefits of HRT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com

Specific actions of TIBOLONE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com Thus it is a menstruation free HRT, which is most welcome to most women, with an intact uterus.

RISKS OF HRT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com Endometrial risk:

RISKS OF HRT ,[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com Breast neoplasia:

RISKS OF HRT ,[object Object],www.freelivedoctor.com Ovarian neoplasia Venous thromboembolic disease ,[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com Advantages & Disadvantages of each preparation: - ESTROGEN: ORAL -

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com Advantages & Disadvantages of each preparation: - ESTROGEN: ORAL - ETHINYL ESTRADIOL

[object Object],[object Object],www.freelivedoctor.com Advantages & Disadvantages of each preparation: - ESTROGEN: ORAL - CEE.

[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com Advantages & Disadvantages of each preparation: - ESTROGEN: ORAL - Estriol

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com Advantages & Disadvantages of each preparation: - ESTROGEN: TRANSDERMAL

[object Object],[object Object],[object Object],www.freelivedoctor.com Advantages & Disadvantages of each preparation: - ESTROGEN: IMPLANTS

[object Object],www.freelivedoctor.com Advantages & Disadvantages of each preparation: - ESTROGEN: VAGINAL CREAM

SPECIAL SITUATIONS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com Choice Of Preparation

INDICATIONS FOR STARTING HRT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com

Contraindications of conventional HRT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com

SPECIFIC INDICATIONS OF TIBOLONE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com

Adverse effects of Progestins & their management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com

Harmone replacement therapy

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Harmone replacement therapy