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The Untold Effects of Hormone Therapy on Your Heart and Insulin—What You Need to Know!

Published: 12 Feb 2025
Updated: 12 Feb 2025
Hormone Therapy

Hormone therapy is used for various health issues, including menopause complications and certain types of cancer. However, its best use is the treatment for a variety of menopausal symptoms, including vaginal dryness, hot flashes, and night sweats. It functions by re-establishing the body's natural levels of hormones, usually but not always estrogen, which tend to decline with age and are frequently the cause of many menopausal symptoms.  

Depending on a person's needs, hormone treatments for menopause may use progesterone, estrogen, or even testosterone. There is much disagreement over which forms of hormone therapy are safe and which are not, as well as the potential health effects of long-term hormone usage on your heart and insulin. In this article, we have discussed the details of this innovative therapy, so take a look!  

How Does Hormone Therapy Work? 

To locate and target hormones, hormone therapy affects all of your body, and the methods of various forms of hormone treatment vary. Here is how hormone therapy works:  

  • Prevents the hormone from clinging to malignant cells 
  • Prevent the hormone from being produced in an excess manner by the body  
  • Change the hormone to prevent it from functioning as it should  

Using hormone treatment some particular types of cancer can be treated by halting or reducing its growth. However, hormone therapy’s effects on menopause symptoms, even though already proven, are still being thoroughly studied.   

Learn the Hormone Therapy Types  

  • Treating menopausal symptoms
    Using medication containing female hormones is known as hormone treatment. During menopause, your body stops producing estrogen, so you take medicine to replace it, and the most common menopausal symptoms that hormone treatment is used to address are vaginal soreness and hot flashes. In postmenopausal women, hormone treatment has also been shown to minimize fractures and stop bone loss.

    Nevertheless, utilizing hormone treatment has some hazards, and the kind of hormone treatment, dosage, duration of use, and personal health risks all affect these hazards. For optimal outcomes, hormone therapy should be customized for each patient and periodically reassessed to ensure that the advantages continue.
      
  • Breast Cancer
    For breast cancer, letrozole, exemestane, and anastrozole are examples of aromatase inhibitors (AIs), and tamoxifen and raloxifene are examples of selective estrogen receptor modulators (SERMs). Luteinizing hormone-releasing hormone (LHRH), including triptorelin, leuprolide, and goserelin are also used for hormone therapy.  
  • Endometrial Cancer
    Selective estrogen receptor modulators (SERMs), such as tamoxifen and raloxifene, are often a part of this type of hormone therapy. Progestins, like medroxyprogesterone acetate or megestrol acetate, are also used.   
  • Adrenal Cancer
    Adrenolytics, like mitotane, selective estrogen receptor modulators (SERMs), like tamoxifen and raloxifene, and estrogen receptor antagonists, such as fulvestrant and toremifene, are used for this treatment.   

The Common Forms of Hormone Therapy  

The main goal of hormone treatment is to replenish the estrogen your body no longer produces after menopause. Estrogen treatment comes in two primary forms.  

  • Systemic hormone therapy - Usually containing a larger dosage of estrogen that is absorbed throughout the body, systemic estrogen is available as pills, skin patches, gels, creams, or sprays. Any of the typical menopausal symptoms can be treated with it. 
  • Low-dose vaginal products - Low-dose vaginal estrogen treatments, which are available as creams or rings, reduce the quantity of estrogen that the body absorbs. As a result, low-dose vaginal preparations are often limited to treating menopausal vaginal and urinary symptoms. 

Your doctor will usually give estrogen in addition to progesterone or progestin if you haven't had your uterus removed. This is due to the fact that estrogen alone can promote the formation of the uterine lining and raise the risk of endometrial cancer if it is not counterbalanced by progesterone.   

Hormone Therapy Influences Cardiovascular Disease Risk 

The two kinds of estrogen receptors, ERα and ERβ, mediate the estrogenic effects of hormone replacement therapy. Functional ERα and ERβ are expressed by endothelial cells and vascular smooth muscle cells, and according to recent investigations, polymorphisms in ERα were linked to CHD in individuals with familial hypercholesterolemia. All of these can work wonderfully, but scientists warn that hormone Therapy can influence heart diseases.   

Insulin Sensitivity can be Affected by Hormone Therapy  

Additional research and other organizations suggested that hormone therapy was linked to reduced insulin resistance in postmenopausal women. The individuals received therapy for eight weeks to two years. Whether taken orally or transdermally, all of the trials were linked to better insulin sensitivity during postmenopause, according to the review and meta-analysis, the findings of which have not yet been published in a peer-reviewed publication. 

Menopause causes a reduction in insulin sensitivity, which raises the risk of type 2 diabetes by causing dangerously elevated blood sugar levels. Because it may have a preventive impact on diabetes, the improvement in insulin sensitivity that occurs with hormone replacement therapy is therefore excellent news.  

Potential Risks of Hormone Therapy  

Hormone therapy may have adverse consequences, much like the majority of therapies. The type of hormone medication therapy you get and your general health will determine how you respond to it. Inquire about possible adverse effects, especially those that might result in major difficulties, from your healthcare professional. 

Side Effects of Hormone Therapy  

The kind of hormone treatment a patient is receiving, among other things, will determine the adverse effects that they experience. Understanding potential side effects is crucial when choosing a course of therapy.   

The following adverse effects may occur from hormone treatment: 

  • Reduces libido  
  • Hot flushes  
  • Loss of bone mass 
  • Increased risk of fractures 
  • Gaining weight, particularly around the abdomen, while losing muscle mass 
  • Weariness 

Conclusion  

Your hormones are vital for everyday bodily functions and long-term health. When you are going through menopausal symptoms, with hormone therapy, all your hormone levels can be adjusted to make you feel better. On the other hand, cancer treatment with hormone therapy prevents malignant cells from affecting those hormones.  

Your doctor may prescribe hormone therapy for other health issues other than these two conditions as well. However, before the treatment starts, your organ functions and overall health condition must be evaluated, since hormone therapy can affect your heart health and insulin resistance.  

Book an appointment with Pathkind Labs right now for a thorough health checkup before starting hormone therapy!

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