Black and Menopausal: Intimate Stories of Navigating the Change

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They could be caused by any number of different conditions like PCOS, Ovarian Cancer or Irritable Bowel Syndrome. The main medicine treatment for menopause and perimenopause symptoms is hormone replacement therapy (HRT), which replaces the hormones that are at low levels.

Green R, Polotsky AJ, Wildman RP, et al. Menopausal Symptoms Within a Hispanic Cohort: SWAN, the Study of Women’s Health Across the Nation. Women’s Health . February 2012. There are non-hormone treatments if your symptoms are having a big impact on your life and you cannot, or choose not to, have HRT. Hot flushes and night sweats https://journals.lww.com/menopausejournal/Citation/2022/07000/Racial_ethnic_disparities_in_the_diagnosis_and.15.aspx Therefore, both you and your doctor may not immediately consider your symptoms related to menopause.Antiresorptive agents inhibit bone turnover. These include estrogen, raloxifene, bisphosphonates (oral alendronate, risedronate, ibandronate, and intravenous zoledronic acid), and the RANK-ligand inhibitor denosumab. Anabolic agents stimulate bone formation. These are teriparatide, a parathyroid hormone analog, and abaloparatide, a parathyroid hormone related protein analog. The sole remodeling stimulator, romosozumab, increases bone formation and, to a lesser degree, decreases resorption. The FDA endorses estrogen for prevention, but not treatment, of osteoporosis as it is not as effective as other therapies for this degree of bone loss. 13 I wanted to detach from the truth of what I thought was happening to me based on my limited knowledge, but curiously I also wanted to know what lay ahead.

A recent observational study contradicted previous research that showed no association between vaginal estrogen and recurrence of breast cancer. 163 164 This study of 8461 postmenopausal women with early stage estrogen receptor positive breast cancer taking aromatase inhibitors, tamoxifen, or no endocrine therapy found an association between vaginal estradiol and breast cancer recurrence in a secondary analysis of only those taking aromatase inhibitors (hazard ratio 1.39, 95% confidence interval 1.04 to 1.85), with no effect on breast cancer mortality. 165 Women taking systemic hormone therapy were not found to have an increased risk of breast cancer recurrence. Possible reasons for this contradiction include the dose of vaginal estrogen used (vaginal estrogen doses were higher during the time of data collection), unknown frequencies of human epidermal growth factor receptor 2 positivity among groups, and endocrine therapy used (the type and standards of endocrine therapy have since changed).There are also certain foods you may want to avoid. Spicy foods, alcohol, and caffeine may worsen VMS like hot flashes or night sweats. Self-care Meera Bhogal - runs personal training and nutrition support for women after struggling with her own perimenopause.