In gynecology, hormone therapy is used in many diseases and pathological conditions. And in some cases this is considered the only method of treatment.
Types of hormone therapy
The choice of these or other types of hormonal therapy is due to the presence of a certain dysfunction of the endocrine glands. There are three ways to treat hormones:
- Substitution therapy, when hormone deficiency or lack of hormone is necessary to take hormonal drugs.
- Drugs for inhibiting the excess production of a hormone.
- Symptomatic treatment.
Gynecology often uses cyclic hormone therapy, that is, the alternation of different hormones to simulate the natural menstrual cycle. Also isolated combined and monotherapy with hormones.
Hormonal drugs are used in the form of the following pharmacological forms of release:
- tablets for oral administration;
- vaginal suppositories, creams and tablets;
- plasters;
- injection.
Indication for hormone therapy
Treatment with hormonal drugs should always correspond to clear indications. Consider the most common of them.
- Hormone therapy with menopause is to replenish the missing hormones. Prescribe the use of estrogen and progesterone in a cyclic mode. At the same time after a three-week reception take a break for a week. This reduces the manifestation of the main symptoms. The course of treatment with synthetic hormones depends on the severity of the climacteric period. Proceeding from this, hormonal therapy can be short-term or long-term. For topical use as replacement hormone therapy, use vaginal tablets or suppositories Ovestin, Estriol.
- Often after the operation to remove the uterus develop posthisteroectomic syndrome. Hormonal failure in this case is due to the fact that together with the uterus, the uterine arteries that participate in the blood supply of the ovaries are removed. The ovaries do not get enough blood. This leads to the development of degenerative and atrophic changes in them and, as a result, hormonal imbalance appears. Hormonal therapy after removal of the uterus will help quickly eliminate all unpleasant symptoms. But hormone therapy after removal of the ovaries requires higher doses of hormones and prolonged treatment.
- Hormonal therapy with endometriosis is the main method of treatment. Since cells similar in structure to the endometrium are very sensitive to changes in the hormonal background. The goal of the therapeutic effect is to reduce the production of estrogen and maintain this level.
- Hormonal therapy with uterine myoma is considered the main stage of conservative treatment. Such therapy can stop the growth of the tumor and even reduce its size. It is also acceptable to use hormonal drugs before surgery.
- And, of course, hormone therapy with IVF is important, both at the preparatory stage before embryo implantation, and in the subsequent - for the successful development of pregnancy.
Possible complications
It is worth remembering that there is always a possibility of complications after hormonal therapy, as well as side effects. Headaches, swelling, nausea, tenderness of the mammary glands, uterine bleeding may appear.
In some cases, phytotherapy can serve as an alternative to hormonal therapy. Especially useful in the violation of the balance of female hormones will be the use of herbal gynecological fees or homeopathic remedies of the type Remens , Klimadinon, Klimonorm, Tazalok and others.