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Hormones 2016

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Methods of Delivery or Administration<br />

Heart disease risk - increases after menopause, although it is unclear<br />

exactly how much is due to aging and how much is caused by the<br />

hormonal changes that occur at the time of menopause. Women<br />

who undergo premature menopause or have their ovaries removed<br />

surgically at an early age are at an increased risk of heart disease.<br />

Weight gain - A three year study of healthy women nearing menopause<br />

found an average gain of five pounds during the three years.<br />

Hormonal changes and aging are both possible factors in this weight<br />

gain (Stoppler and Shiel Jr, 2014).<br />

Hot flushes<br />

Your first hot flush can be a startling experience. It may begin like a<br />

headache, with a pressure in the head, or as a sudden sensation of intense<br />

warmth. The "flush" increases in intensity until a feeling of heat or burning<br />

occurs in the face, neck, and chest. Your skin may redden and increase<br />

in temperature by as much as seven degrees. You may feel an urgent<br />

need to remove a sweater, jacket, or nightgown, and cool yourself by<br />

grabbing for a fan, throwing off the bedcovers, or standing by an open<br />

window. An outbreak of sweating, particularly affecting the upper body,<br />

may immediately follow the hot flush. Sweating cools down the skin<br />

temperature, causing you to have the shivers. Less common symptoms<br />

which may accompany a hot flush include palpitations, weakness, fatigue,<br />

faintness, and vertigo.<br />

Hot flushes vary in frequency, intensity, and duration for every individual<br />

expereincing them. The average length of a hot flush is 4 minutes, though<br />

it can last from a moment to as long as 10 minutes. Frequency varies from 1<br />

to 2 an hour to 1 to 2 a week (WebMD, 2014d) (Healthwise-Staff, 2013).<br />

Hot flash or hot flush?<br />

A "hot flush" is a UK variant of English, whereas a "hot flash" is North<br />

American. In this situation both are right, and are used interchangeably.<br />

Methods of Delivery or Administration<br />

In descending order of approximate efficiency in delivery into the<br />

bloodstream.<br />

Intramuscular injection - 100% efficient<br />

Transdermal (patch, gel, or cream) - 90%<br />

Sublingual or nasal spray - 80%<br />

Oral - 10% (unknown, 2014e)<br />

552<br />

Version <strong>2016</strong>.3576– – Document LATEXed – 1st May <strong>2016</strong><br />

[git] • Branch: 1.5 @ 26b5e6d • Release: 1.5 (<strong>2016</strong>-05-01)

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