Prevention & Treatment of Osteoporosis

Prevention & Treatment of Osteoporosis
The Role of Hormone Therapy (HRT) in the Prevention and Treatment of OsteoporosisWhat is Hormone Therapy?

Hormone therapy in cases of osteoporosis is treatment which supplements of the hormones that ovaries have stopped making at menopause. It consists of either Oestrogen alone or in combination with Progesterone.

Possible guidelines for the use of Hormone therapy

  • As a preventive measure for women entering menopause with multiple risk factors. Post menopausal osteoporosis is best prevented by starting hormonal therapy at the time of menopause and continued for a minimum of 10 years.
  • Women who undergo early menopause or surgical menopause should start hormone therapy immediately and continue until at least up to the average age of menopause.
  • Women with osteoporosis even if she is many years past menopause.
  • Women in early 40, with signs of low bone density, especially with multiple risk factors and her bone density tests revealing low bone mass.
Types of Hormone therapy
Hormone therapy can be given in a number of ways. Oestrogen can be given alone or in combination with progesterone. When oestrogen is given alone chances of uterine cancer increases. To eliminate this risk progesterone can be added to oestrogen. Women who have had a hysterectomy may be treated with estrogen alone.Common Hormone Regimens

  • Estrogen and progesterone are both taken every day.
  • Estrogen is taken every day for 31 days and progesterone is taken for the first 14 days.
  • Women without a uterus can take estrogen alone ­ every day of the month or for 25 days followed by a five-day break, which can help control sore breasts.

Recently claims have been made that natural progesterone creams will prevent osteoporosis.

A dosage of 0.625 mg of oral estrogen per day (or its equivalent) is the minimum dose required to protect against osteoporotic fractures. Lower doses of estrogen (0.3 mg per day) combined with calcium supplements (1,500 mg per day) may also protect bones.

Side effects of Hormone therapy: depression, headaches, breast tenderness, skin irritation and weight gain.

Conditions when Hormone therapy is to be Avoided

  • history of unexplained vaginal bleeding
  • active liver disease or Chronic Liver disease
  • breast cancer
  • active vascular thrombosis
  • migraines
  • history of thromboembolism (blood clots which break up, travel and form other blockages)
  • history of hypertriglyceridemia in your family (elevated blood lipids)
  • uterine fibroids
  • endometriosis
  • past history of uterine cancer — effectively treated
  • gall bladder disease
  • strong family history of breast cancer

To be on Guard when on Hormone therapy

  • To report any Irregular Vaginal Bleeding
  • Regular checkup for Breast Health. Fequent self examination of Breasts.
  • Regular Mamograms advisible.
Other benefits of Hormone TherapyResearchers believe it helps to prevent heart disease; and it may provide protection against Colon cancer, Alzheimer’s disease and stroke.
Risks of Hormone therapyMost researchers believe that hormone therapy is safe for short term – 10 years. Even for longer use the risks are minimal and the benefits outweigh the risks.

Results of various studies suggest that over a lifetime approximately 10 in 100 women on hormone therapy will develop breast cancer.

 Osteoporosis
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About Manbir & Gurpreet

Gurpreet Kaur’s journey in this world .... Gurpreet Kaur was a Musician. She was a singer and a composer of music. Her interest was composing and singing Gurbani Shabads in Indian Classical style. She sang Shabads in All the Raags mentioned in Sri Guru Granth Sahib Ji. She also taught Gurmat Sangeet at Gurmat Gian Missionary College, Jawadi, Ludhiana. Elder child to Pushpinder Kaur and Dr. Brig. Harminder Singh, was born in Amritsar on 13th Jan 1962. She attended various convent schools as a child because her father would get frequent Army postings as a dental surgeon. She graduated with Music Honors from Govt. College for Women, Chandigarh. Music was her hobby and she composed and sang Raag based Gurbani Shabads. Doing Kirtan was part of growing up nurtured by her parents. She learned music from her father Dr. Brigadier Harminder Singh who was a dental surgeon in Indian Army and a very good singer himself. Gurpreet’s Bhua (father’s sister), Ajit Kaur retied as a Head of Department of Music from Govt. College for Women Ludhiana, and was a renounced Punjabi singer of her time. Gurpreet Kaur also learned nuances of Indian Classical Music from Pandita Sharma. She was a mother of three children, and a grandmother. Her daughter Keerat Kaur is a Computer Engineer. Her two sons Gurkeerat Singh and Jaskeerat Singh are doctors in USA. Her daughter Keerat Kaur too was part of her group ~ Gurmat Gian Group. Gurpreet Kaur left this world at the age of 54yrs on 12th Sept 2016 in Baltimore USA. She had recorded around 25 cds of Gurbani Keertan. 'Raag Ratan' Album (6 CDs) is a Compilation of Shabads in All the 31 Sudh Raags of Sri Guru Granth Sahib Ji. 'Gauri Sagar' Album (3 CDs) is a Compilation of All forms of Raag Gauri in Sri Guru Granth Sahib Ji. 'Nanak Ki Malhaar' ~ ((3 CDs) is an album of Raag Malhar Shabads in various forms of Malhar. 'Gur Parsaad Basant Bana' ~ (3 CDs) is an album of Shabads in Raag Basant sung in various forms of Raag Basant. Har Ki Vadeyai Sarni Aayea Sewa Priya Kee Preet Piyaree Mohan Ghar Aavho Karo Jodariya Mo Kao Taar Le Raama Taar Le Tere Kavan Kavan Gun Keh Keh Gawan Mera Baid Guru Govinda Saajanrraa Mera Saajanrraa

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