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Archive for the 'Hormone Replacement Therapy' Category


Sep 23, 2009

Doctor discusses symptoms of Female Decreased Desire or HSDD


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Female Decreased Desire or HSDD
Hypoactive (decreased) sexual desire disorder or HSDD is characterized by a deficiency or absence of sexual fantasies and desire for sexual activity that causes marked distress or interpersonal problems (problems within a relationship). It is not simply a loss of libido which is a term that belittles the complexity of sexual relationships.  Decreased desire can however be further categorized as gradual onset or lifelong. Gradual onset means that at some point in time a woman who had or experienced a fulfilling sexual life began to loose some or all interest or desire for sexual activity. Lifelong on the other hand is someone who reports never having had sexual fantasies or a desire for sexual activity ever.. There are also women who have situational decreased desire i.e. (parents-in law spend the weekends) versus those with decreased desire that is generalized and unrelated to any set of circumstances.
 
The hallmark of the disorder is that by definition the loss or decrease in desire causes personal distress and/or creates problems within a relationship. Often partners/spouses of those affected believe that they are no longer desired or loved when often times just the opposite exists. Many women feel guilty or inadequate and feel that there is something the matter with them. Some women fulfill their partners desire for sex simply for the sake of protecting their relationship yet they feel no desire for sex, never initiate foreplay or experience sexual fantasies.In some cases relationships become completely jeopardized.

Approximately 10-20% of women suffer from this disorder in the US and there is presently no approved treatment available. Testosterone in a transdermal (patch) delivery system is available in Europe for the treatment of decreased or absent desire in post-menopausal women. To date, the patch however has not been approved for use  in the USA

-SJ Wininger,MD

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Aug 20, 2009

Does Caffeine Cause osteoporosis?


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Caffeine is a good energy booster and makes us feel fresh but excess consumption of caffeine in form of brewed coffee and tea can lead to osteoporosis. Osteoporosis is a common disease in women that leads to the thinning of bones and leads to high risk of unexpected fractures. It is known to have affected around one-third of women over the age of 50 and increases risk of bone fractures suddenly especially in back and hips. The bones tend to get brittle and weaker due to the lack of sufficient calcium content and become porous in nature. Osteoporosis is a term which literally refers to porous bones.

It is said that drinking more amount of caffeinated coffee can lead to reduction of bone mineral density (BMI) especially at the back and hip devoid of various other factors like age, sex, obesity, menopause in women, alcohol intake etc. Women who consume a glass of milk each day will have sufficient calcium content in their bones and caffeine intake does not affect such women. So, the best ways to avoid Osteoporosis is to intake at least a glass of milk each day and have calcium rich diet like cheese, eggs, yogurt, butter, sardines, salmon, and tofu.
And Coffee and alcohol are considered as calcium absorbers and we should avoid taking them in more quantity. Coffee, tea and Soft drinks like Cola are not good for our bones as they contain excess amount of Caffeine which leads to the wastage of Calcium in our body through urine. People who drink more than 2 cups of brewed coffee or 4 cups of brewed tea every day are at high risk of getting Osteoporosis due to the caffeine content in them which can lead to elimination of calcium from our body. Also smoking can lead to decrease in calcium content due to Nicotine which is also a calcium robber. The calories from soft drinks like Cola also add extra weight to our bones and make them soft.

It has been proved that Osteoporosis is caused mainly due to lack of Calcium and insufficient estrogen secretion in women after menopause. Since Excessive Caffeine can cause bone breakdown by robbing the calcium content in our body, we should avoid using it.

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Jun 07, 2009

Long-term Effects of Hormone Replacement Therapy


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Hormone Replacement Therapy (HRT) is most often used for women undergoing menopause, either natural or surgical-induced.  It is used to improve the symptoms associated with menopause, such as hot flashes, mood swings, dry vagina, and urinary problems.

Women undergoing menopause experience these symptoms due to the lack of estrogen and/or progesterone.  Women who have had hysterectomies usually take estrogen while women who still have their uterus need to take a combination of estrogen and progesterone.

Research
HRT was widely used until 2002, when research indicated that it could be harmful and cause women to be at higher risk of certain diseases, such as heart attack, stroke, and breast cancer.  Most of the research, however, was done on women in their 60’s instead of in their 40’s and 50’s.  It is thought that the younger groups of women are at lower risk of getting these diseases than the older group.  On a brighter note, however, women’s risk levels for the other diseases go back down once they have been off of HRT for 4 to 5 years.

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Jun 04, 2009

What will the Cost of Hormone Replacement Therapy (HRT) be to your Health?


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Hormone Replacement Therapy (HRT) is a form of treatment that is used to treat women who have severe menopause symptoms.  It was once a highly favored treatment for other diseases, such as osteoporosis and heart disease, but has been abandoned for those causes since recent research revealed that using it posed significant health risks.  It is still used to treat menopausal symptoms in some women, although many doctors and patients have backed off of using it as much as they once did.

Hormone replacement therapy involves using synthetic hormones to replace the hormones that menopausal women are no longer able to make on their own.  Women who still have their ovaries and uterus usually need a combination of estrogen and progesterone but women who have undergone hysterectomy just need estrogen.   Using HRT usually helps the bothersome symptoms of menopause, especially if the symptoms are severe.

In addition to prescribing HRT for menopausal women, physicians once prescribed Hormone Replacement Therapy for osteoporosis and heart conditions.  A few years ago, HRT was being hailed as an effective and safe anti-aging treatment.  However, after the results of research pertaining to its long-term effects, HRT is usually no longer used for anything other than severe menopause symptoms.

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