It is widely known that the menopause period is a natural process of age-related changes associated with the extinction of the childbearing function. However, concomitant symptomatology sometimes not only causes a woman inconvenience, but also significantly affects the quality of life and work capacity. In the process of hormonal adjustment, the following disorders may appear:
- psycho-emotional state;
- vegetative and cardiovascular system;
- diseases of the genitourinary system;
- decreased sexual desire.
And this is not a complete list of all the unpleasant moments associated with a decrease in the amount of estrogen produced in the female body with menopause.
Estrogens with menopause
To reduce the manifestation of characteristic symptoms in menopause, estrogen-containing drugs are most often used. The so-called hormone replacement therapy is used to prevent and correct disorders associated with a drop in the level of estrogen in menopause. Preparations used for HRT are divided into two groups according to their composition:
- Only with the content of estrogen. Most often appointed after surgery (removal of the uterus).
- Containing estrogen and progesterone . Progesterone is used to protect the endometrium.
It should be noted that with climacteric drugs with estrogens should be administered with great caution, since they have a number of contraindications. It is strictly forbidden to use estrogenic drugs for menopausal women with such diseases:
- breast cancer, endometrium, uterus, melanoma;
- diseases of the liver, biliary tract, heart, circulatory disorders (heart attack, stroke, thrombophlebitis, etc.);
- bleeding of unknown origin.
Also, preparations with estrogens are not recommended for menopausal women with endometriosis , uterine myomas, women with high blood pressure.
Even if there are no significant contraindications for the use of estrogen preparations in menopause, HRT should be prescribed only under the supervision of a physician, taking into account the individual characteristics of the organism and the manifestation of symptoms. When taking these medications, a regular pelvic examination is necessary. Patients who used progesterone-free drugs in addition to routine examinations should be given a biopsy for cancer or precancerous changes in the endometrium.