Indications and contraindications of hormone replacement therapy in the treatment of menopausal disorders

Posted by Doctor Vu Thi Hong Chinh - Obstetrics Department, Vinmec Times City International General Hospital

Hormone replacement therapy is the use of estrogen in combination with progesterone or no combination to compensate for the lack of endogenous estrogen. It is the most effective treatment for menopausal disorders associated with vasomotor and urinary disorders.

Menopause is a normal physiological phenomenon of women that occurs due to a lack of estrogen in the ovaries. This is the cause of endocrine disorders in women around perimenopause.
Menopause can cause vasomotor disorders: hot flashes, sweating, psycho-physiological changes, urinary and genital disorders... affect health, psychology, quality woman's life.
Menopause is inevitable and medical treatment is only available when disorders affect a woman's health and quality of life. Instead, treatment focuses on relieving disorders, preventing, managing and preventing possible chronic conditions.
There are many effective menopause treatments available, from lifestyle modifications to hormone replacement therapies.
Hormone replacement therapy is the use of estrogen in combination with progesterone or no combination to compensate for the lack of endogenous estrogen. It is the most effective treatment for menopausal disorders associated with vasomotor (hot flashes) and urinary disorders.

Hormone replacement therapy in the treatment of menopausal disorders is applied in the following cases:
Treatment of symptoms related to estrogen deficiency. Prevention and treatment of osteoporosis syndrome. Prevention and treatment of Alhzeimer syndrome.

Vaginal bleeding of unknown cause. Breast cancer (history, new findings). Untreated endometrial cancer. Liver and kidney syndromes with signs of liver or kidney failure Uterine fibroids: family history should be considered and careful consideration should be given to whether symptoms of estrogen deficiency warrant the need for hormone therapy. Replace or not?. There is a history of venous thromboembolism. Porphyrin metabolism disorders. High serum triglycerides, biliary tract disease, abnormal factor V Leiden triglycerides ¬ Migraine.

Currently, Vinmec International General Hospital is providing pre-menopausal health examination and counseling package. When registering for an examination package, customers will be examined and consulted with a specialist in Gynecology; Perform tests to assess hormone status. When registering for the premenopausal health care package and consultation, customers will receive:
Gynecological specialist examination Gynecological examination, breast examination Transabdominal ultrasound of uterus and ovaries Take specimens as a smear Cervical-vaginal cytology Mammogram (2 sides) Osteoporosis Measure other tests to detect pre-menopausal conditions, if any.