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The purpose of this section of the web site is to help you
find a HRT program that both relieves your menopausal symptoms and does not cause unpleasant side effects. This
is the 1st of a 5 part series...
| Part
1 | | Part 2 | | Part 3 |
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PART 1 - FINDING AN IDEAL REGIMEN
The rationale for women to use HRT following menopause is to sustain quality
of life and to be afforded protection from the negative health consequences of hormone deficiency. Accordingly,
an ideal HRT regimen would prevent menopausal symptoms, maintain libido, preserve sexual response, maintain the
integrity of hormonally dependent tissues and prevent cardiovascular disease, osteoporosis and dementia. Finally,
it would accomplish these goals without causing unpleasant symptoms.
These goals can almost always be accomplished if, (1) the hormones used are identical to those secreted by the
ovary and are (2) delivered into the bloodstream with their chemical structure intact in (3) amounts sufficient
to exert their intended affect that (4) remain at relatively stable blood levels.
Menopausal women who have a negative experience with their initial HRT prescription often become disillusioned
and assume that all HRT programs will affect them in the same way. The problem is further compounded if the menopausal
woman’s doctor has limited skills in the care of menopausal women. The physician may not be aware that other treatment
options are available that are capable of relieving the menopausal woman’s symptoms without causing unpleasant
side effects. If a patient fails to respond to the prescribed therapy, the physician may regard them as uncooperative
and/or as having a mental problem. After all, they did provide the treatment the "book" said was going
to work and if didn’t it couldn’t be their fault. It would have to be a failure on the patients’ part.
How does a woman find an HRT program that relieves her symptoms and doesn’t cause
side effects?
She can accomplish this by learning about HRT options and routes of administration. This will enable her to knowledgeably
participate in the decision making process. She will be able to either lead her doctor in the appropriate direction,
or be able to recognize a physician who has the skills required. Many women are under the impression that all gynecologists
and endocrinologists are knowledgeable about menopause. However, menopausal medicine and expertise in HRT is a
subspecialty and will be recognized as such in the near future.
Where does she learn this?
She can start by reading the rest of this section and the other sections of the web site, especially those under
the HRT & Hormones heading. When she finishes, she may be more knowledgeable about HRT than many physicians.
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Dr Nosanchuk is currently in practice in Southeastern Michigan
and is accepting new patients. His office is located in Bingham Farms, a suburb of the Detroit Metropolitan Area.
Dr N specializes in the care and treatment of menopausal women and has a special interest providing treatment to
women whose lives have been altered by their menopause, hysterectomy, or both. This includes strategies to restore
quality of life, by resolving problems, such as persistent symptoms, loss of libido and disturbances of sexual
function.
Appointments with Dr Nosanchuk can be scheduled by calling (248) 644-7200
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IMPORTANT
This web site is for educational purposes only. It is not intended to suggest
a specific therapy for any individual and must not be construed to establish a physician/patient relationship.
Website By Athena
All Contents Copyright © 2000-2005 menopausehysterectomy.com/drn4u.com
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