MENOPAUSE – TREATMENT
It was suggested that hysterectomy should be carried out on all women beginning oestrogen replacement therapy so as to “keep young” … this operation is not a minor procedure and such advice did not find favor in this country.
Sometimes oestrogen may be given in cream or pessary form to deal with local changes in the genital area.
Oestrogens may cause bleeding and this can be a worry as the doctor may be uncertain whether the bleeding is due to the tablets or to a cancer. For this reason, all cases of post-menopausal bleeding need to be properly investigated.
A woman’s change of life should be accepted as part of existence and as an entry into a different world. No longer is there the fear of becoming pregnant and she should retain or increase her interest in sex.
Hormone replacement therapy is an important and now, relatively safe, form of treatment for menopausal symptoms. The oestrogen is combined with the other female hormone, progesterone, and is usually given in a cyclical fashion.
This does result in regular bleeding, like a period, but by getting rid of the lining of the womb with this bleeding, the risk of getting cancer of the womb is greatly reduced.
This treatment will prevent the development of osteoporosis and may also be protective for cancer of the breast.
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