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Before beginning any treatment for the symptoms of perimenopause Riccardo Montolivo World Cup Jersey , it is important to undergo a complete physical exam that will include a detailed medical history reports. Most women should at least have a mammogram within twelve months of starting their medical therapy for the perimenopausal symptoms. The medical practitioners may also recommend a bone densitometry if the medical history and physical examination thinks that bone density test is a good idea. The doctor may also ask for additional tests if the need arises.

The treatment for menopause has traditionally implied hormone replacement therapy Charlotte or HRT. It also meant estrogen replacement therapy or ERT. It was only few years back that the Women’s Health Initiative or WHI, and the Heart and Estrogen progestin Replacement Study or HERS Mattia Perin World Cup Jersey , caused many women to rethink using estrogen for perimenopausal symptoms. As stated by the North American Menopause Society, the vasomotor symptoms of perimenopause such as hot flashes or night sweats are the primary indication for prescribing estrogen or estrogen-progestogen therapy. In fact Mattia De Sciglio World Cup Jersey , the labeling for virtually all estrogen and estrogen-progestogen products includes the vasomotor symptoms of perimenopause as a reason for taking the drugs.

Another hormonal treatment for the perimenopausal treatment, that is prescribed by the doctors are low-dose oral contraceptives. Oral contraceptives provide effective relief from the vasomotor symptoms of perimenopause. The biggest advantage of these pills over the hormone replacement therapy during the perimenopause is that they do not only treat the hot flashes byt also regulates the irregular bleeding that would occur during this time. The hormone replacement therapy is unable to control the irregular bleeding. This approach also delays the need of hormone replacement therapy at least until menopause occurs. One may want to discuss the pros and cons of the low dose oral contraceptive Matteo Darmian World Cup Jersey , instead of undergoing the estrogen therapy before taking the final decision regarding the menopausal treatment.

The women experiencing moderate to severe symptoms of vulvar and or vaginal atrophy, including vaginal dryness Marco Parolo World Cup Jersey , painful sexual intercourse, atrophic vaginitis can use estrogen therapy. If the vaginal problems are the only symptoms that require treatment Manolo Gabbiadini World Cup Jersey , there are different vaginal estrogen creams available in the market. They will be preferred to the systemic estrogens.

If one is wondering why use both estrogen and progestin together, then the addition of progestogen provides protection against endometrial cancer for women whose uteri are intact. The estrogen therapy without the addition of progestogen in women Luca Antonelli World Cup Jersey , who still have their uterus, has the higher chance of getting endometrial cancer. There are two ways to prescribe progestogen therapy: a continuous-combined estrogen-progestogen therapy Lorenzo Insigne World Cup Jersey , or a continuous-sequential estrogen-progestogen therapy. Women without their uterus do not need to add the progestin in their hormone replacement therapy Charlotte or HRT. Low dose estrogen can be prescribed for vaginal atrophy.

Unfortunately, it is the progestogen in the hormone replacement therapy that causes unpleasant side effects. There not enough scientific evidence on the endometrial safety to actually recommend the off label use of progestogens. Examples of this type of progestogen therapy include using progestogen for 12 to 14 days every three to six months or vaginal administration of progestogen. The hormonal IUD releases levonorgestrel Lorenzo De Silvestri World Cup Jersey , or low dose estrogen without progestogen. Should someone choose any of these therapies, the doctor should follow up to notice any endometrial change occurring in the body.


by Xinhua writers Zheng Kaijun， Yang Dingdu


OSH， Kyrgyzstan， Aug. 26 (Xinhua) -- "Chinese seeds， fertilizers and pesticides are revitalizing our cotton fields，" said 60-year-old Nurdinov Nizomidin， as he wedged his feet through his lush cropland in southern Kyrgyzstan， smiling.


However， some 10 years ago， cotton， instead of being a reason for smile， was a symbol of sorrow for Nizomidin， because two of his three sons decided to ditch non-longer profitable cotton field for better jobs in the city.


In the 1980s and 1990s， with the field guidance of former Soviet Union scientists， Central Asia accounted for nearly 20 percent of the world's total production of cotton， or the "white gold." The Kara-Suu district， Nizomidin's hometown， with 3，000 years' history of cotton cultivation， was a star production area then. Life was well-off.


But when the scientists left， technologies have stagnated. Central Asia's output