Hormone Replacement (continuation)
In addition, a new approach has been developed that involves giving low doses of estrogen that are interrupted every month or
two with a few days of pregesterone. This, in effect, mimics the natural menstrual cycle and prevents the buildup of endometrial
tissue. Women on this regimen will bleed as during a menstrual period, even though the ovaries have ceased to function.
In any event, your doctor is the best judge of whether estrogen replacement is indicated for you. There are some women, such as
those who have an estrogen-sensitive breast cancer, in whom estrogens are contraindicated. There are others for whom they may be
recommended not only to relieve menopausal symptoms but also to help prevent the loss of bone tissue (osteoporosis) that is
common among older women. Estrogen is not indicated for depression or other mood problems or insomnia, despite popular reports
to this effect.
What's Ahead?
Although many women regard menopause as "the beginning of the end," it should be noted that the average American woman lives a
third of her life after menopause. While menopause may involve particular discomforts, these can be minimized until eliminated
by time. Self-fulfillment and attractiveness are by no means limited to the young. Honest introspection about the pleasures and
comforts of the later years, heart-to-heart talks with emotionally supportive family members or a respected friend, reaching out
for new experiences, work in the community or a career and commonsense counseling by your doctor are but a few of the avenues
open to the woman experiencing menopause.
