At Moscow Pullman OB/GYN, we understand that menopause itself requires no medical treatment. Instead, our treatments tend to focus on relieving the symptoms in our patients. Additionally, our staff is trained to prevent or lessen any chronic conditions that may occur during the postmenopausal years. Treatments recommended by the physicians at Moscow Pullman OB/GYN include:
- Hormone Replacement Therapy (HRT). Medical studies have shown that HRT therapy, which provides a low dose of estrogen (often in combination with progestin), is effective in treating many of the signs and symptoms of menopause, including hot flashes, vaginal dryness and discomfort during intercourse. Moscow Pullman OB/GYN offers customized HRT therapy to our patients in a variety of forms, including pill, patch, cream or vaginal ring. While most of the effects of HRT are indeed positive, taking HRT can result in serious side effects and health risks. To select the treatment option and plan that is right for you, talk to your doctor at Moscow Pullman OB/GYN.
- Bisphosphonates. The physicians at Moscow Pullman OB/GYN use non-hormonal medications, including alendronate (Fosamax) and risedronate (Actonel), to prevent or treat osteoporosis. Although medical studies have shown that these medications don't provide the same protection for your bones as estrogen does, they do effectively reduce both bone loss and the risk of fractures.
- Selective Estrogen Receptor Modulators (SERM). SERMs are among a group of drugs that include raloxifene (Evista). Medical research has shown that SERMs produce some of the beneficial effects of estrogen (especially improved bone strength), but don't increase the risk of breast cancer or uterine bleeding in patients that use them. Unfortunately, Moscow Pullman OB/GYN has found that SERMs tend to cause, rather than relieve hot flashes, and increase the risk of blood clots and gallstones in patients that have used them.
Before deciding on any form of treatment, talk with your doctor at Moscow Pullman OB/GYN about your options and the risks and benefits involved in each.
Bioidentical hormones are manufactured to have the same molecular structure as the hormones made by your own body. By contrast, synthetic hormones are intentionally different. Although bioidentical hormones have been available for years, most physicians are unfamiliar with them. There are several branded versions available for use in the kind of hormone replacement therapy (HRT) typical of synthetic hormones. Generally speaking, this is usually a one-size-fits-all dosage regime.
At Moscow Pullman OB/GYN, we believe that an individualized approach works best. Currently, there are no significant studies showing bioidentical hormones to be superior in efficacy or safety to traditional HRT. However, a thorough discussion about all forms of HRT can help you decide what is right for you. Then we can gently guide you through an understanding of the risks and benefits of your options and ultimately help to resolve any troubling symptoms.