Will I Still Get My Period if I Choose HRT?

Health |

For women who have not had hysterectomies, combining progestin with estrogen is necessary to eliminate the risk of endometrial cancer. But one of the consequences of taking estrogen in combination with progestin is that it can cause women to resume or continue monthly menstrual bleeding. While women have options in choosing HRT that can reduce menstrual bleeding, some form of monthly bleeding or spotting will accompany HRT in many women.

The most common HRT regimen includes low-dose progestin for between 12 and 14 days a month. Nearly 90 percent of women who take this regimen begin bleeding as soon as the progestin is stopped. Monthly bleeding occurs for many years after HRT is started, but as time passes, the bleeding often lessens and eventually stops.

Because many women are reluctant to continue having “periods” after menopause, doctors are now prescribing an HRT program that includes progestin every day. In this program, between 30 and 50 percent of women have irregular spotting for the first six months of therapy.

Spotting can also be a sign of uterine tissue problems or cancer, so if you are spotting, your health care provider may recommend an endometrial biopsy to rule out other problems.

If you are interested in hormone replacement therapy but are concerned about continuing to have monthly menstrual bleeding, talk to your health care provider about your options.

Self-Esteem and Competency

Entertainment |

Maurice Elias, professor of psychology at Rutgers University in New Brunswick, N.J. and co-author of “Emotionally Intelligent Parenting,” (paperback, Three Rivers, $13, 2000) urges parents to foster competency in their children as a way to develop a grounded sense of confidence. (more…)

Making Lasting Lifestyle Changes With Type 2 Diabetes. Part 3

Diabetes |

“Some people delude themselves into thinking if they just had more willpower they could handle the changes. It’s just not that simple. If you keep telling yourself you’re not going to have that ice cream, and then you break down and have it, you’re going to feel guilty and give yourself an excuse to get off track. You can’t constantly deprive yourself,” Zrebiec said. (more…)

Making Lasting Lifestyle Changes With Type 2 Diabetes. Part 2

Diabetes |

Wahida Karmally, spokeswoman for the American Dietetic Association and a diabetes educator, couldn’t agree more.

“These are lifetime habits that formed over many years, and people aren’t going to change them overnight. (more…)

Making Lasting Lifestyle Changes With Type 2 Diabetes. Part 1

Diabetes |

When type 2, or adult-onset, diabetes strikes, many sufferers are left feeling overwhelmed with the lifestyle changes they’re being told to make. Stop smoking. Lose weight. Start exercising. Cut out your favorite foods. Monitor your blood sugar levels. (more…)

Grass Vs. Artificial Turf

Health |

Inhale the scent of a freshly cut grass field. Run on this same surface and feel the give as the ground accommodates your weight and direction. Slide in the puddles and avoid divots as you navigate the playing surface. (more…)