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Hysterectomy

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“Perimenopause is the period extending from the first signs of menopause- usually hot flashes, vaginal dryness, or irregular menses- to beyond the complete cessation of menses” (2014). There are two basic regimens for Hormone therapy, estrogen alone and estrogen plus progestin. “The purpose of estrogen in both regimens is to control menopausal symptoms by replacing estrogen that was lost owing to menopause. The progestin is present for one reason only; to counterbalance estrogen mediated stimulation of the endometrium, which can lead to endometrial hyperplasia and cancer” (2016). The estrogen/progestin regimen is used for women who still have a uterus while the estrogen only is used for women who have undergone a hysterectomy. There are both risks and benefits associated with hormone therapy. Risks of Hormone Therapy include DVT, coronary heart disease, myocardial …show more content…

Some alternatives are antidepressants (SSRI’s and SNRI’s), vitamin B6, vitamin E, black cohosh, ginseng, and soy products. Some of these products, however do not have much supporting data about their safety and effectiveness. Black cohosh has a long history of being used for helping with different ailments. Its been used for musculoskeletal pain, fever, cough, pneumonia, sluggish labor, menstrual irregularities and as a tonic to support women’s reproductive health. Today though, it is mainly used to help with menopausal symptoms. These symptoms include hot flashes, night sweats and vaginal dryness (2017, March 3). According to a Meta-analysis update “black cohosh is one of the most popular and frequently used herbal medicines for treatment of menopausal vasomotor symptoms. As no known side effects are associated with its use, it is highly recommended for all menopausal women, especially those with contradiction in HRT to use black cohosh”

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