osteoporosis and menopause: treatmentTreatments

Estrogen is the most effective treatment for postmenopausal osteoporosis.

Its mechanism of action is unknown and that osteoblastic absorbable anti is therefore effective. If treatment is put in time decreases the risk of fractures.

The effective dose is 0.625 mg of conjugated estrogen. This dose is higher than effective in the treatment of cutaneous flush (become red), but necessary and effective, besides being free of side effects.

Among the disadvantages is that after 2 years it produces a hypertrophy of the endometrium, and vaginal bleeding 3 to 8% increase in endometrial cancer.You can compensate with medroxyprogesterone guidelines 2.5 to 10 mg per day, 10 days each month. As this pattern reintroduces the rules, should be evaluated by the patient.

In favor of taking estrogen hormones in the case of a woman:

- thin
- sedentary
- smoker
- to which the uterus was removed.

Contrary to hormones in the case of a woman:

- obese
- physically active
- suffering from thrombosis
- history of breast cancer

Smoking or taking cimetidine (antiulcer) cancels the beneficial effect of estrogen.

It may also be useful to take calcium supplements (1,000 mg/day if you take estrogen, 1,500 mg/day if not them).

As a control test using bone densitometry.

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