Options for successful therapy

The normal therapy is an option for a treatment of osteoporosis and also works as a preventive method. The target groups are women in the menopause. Especially women with an increased risk should undergo therapy. During the menopause the bones get more and more fragile. Hormone therapy can diminish that effect. Through taking additional estrogens the resorption of calcium is improved. That results in an increase of the reconstruction of the bones. Furthermore, the activity of the osteoclasts is minimized. The osteoclasts reduce the bones. Bone density can be improved by up to 10% within two years.

The WHI-study proved the positive effect of the estrogens. Nevertheless you have to weigh up the advantages and disadvantages very carefully for yourself.

The (side-) effect

Hormone therapy can cause an increased risk of thrombosis, heart attacks and strokes, especially in the first two years. That is a result of the activation of the coagulation system. In the course of the therapy the body adapts to the changes and those risks decrease. This is important especially for women with genetic or other risks for thrombosis, such as obesity or smoking.

When we start hormone therapy very early after menopause we discuss a protection of the vessels, because estrogens can prevent the loss of elasticity which normally comes with ageing .

Long-term therapy

A course of treatment lasting five years and longer slightly increases your risk for breast cancer. Especially when the patient’s or family history is suspicious, one should be cautious about hormone therapy. A long-term therapy is the basis for a successful hormonal therapy. Your symptoms form the basis for an indication for hormone therapy. Symptoms that may indicate an estrogen deficiency are, for example, depression, panic attacks, insomnia, hot flashes and strong sweating.

If a risk of osteoporosis exists, estrogen-gestagen therapy can be a good idea as long as the contra-indications are not predominant. Especially when additional complains are present hormone therapy makes sense.

Estrogen deficiency symptoms of young women

Especially when it concerns young women an estrogen deficiency should be treated through hormone therapy. The result of the deficiency would be a reduction of the "peak bone mass" and therefore an increase of the risk of osteoporosis. For young women the increase of the risk of breast cancer is not significant. Hormones are very effective medications.

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