Evidence-Based Practice Guidelines Related to Hormone Replacement Therapy and Women's Health Mainten

Interventions for Women's Health Maintenance during Menopause

Task:

Please respond to the post below To ensure that your responses are substantive, use at least two of these prompts:

1)Do you agree with your peers’ assessment?

2)Take an opposing view to a peer and present a logical argument supporting an alternate opinion.

3)Share your thoughts on how you support their opinion and explain why. Post By Kristina Gray: Access an evidence-based practice guideline related to hormone replacement therapy or women's health maintenance. List three evidence-based interventions which you would consider implementing in your practice and why you selected them. Menopause typically happens at an average age of 51 years old, and the average woman is expected to live another 30 years after reaching menopause. Once a woman reaches menopause, she is at an increase risk for stoke, dementia, heart disease, bone fractures, and breast cancer.

The use of hormone replacement therapy in postmenopausal women is recommended to help prevent chronic conditions. It is recommended not to use a combination of estrogen and progesterone as a hormone therapy because it increases the risk factors, and in women who have had a hysterectomy estrogen is not recommended at all (JAMA, 2017). Hormone therapy in postmenopausal women have the benefits of relieving symptoms such as: night sweats, hot flashes, and can also reduce the risk of osteoporosis (Brazier, 2017).

Three interventions that I would consider using in my practice would be local estrogen because this is a vaginal tablet that helps prevent dryness, and vaginal itching or irritation. It comes in a tablet, cream, or ring that the women can use, and it is easy for the woman to use. The second intervention that I would consider is a continuous hormone replacement therapy. It is used during menopause and can help decrease the symptoms of hot flashes and night sweats. It is a combination of estrogen and progestogen. The third hormone replacement therapy that is considered the safest is estrogen only.

This helps reduce the risk for coronary artery disease and strokes. In studies it has been proven to be the safest (Brazier, 2017). In this discussion and doing research I found conflicting evidence, one study stated do not use estrogen in women who have had a hysterectomy and another study states it is the hormone replacement to use in women that have had a hysterectomy because they don’t need progesterone. What do you think? Reference Brazier, Y., (2017). Hormone Replacement Therapy is Used to Help Balance Estrogen and Progesterone in Women Around the Time of Menopause. Medical News Today.