Pichhle bees saal mein menopause (mahwari ka band hona) ka jo ilaaj sab se zyada ghalat samjha gaya, woh hormone therapy hai. 2002 mein Women's Health Initiative ki surkhiyon ne auraton aur doctoron ki aik poori nasl ko is ilaaj se dara diya, jise hidayat ne ab wapas mez par rakh diya hai. Yeh aap ke liye theek hai ya nahin, yeh doctor se poochne ka sawal hai, aur yeh safha isi liye hai ke aap woh sawal achhi tarah pooch sakein.
Research asal mein kya kehti hai
British Menopause Society ka mauqif yeh hai ke jin auraton ko alamaat hain aur jo 60 saal se kam umar hain, ya apni aakhri mahwari ke das saal ke andar hain, un mein se zyada tar ke liye HRT ke faide nuqsaan se zyada hain. Chhaati ke cancer par NICE ki hidayat NG23 kehti hain ke akela estrogen khatre mein bohat kam ya koi farq nahin lata, estrogen ke saath progestogen lene se khatra barh sakta hai, aur jitna barhta hai woh is baat se jura hai ke kitna arsa li gayi, aur band karne ke baad phir kam ho jata hai. Yeh sab par laagu hone wala khatra nahin, aur kuch bhi nahin, yeh bhi nahin; faisla is se hota hai ke aap par pehle kya guzar chuka hai.
Jin auraton ki bachedani hai, un ke liye progesterone is liye saath diya jata hai ke bachedani ki androoni teh mehfooz rahe. Jin ki bachedani nahin (nikalwai hui hai), unhein aam taur par akela estrogen diya jata hai.
Sab se zyada faida kise
Vasomotor symptoms, yani hot flush (achanak garmi lagna) aur raat ke paseene; genitourinary symptoms, yani andaam nihani ki khushki aur peshaab mein tabdeeli; aur haddiyan: yahan hidayat sab se saaf baat karti hain. NICE ki hidayat NG23 aur PMS ki 2026 ki sifarishaat hot flush aur raat ke paseenon ke liye HRT ko pehle darje ka option likhti hain, aur NICE kehti hai ke jab tak HRT li ja rahi ho, haddi tootne (fragility fracture) ka khatra kam rehta hai. Usi jagah lagane wale estrogen (vaginal estrogen) ko NICE alag se leti hai: yeh akela bhi liya ja sakta hai aur HRT ke saath bhi, jab tak zaroorat ho, aur is ke side effects bohat kam hote hain. Aur yehi woh sawal hai jo sab se zyada pooche baghair reh jata hai.
Kise ehtiyat karni chahiye
Jin auraton ko khud chhaati ka cancer, khoon ka lothra (blood clot), faalij (stroke) ya jigar ki chalti hui beemari rahi ho, unhein apni alag baat cheet chahiye, aur kabhi kabhi bilkul alag qisam ki dawa.
Baat yeh nahin ke har aurat ko hormone thama diye jayen. Baat yeh hai ke dar ki jagah maloomat aaye, taake faisla aap karein, apne jism aur jo kuch aap par guzar chuka hai, us ke mutabiq.