Hr toptions

Hormone Replacement Therapy – Review of Options ,[object Object],[object Object],Dr. Surendra Nath Panda, M.S. Professor Dept. of Obstetrics & Gynaecology M.K.C.G.Medical College Berhampur-760004, Orissa, India

Why Hormone Replacement Therapy? ,[object Object]

Since estrogen deficiency is a major cause of the long-term complications of the menopause, estrogen replacement is the rational treatment to address the cause of the problems after menopause .But as there are limitations of estrogen therapy as HRT, some other drugs are also used besides estrogen What is hormone replacement therapy?

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],DRUGS USED IN HRT 1) Estrogens-

DRUGS USED IN HRT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],2) Progestins:

DRUGS USED IN HRT ,[object Object],[object Object],[object Object],[object Object],3) Tibolone- 4) Androgen - ,[object Object],[object Object]

DRUGS USED IN HRT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Regimens

[object Object],[object Object],[object Object],[object Object],Benefits of HRT

[object Object],[object Object],Benefits of HRT

Benefits of HRT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Benefits of HRT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Benefits of HRT ,[object Object],[object Object],[object Object],[object Object]

Benefits of HRT ,[object Object],[object Object],[object Object],[object Object],[object Object]

Benefits of HRT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Specific actions of TIBOLONE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Thus it is a menstruation free HRT, which is most welcome to most women, with an intact uterus.

RISKS OF HRT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Endometrial risk:

RISKS OF HRT ,[object Object],[object Object],[object Object],[object Object],Breast neoplasia:

RISKS OF HRT ,[object Object],Ovarian neoplasia Venous thromboembolic disease ,[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Advantages & Disadvantages of each preparation: - ESTROGEN: ORAL -

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Advantages & Disadvantages of each preparation: - ESTROGEN: ORAL - ETHINYL ESTRADIOL

[object Object],[object Object],Advantages & Disadvantages of each preparation: - ESTROGEN: ORAL - CEE.

[object Object],[object Object],[object Object],[object Object],Advantages & Disadvantages of each preparation: - ESTROGEN: ORAL - Estriol

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Advantages & Disadvantages of each preparation: - ESTROGEN: TRANSDERMAL

[object Object],[object Object],[object Object],Advantages & Disadvantages of each preparation: - ESTROGEN: IMPLANTS

[object Object],Advantages & Disadvantages of each preparation: - ESTROGEN: VAGINAL CREAM

SPECIAL SITUATIONS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Choice Of Preparation

INDICATIONS FOR STARTING HRT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Contraindications of conventional HRT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

SPECIFIC INDICATIONS OF TIBOLONE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Adverse effects of Progestins & their management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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