Hormones are not for everyone
Dmitry Lubnin answers questions from readers about the proper use of hormonal drugs.
An expert at Home Hearth answers questions from readers. Today we will talk about contraceptives.
|Dmitry Lubnin, Candidate of Medical Sciences. Send letters with questions to the editorial office or by e-mail: goodho[email protected]|
Not everyone needs hormones. Question: I am 48 years old, recently there were hot flashes, irregular periods, profuse sweating, migraine attacks. I read that at the first signs of menopause, hormone replacement therapy should be started. What do you recommend?Answer:
According to modern views, hormone replacement therapy is prescribed only in the presence of menopausal symptoms using minimally effective doses. That is, these drugs are not shown to everyone in a row. Substitution therapy can be used before menopause, when symptoms like yours appear. There are special drugs for this. Before their appointment, it is necessary to undergo a full examination, pass tests and exclude the presence of contraindications. Sometimes phytopreparations and homeopathy are used to stop such symptoms (if they are not very pronounced), but this does not help everyone. At a time when a woman has an extinction of menstrual function, quite often functional ovarian cysts occur. Therefore, with a delay in menstruation, you should immediately contact a gynecologist and do an ultrasound. It is important to remember that in addition to treatment, sports, diet and smoking cessation and alcohol give a good effect.Extreme MeasureB: A year ago, I had surgery, I had an ectopic pregnancy. After the operation, severe pain appeared, the doctor said that this was due to postoperative adhesions. I heard that with adhesive disease, medications do not help and you need to do laparoscopy. This is true? ABOUT: Adhesive process can give a pain syndrome, however, other conditions with the same symptoms after surgery have always to be excluded. In your case, it can be both an inflammatory process and external endometriosis. The treatment of the adhesive process is a rather difficult task. Surgical, including laparoscopic, separation of adhesions is an extreme measure, since quite often adhesions form again after surgery. There are various absorbable drugs, physiotherapy, gynecological massage - the effectiveness of these methods of treatment is different, you need to try.
Contraception after 35
IN: I am 37 years old. What methods of contraception are optimal at my age, despite the fact that I smoke and have high blood pressure?
ABOUT: Smoking women over the age of 35 should not use combined contraceptives, that is, those that contain estrogens (tablets, a patch and a vaginal ring). This increases the risk of venous thrombosis, a rather dangerous complication. For contraception, you can use condoms, local drugs, an intrauterine device, contraceptives containing only progestogens. It is best to undergo an examination and find out the cause of the pressure increase. If this is hypertension, then a simple intrauterine device will be the best option.
When not to do without a tampon
Each woman makes the choice of hygiene products for herself, but in some cases, for example, when playing sports, swimming, it is better to use tampons, following a few simple rules.
• Change tampons every 2-4 hours • Do not use the tampon outside the period of menstruation • Wash your hands before and after inserting the tampon • When choosing tampons, their properties should be taken into account: absorbency, comfortable sensations and quality materials.
According to Victoria Nikolaevna Konovalova, gynecologist, candidate of medical sciences, researcher at the Federal State Institution Scientific Center for Obstetrics, Gynecology and Perinatology, the use of tampons