Benefits of Hormone Therapy in Menopause!

The main purpose of the treatment is to prevent the formation of fractures. It is not possible to completely restore the bone lost in the process of osteoporosis. However, osteoporosis can be stopped to a great extent with some treatments. As a result, the risk of fractures is significantly reduced, except for severe cases of osteoporosis.

Oestrogen therapy has been proven to slow down the process. When taking estrogenic therapy, a 50-60% reduction in arm and hip fractures, and 80% reduction in spinal bone fractures can be expected when calcium intake is accompanied. Treatment should continue for estrogenic therapy to be effective. When treatment is stopped, the osteoporosis process continues as it was before treatment. Calcium absorption takes with age and the decrease after menopause becomes more pronounced. Ensuring calcium balance is one of the most important steps in preventing osteoporosis. However, in cases where oestrogen is low, no matter how much calcium is taken, it may not be effective. Therefore, in addition to oestrogen treatment, it is important to take 1000 grams of calcium daily by giving food or medication to the body.

In cases where oestrogen therapy is inconvenient, medicines for direct bone resorption can also be used. Your doctor will guide you in the selection of medicines.

Apart from drug treatment, some changes must be made in lifestyle to prevent osteoporosis or to stop its progression. In the meantime, there are findings that smoking accelerates bone loss and even accelerates the entrance to menopause. Exercising sports that do not force the body 3 times a week, at least 30 minutes a day, significantly improves the amount of mineral in the menopause period. Women who are in menopause are recommended to walk 2.5-3 km per day. Smoking and alcohol should be stopped. Necessary changes should be made to get enough calcium with a balanced diet. Since bone loss is faster in the early stages after menopause, treatment should be started as early as possible.

Consequently; with hormonal treatment, bone fractures can be reduced by approximately 50%. When calcium was added to the treatment, a 80% reduction was found in the back and back fractures. In addition, vitamin D must be added to the treatment in women over 70 years old and in areas with low sun.

Op. Sibel Malkoç, MD

Gynecology and Obstetrics Specialist

Dr. Sibel Malkoç attended many domestic and international training seminars and congresses during 25 years of specialised physician service.

Pregnancy follow-up, urinary incontinence surgery and laser treatments, genital aesthetic surgery and laser applications and vaginismus treatment are of special interest.

It serves its patients especially in surgical and laser-assisted Vagina aesthetics.