HRT usage in hot flashes
HRT remains the first line treatment for hot flashes and other vasomotor symptoms related to menopause.
Women who additionally suffer from sleep or psychiatric disturbances may require treatment with psychotropics in conjunction with HRT.
HRT risks and benefits
HRT carries manifold risks and benefits; with respect to the former, it is known to decrease the risk of certain diseases such as colon cancer, dementia, and osteoporosis.
Conversely, these patients are at increased risk for breast and endometrial cancer, thromboembolism, and ischemic stroke; regular screening in this respect is thus important.
Post-menopausal syndrome is a set of symptoms that occurs around and after the time of onset of menopause. These include mood lability, hot flashes, sexual dysfunction, UTIs, vaginal atrophy, osteoporosis and sleep disturbances.
Natural vs. synthetic progestogens and breast cancer
Despite evidence in support of the notion that progesterone is largely responsible for the risk of breast cancer, research suggests that the type of progesterone used may influence the degree of this risk.
In fact, synthetic progestins have been found to be responsible for increasing the risk of the disease while natural progesterone is considered to be safe.
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