|Early menopause and oestrogen therapy
Question : I am 44, and I have just developed menopause. My doctor is
suggesting that I take up oestrogen hormone therapy from now on. He tells me
that if I don't, my bones can become weaker, and I may develop a disease
called osteoporosis. But now, I have been putting on weight. Do you think I
will get a heart attack ?
Answer : If you have developed menopause while at 44, the chances
are (a) that you did not have a good sex life all these years, and/or (b)
that you are somewhat obese.
If you have been a thin person all this while, then you don't have to
take oestrogen hormone treatment at all. My findings show that thin people
will not develop any osteoporosis.
If you have been an obese person, the, your very obesity is due to an
accumulation of far too much of calcium. This must have been essentially due
to under-urination all the time. Normally, a substantial amount of calcium
would have gone out of your body every month along with your menstrual flow.
Therefore, there was no fear of developing atherosclerosis ( ie, hardening
of arterioles due to calcium, cholesterol, etc ). Now, that you have
menopaused, there is no way for the excessive calcium to get eliminated.
Therefore, in future, the calcium would accumulate and stay in your body,
making you increasingly obese. In that process, your arteries are bound to
get damaged, and that will give you hypertension, and subsequently you can
get heart attack.
If you undergo oestrogen hormone therapy, there is no certainty that you
will get all the desired benefits, but the side effects can be disastrous.
Research in thsi srea has not been finalised yet.
Do you know what the expert researcher Dr. Pamela S. Douglas ( 1997 ),
specialist in coronary artery disease in women, and an academician in
Harvard Medical School, who is also director of non-invasive cardiology,
Beth Israel Hospital of Boston, Massachusetts, has to say about the use of
oestrogen hormone ? Please read what she says :
" ... Radonmized trials in women are only now being undertaken;
results will not be available for several years".
" While the benefits may seem large, there are methodological
limitations in all available studies as well as significant risks associated
with estrogen use and logistic problems with its prescription. Chief
among the risk of estrogen use is endometrial cancer, for which unopposed
estrogen therapy carries a five- to eightfold increased risk, associated
with an estimated threefold increased risk of death ( Grady at al 1992,
1995; Ravnikar 1993 ) ...
"Estrogen may increase breast cancer risk, with meta-analyses showing
little increased risk for short-term therapy, thereas a higher relative
risk, up to 1.5, has been associated with long-term use ( over 10 years ) in
the Nurses' Health Study ( grady et al 1992; Henrich 1992; Colditz et al
On balancing risk and benefits, Dr. Pamela Douglas has the following to
"Other considerations int he decision to use estrogen replacement
include the drug's side effects, such as vaginal bleeing, the need for
careful monitoring for breast and uterine cancers and endometrail
hyperplasia, and the costs of therapy and of monitoring ( Grady et al 1992,
Ravnikar 1993, Belchetz 1994, Martin and Freeman 1993 ).
Therefore, if I were you, i would not go for oestrogen therapy. Instead,
i would hcoose to reverse-engineer my risk factos that were keeping me
obese, and make myself thin in a natural manner. You can choose to do