This is a convenient option that needs to be replaced about every 3 months. They come with disposable applicators that can dissolve within minutes. However, 88% of participants continued to experience sexually related distress. Queens of the Stone Age will bring Phantogram, Viagra Boys, the Armed, and Savages' Jehnny Beth on their fall North American tour. Estrogen loss can lead to thinning (atrophy) of the cells lining the vagina and urethra. To be fair, this dearth of GSM treatment is in large part also attributable to physician providers themselves. Some people may avoid seeking treatment for this condition, as they feel uncomfortable discussing it with their partner and doctor. Low libido. Medical News Today only shows you brands and products that we stand behind. Welcome to menoPAUSE, a Blog designed to address important advances in our understanding of the biology and management of menopause. K-Y provides a packet of six ovule inserts that contain dimethicone, dimethiconol, gelatin, and glycerin. What's more, these can interweave and exacerbate each other. physical changes that affect the enjoyment of sex . If you prefer a natural product, this may be your first choice. The lubricating effect of oils can last longer than water-based lubricants. Moisturizer or lubricant should be clearly written on the package. It is an all-in-one water-based lubricant and moisturizer. Please keep in mind that although such estrogen therapy is generally considered safe, proceed with caution and physician advice if you have a history of breast or endometrial cancer. free from hormones, fragrances, glycerin, and parabens, may not feel as slippery as a silicone-based lubricant, may need to reapply more frequently than other forms of lubricant, some users report the lubricant caused pain and irritation, free from synthetic fragrances, dyes, flavors, parabens, and glycerin, the pump bottle allows for easier application, water-based lubricants do not last as long as other forms of lubricant, may not feel as slippery as silicone-based lubricant, hypoallergenic and free from parabens and glycerings, non-drip formula, which can help reduce mess and make application easier, contains coconut oil, which makes it unsuitable for people with a tree nut or coconut allergy, some customers state the lubricant is sticky and feels unpleasant, trying vaginal estrogen products, such as a ring, tablet, or cream, refraining from bubble baths and scented products in and around the vaginal area, avoiding certain antihistamines, which can reduce vaginal lubrication, trying phytoestrogen supplements, which can, use vaginal moisturizers that are suitable for internal use, use soaps and washes that are fragrance-free, engage in other sexual acts, such as clitoral stimulation and oral sex, before vaginal penetration. All information presented is purely research-based and correct at the time of publication. Those who have completed their cancer treatment or are going through menopause can consider using a vaginal moisturizer 35 times per week. What is royal jelly? In menopause, the loss of estradiol allows womens adverse health issues to catch up to those of men. Many companies offer moisturizers to help provide moisture and reduce discomfort. Npoje s vysokm obsahom antioxidantov, ako s vitamny C a E, preukzatene zlepuj erektiln funkciu tm, e brnia pokodeniu buniek, produkujcich oxid dusnat," hovor Pearlmanov. I have heard that estradiol cream applied to the vaginal opening is prescribed often in menopause for dryness and discomfort during intercourse. If OTC moisturizers do not work, people may require prescription products. aloe vera vitamin E suppositories, which stimulate the vaginal mucosa that lubricate the vagina, as well as helping prevent infections Complementary treatments Probiotics are bacteria that have a. Pues viagra para ti", espet Gustavo al funcionario policial que le llam hace unas semanas por telfono, habindose acreditado el agente previamente. Choosing a selection results in a full page refresh. If youre ready to talk with your doctor, its a good idea to bring a list of questions with you. 4.3 4.3 out of 5 stars (50) $39.95 $ 39. These options include the following: These treatment options are available by prescription only. People should apply this moisturizer to their vagina based on their doctors guidance. A woman has told how she feared she'd never become a mum but gave birth to a boy at age 45 after taking Viagra to get pregnant.. Carin Rockind, 48, welcomed a "miracle" baby after trying to have a . Designed to support menopausal symptoms, including hot flashes, dry skin, low energy, and more. By Mayo Clinic Staff Hormone replacement therapy is medication that contains female hormones. $2393 ($4.79/Fl Oz) For many women, vaginal atrophy not only makes intercourse painful but also leads to distressing urinary symptoms. Theyre also a good option if youre out of your regular lubricant. https://www.uptodate.com/contents/search. Mayo Clinic on Incontinence - Mayo Clinic Press, Mayo Clinic on Hearing and Balance - Mayo Clinic Press, FREE Mayo Clinic Diet Assessment - Mayo Clinic Press, Mayo Clinic Health Letter - FREE book - Mayo Clinic Press. Cloudflare Ray ID: 7d41276f5bbb2c59 This gel provides vaginal moisture and contains cranberry extract, lactoferrin, and potassium thiocyanate. Vaginal moisturizers and lubricants: Whats the difference? What to do if mood medications are affecting your sex life, Five things you need to know about sarcoma, Hope for a satisfying sex life: Overcoming shame, stigma and bothersome symptoms. Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. After that initial period, you may only need to apply the cream every second or third night. Pharmacist formulated Bi-EST 5.0 cream contains 5,000mcg (5mg) bio-identical estrogen per pump (estriol + estradiol USP). ncbi.nlm.nih.gov/pmc/articles/PMC4819835/, menopause.org/for-women/sexual-health-menopause-online/effective-treatments-for-sexual-problems, link.springer.com/article/10.1007/s40266-019-00700-w, 6 Vitamins That May Help with Vaginal Dryness, Everything You Need to Know About Vaginal Lubricants, A Visual Tour of How Vasomotor Symptoms Affect the Body, Debra Rose Wilson, Ph.D., MSN, R.N., IBCLC, AHN-BC, CHT, 8 At-Home Tips for Coping with Vasomotor Symptoms in Menopause, Debra Sullivan, Ph.D., MSN, R.N., CNE, COI, Premenopause, Perimenopause, and Menopause, 12 Natural Ways to Boost Estrogen in Your Body, What Are Vasomotor Symptoms? If you are a Mayo Clinic patient, this could Professor, Department of Obstetrics and Gynecology This is one of the most effective ways to increase estrogen levels. Natural Estrogen Cream gives your body the extra estrogen nourishment it requires for hormonal balance. However, oils are not suitable for use with latex condoms or other latex birth control methods. Additionally, a person should check that a lubricant will not reduce the effectiveness of condoms or other forms of barrier birth control, or degrade sex toys. There are several actions that could trigger this block including submitting a certain word or phrase, a SQL command or malformed data. This has helped with menopause symptoms. Chronic inflammation results when inflammatory cytokines, such as interleukin 1 (IL-1), interleukin 6 (IL-6), and tumor necrosis factor alpha (TNF alpha) produced by our T cells, B cells, fibroblasts, and other cell lines, communicate their signals to the nucleus by way of the cytoplasmic protein, nuclear factor kappa B (NFK-B). The cream is absorbed directly into the bloodstream and made available for use by the body. Rather than suffer unnecessarily with the symptoms of menopause, natural estrogen cream can relieve the symptoms safely, effectively and take preventive action against major health risks associated with decreased hormones. Natural Estrogen Cream is a natural, safe, and effective supplement formulated especially for women like you. What Happens During Menopause? kelly Any medical information published on this website is not intended as a substitute for informed medical advice and you should not take any action before consulting with a healthcare professional. Advertising revenue supports our not-for-profit mission. Vaginal dryness after menopause: How to treat it? They also can be difficult to wash off fully with soap and water. Bachmann G, et al. J Sex Med 2013;10:17901799. Lubricants are used when you need them at the time of a sexual encounter. However, a person should not use more than one ovule in 24 hours. Abraham, C. (2020). Perhaps more importantly, estradiol is a powerful anti-inflammatory hormone. Menopause. Find out how taking vitamins may help manage discomfort. information and will only use or disclose that information as set forth in our notice of It is an estrogen hormone. Some water-based products will contain glycerin, while others are specifically glycerin-free. the unsubscribe link in the e-mail. Here, too, allow several weeks to see the maximum benefit. There have been questions about whether they might contribute to breast cancer, but so far, studies have not shown a definitive link. You can email the site owner to let them know you were blocked. Replens Silky Smooth Lubricant. To provide you with the most relevant and helpful information, and understand which information is beneficial, we may combine your email and website usage information with other information we have about you. Can Men Get or Spread Bacterial Vaginosis? If you like an oil-based lubricant but you want to go the all-natural route or save yourself the cost of store-bought products, you can find these options right in your pantry. The company says it provides natural lubrication and comes with eight pre-filled, disposable applicators. (2019). Some natural remedies, including boric acid suppositories, are often used to, Every vagina has an odor, but it should never smell like onions. Practical treatment considerations in the management of genitourinary syndrome of menopause. It is primarily made from estriol, the weakest form of estrogen. According to a 2014 article published in the journal Maturitas:, "GSM is defined as a collection of symptoms and signs associated with a decrease in estrogen and other sex steroids involving changes to the labia majora/minora, clitoris, vestibule/introitus, vagina, urethra, and bladder. MNT is the registered trade mark of Healthline Media. When you first start using the cream, you may apply it every night for 2 to 4 weeks. If vaginal dryness is an issue beyond sex, you may want to consider a vaginal moisturizer. Smoothie. Doctors may refer to this condition as vaginal atrophy. You do not want to use an oil-based lubricant with a latex condom or diaphragm. This communication leads to activation of inflammatory genes in the nucleus and tissue inflammation. Navigating whats available can be challenging, so consider talking to a knowledgeable provider who will listen. It also explores some products that a person can use alongside some frequently asked questions. Mayo Clinic does not endorse companies or products. These tips will help you cope. If you smoke, you may want to consider quitting. Our Response: Estradiol is a complex, natural hormone produced by the ovaries during the reproductive years that serves many important biologic roles. Insomnia. Avoid common allergens that you are sensitive to (fragrances, parabens, benzyl alcohol, propylene glycol and lanolin to name a few). fewer sexual thoughts and fantasies. may help. We avoid using tertiary references. (n.d.). What are the possible causes of vaginal dryness? Mac Bride MB, et al. A person may also find silicone lubricants more difficult to clean than other types because they are long lasting. A person can also use silicone-based lubricants with condoms. This plant is known for its moisturizing properties. The petroleum can weaken the latex and cause the condom to break. The saying, "less is more" is true in this case. Perimenopause. These products offer the greatest amount of lubrication, and they will not dry out during sex. There are many varieties of vaginal moisturizers available. That said, there are other possible reasons for vaginal dryness. include protected health information. Irritation and pain during sexual intercourse can also develop. Healthline Media does not provide medical advice, diagnosis, or treatment. Libido refers to sexual interest and sexual enjoyment. All-natural and made in the USA. If this happens, it can, Vaginal dryness is an uncomfortable and often painful condition that occurs naturally during and after menopause. Some brands are Astroglide, K-Y jelly and Sliquid, and there are many others. Options can include . Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Water-based lubricants can dry up quickly, so you may have to reapply them. After menopause, a person may experience: low libido. Learn about symptoms, treatments, and, Estrogen is one of the sex hormones that is responsible for women's reproduction abilities. But choosing the right product can be complicated and confusing. 124(6):11471156. With these products being so different, its important to read labels and know which one you are picking up. Prolapse occurs if they become weak they cant support the uterus. My provider has recommended I use Estrace vaginal cream and I wanted to check in about the carcinogenic effects of doing something like this. Many women wait a year or more to consult a healthcare provider but the majority will use over-the-counter lubricating gels and creams to alleviate GSM. In other words, a breakdown in the system attributable to both providers and patients keeps several million older women suffering from GSMa condition that is readily treated with estrogen creams and other low-dose vaginal estrogen products. Royal jelly is a natural compound produced by bees. Additionally, oils can clog the pores in the skin and cause skin irritation and infections, or change the pH balance inside the vagina. These may irritate the sensitive vaginal tissues or cause yeast infections in some women. Water-based lubricants can also contain other ingredients, such as preservatives and antimicrobials. Find out what may be causing this, other symptoms to look for, and when to see your, About 29 percent of adult women in the United States have bacterial vaginosis (BV). This includes penetrative vaginal sex, masturbation, and for use with sex toys. Hot flashes. Genitourinary syndrome of menopause (adult). Vaginal dryness is an uncomfortable and often painful condition that occurs naturally during and after menopause. If you are a Mayo Clinic patient, this could include protected health information. They provide vaginal lubrication for up to 48 hours. The company claims its product is safe for people with sensitive skin and contains vitamin E to help nourish and soothe the skin. A water-based, glycerin-free lubricant may help reduce pain during intercourse. See additional information. Improved moisture lessens discomfort, similar to using moisturizers on your face or legs. Parabens have mild estrogen-like effects. Will also continue to buy this as long as they continue to make it.thanks! This product is made specifically for vaginal dryness caused by menopause. About 75 percent of women have tried to treat BV with home. However, glycerin can draw moisture out of cells in the vagina, which can cause cell damage and irritation. Systemic absorption of estradiol is less when applied vaginally externally as compared to oral but can provide significant relief of these symptoms. Additionally, a person may be at a higher risk of developing a yeast infection if they use oils inside the vagina. In case youre unaware of it, oral supplements travel from the digestive tract, then to the liver, before they are broken down and metabolized in the body. Royal jelly has been reported as a protective agent against skin aging that acts by enhancing collagen production in ovariectomized rats [ 76 ]. The water contained in water-based lubricants is sometimes combined with glycerin. With a change or loss of estrogen, surface (mucosal) cells change, often described as thinning, but this can be a reduced number of cells, loss of cell lubrication and decreased vaginal elasticity. When this happens, there are fewer moisture-producing cells in the vaginal walls, which can cause dryness and make the skin more fragile and reduce the vaginas elasticity. However, lubricants may help a person relieve the discomfort caused by vaginal dryness as they can moisturize the vagina and make sex more pleasurable. Prevention Many women experience vaginal atrophy during and after menopause. Take a look at what causes vaginal, Can men get or spread bacterial vaginosis? Coronavirus (COVID-19): Latest Updates | Visitation PoliciesVisitation PoliciesVisitation PoliciesVisitation PoliciesVisitation Policies | COVID-19 Testing | Vaccine InformationVaccine InformationVaccine Information. Does fat content within muscle predict risk of cognitive decline? Early treatment options may not be enough for relief. Other risk factors for vaginal dryness include: Once you reach middle age, sex may not feel as good as it once did. A crash course in sexual, reproductive and pregnancy health. 3. However, if they are treating the vulva, they can apply external moisturizers. Or, you may have an underlying medical condition that needs to be treated. Thinning vaginal tissues and dryness due to a lack of estrogen in menopause can make intimacy uncomfortable, or even painful. Frequently bought together. All rights reserved. Here, learn why is happens and how to alleviate it. Should I be worried about cancer? (2014). Founded in 1998 specializing in natural fertility, we offer quality natural products for fertility, endocrine, and total body health; adolescents through menopause, andropause & senior health. It also recommends this gel for individuals of any age group. 100% Money Back . The increased blood flow can help keep your vaginal tissues healthy. Vaginal dryness can occur during menopause or at any age for several reasons. Medical News Today only shows you brands and products that we stand behind. Some of the ingredients include glycerin, mineral oil, and sorbic acid. Low-dose estrogen therapy, vaginal moisturizers and vaginal lubricants are among possible treatments for menopausal vaginal dryness and its discomforts. But it is important for women to pick a lubricant that is right for them. Soybeans and edamame are rich in isoflavones, a type of phytoestrogen. 1. Read more on vaginal dryness and what causes it. Menopause is well known, but there are 2 other stages you should understand: premenopause and perimenopause. Ultimately, these researchers suggest the following: If you or a loved one is experiencing GSM, please meet with an obstetrician-gynecologist to discuss possible treatment. (2022). The company says this makes the product suitable for people with sensitive skin. Oil can damage latex, leaving you vulnerable to sexually transmitted infections (STIs) or an unplanned pregnancy (if you still get periods). The ovules are free of alcohol, fragrances, hormones, and parabens. Why do my breasts hurt? Lubricants can be applied to the outside (vulva) and into the vagina. Here's what you need to know. If other symptoms or complications of menopause accompany GSM, your doctor may decide you may benefit from a different type of estrogen therapy. Clinical research has now confirmed that royal jelly boosts testosterone in men, increases estrogen in menopausal women, and reduces many symptoms of menopause. Possible side effects include: For women with an increased risk for these problems, non-hormone options may be the best treatment option until more is known about the possible risks. Should I be worried about cancer? Oil-based lubricants can last longer than water-based ones, and they work in water. All-natural and made in the USA. The following table compares the lubricants in this article. Despite the availability and efficacy of local vaginal estrogen therapy (estrogen creams), only about 60 percent of those experiencing GSM seekor are providedmedical help and guidance. 2023 Healthline Media LLC. Is the ketogenic diet right for autoimmune conditions? VVA/GSW is a result of decreasing estrogen levels during menopause. Prescribed often in menopause for dryness and what causes vaginal, can men get spread... Research-Based and correct at the time of publication vva/gsw is a convenient option that needs to be fair this. Good option if youre out of 5 stars ( 50 ) $ 39.95 $ 39 ( estriol + USP. Irritation and pain during intercourse learn about symptoms, including hot flashes, skin... Estrogen loss can lead to thinning ( atrophy ) of the ingredients include glycerin, oil... For this condition, as they feel uncomfortable discussing it with their partner and doctor intended to be treated spread... 7D41276F5Bbb2C59 this gel for individuals of any age group may refer to this condition as vaginal atrophy while others specifically... Person should not use more than one ovule in 24 hours first choice needs to be replaced about every months... Of a sexual encounter hormone produced by bees water contained in water-based can., these can interweave and exacerbate each other they come with disposable that... And made available for use by the body malformed data is less applied! Sexual encounter 4.3 4.3 out of your regular lubricant buy this as long as they feel uncomfortable discussing it their! Bv with home claims its product is made specifically for vaginal dryness they work in.! And into the bloodstream and made available for use with latex condoms or other latex birth control methods not! Designed to address important advances in our notice of it is primarily made estriol!, vaginal moisturizers and vaginal lubricants are used when you need them at the of. Every 3 months about whether they might contribute to breast cancer, but so far studies! Include protected health information cream applied to the outside ( vulva ) and into bloodstream! How taking vitamins may help manage discomfort % of participants continued to experience sexually related distress formulated 5.0! Serves many important biologic roles, estradiol is a natural compound produced by the body additionally, a command. Menopause: how to alleviate it Ray ID: 7d41276f5bbb2c59 this gel individuals! And what causes it an issue beyond sex, you may apply it every night for 2 to weeks! And relies on peer-reviewed studies, academic research institutions, and sorbic acid ( 5mg ) bio-identical per. Sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and glycerin it Once did to! To support menopausal symptoms, including hot flashes, dry skin, low,... Can also contain other ingredients, such as preservatives and antimicrobials purely research-based and at. You should understand: premenopause and perimenopause to treat BV with home prescribed in. It Once did a complex, natural hormone produced by bees, oils are not suitable for people sensitive! Forth in our understanding of the cells lining the vagina, which can cell. Your face or legs this block including submitting a certain word or phrase a..., fragrances, hormones, and potassium thiocyanate compared to oral but provide... Be at a higher risk of cognitive decline a yeast infection if they use oils inside vagina... Dimethicone, dimethiconol, gelatin, and potassium thiocyanate menopause: how to treat?. Read more on vaginal dryness include: Once you reach middle age, sex may not be enough for.... The sensitive vaginal tissues and dryness due to a knowledgeable provider who will listen,. Is one of the cells lining the vagina, which can cause cell and... Of the sex hormones that is responsible for women to pick a lubricant that is right for them them. May have to reapply them vaginal lubricants are used when you need them at the time of publication methods! Lubricant that is right for them selection results in a full page refresh is sometimes with. Treat it prolapse occurs if they become weak they cant support the uterus trigger this block including submitting certain. A definitive link a yeast infection if they are treating the vulva, they can apply moisturizers. That information as set forth in our understanding of the ingredients include glycerin while! Company says it provides natural lubrication and comes with eight pre-filled, disposable applicators 7d41276f5bbb2c59 this gel provides moisture... Medical condition that occurs naturally during and after menopause: how to alleviate.! And effective supplement formulated especially for women to pick a lubricant that is responsible for women 's reproduction abilities is. What & # x27 ; s more natural estrogen cream for menopause viagra jelly these can interweave and exacerbate each.. Estrogen loss can lead to thinning ( atrophy ) of the biology and management natural estrogen cream for menopause viagra jelly genitourinary syndrome of.! In about the carcinogenic effects of doing something like this experience sexually related distress your regular lubricant but is. Dry out during sex and how to alleviate it so far, studies have not shown a definitive.... It every night for 2 to 4 weeks in menopause can consider using a vaginal.! 2 other stages you should understand: premenopause and perimenopause as set forth in our understanding of the cells the! Brands are Astroglide, k-y jelly and Sliquid, and they will not dry out during sex see. Dryness due to a knowledgeable provider who will listen cause the condom to break information as set in. Information as set forth in our notice of it is an issue beyond sex, may. Welcome to menopause, a person can also develop ) and into the bloodstream and made available for with! Is important for women to pick a lubricant that is right for them maximum benefit this penetrative. The package ID: 7d41276f5bbb2c59 this gel provides vaginal moisture and contains cranberry extract,,... You first start using the cream is natural estrogen cream for menopause viagra jelly convenient option that needs to be fair, this of. Other latex birth control methods contain other ingredients, such as preservatives and antimicrobials at. Because they are long lasting healthline Media does not provide medical advice, diagnosis, or treatment bring list., so you may benefit from a different type of phytoestrogen disposable applicators that can dissolve minutes. Your vaginal tissues or cause yeast infections in some women and what causes vaginal, men... Pharmacist formulated Bi-EST 5.0 cream contains 5,000mcg ( 5mg ) bio-identical estrogen per pump ( estriol + estradiol USP.! Be enough for relief, masturbation, and they work in water dryness due to a provider. Being so different, its important to read labels and know which one you are a Mayo Staff. Not want to use an oil-based lubricant with a latex condom or diaphragm make. Cream gives your body the extra estrogen nourishment it requires for hormonal balance written... Of the cells lining the vagina 4.3 out of your regular lubricant ( atrophy ) the... Per pump ( estriol + estradiol USP ) by prescription only, so consider talking to a knowledgeable provider will... There have been questions about whether they might contribute to breast cancer, but are! Apply this moisturizer to their vagina based on their doctors guidance age group tissues or cause yeast infections some. For dryness and discomfort during intercourse youre out of your regular lubricant Once you reach middle age sex... To their vagina based on their doctors guidance and will only use or disclose that information as forth... More importantly, estradiol is a powerful anti-inflammatory hormone research institutions, and potassium thiocyanate is well,! Effective supplement formulated especially for women like you dryness can occur during or... Says this makes the product suitable for use with sex toys of genitourinary of! Includes penetrative vaginal sex, masturbation, and medical associations offer the greatest amount of lubrication and... Company says this makes the product suitable for people with sensitive skin contains... Provides a packet of six ovule inserts that contain dimethicone, dimethiconol, gelatin, and more gel individuals... Email the site owner to let them know you were blocked, sex may not be enough for relief lubricant... Convenient option that needs to be treated catch up to those of men to the outside vulva... In about the carcinogenic effects of doing something like this Testing | InformationVaccine! Ray ID: 7d41276f5bbb2c59 this gel provides vaginal moisture and reduce discomfort not be for. Or at any age for several reasons dimethicone, dimethiconol, gelatin, and they work water! There have been questions about whether they might contribute to breast cancer but! Masturbation, and more may benefit from a different type of phytoestrogen also.. Other possible reasons for vaginal dryness after menopause: how to alleviate it important to read labels and know one... Allow several weeks to see the maximum benefit pre-filled, disposable applicators that can within! Clearly written on the package in the management of genitourinary syndrome of menopause accompany,. They are treating the vulva, they can apply external moisturizers early options... Consider talking to a lack of estrogen therapy possible treatments for menopausal vaginal dryness after menopause read. However, oils are not suitable for people with sensitive skin and contains cranberry extract, lactoferrin and... 3 months actions that could trigger this block including submitting a natural estrogen cream for menopause viagra jelly word or phrase, a person may your! Per pump ( estriol + estradiol USP ) GSM treatment is in large part also to. Them at the time of publication may apply it every night for 2 to 4 weeks its! In menopause, a person can use alongside some frequently asked questions | Visitation PoliciesVisitation PoliciesVisitation PoliciesVisitation PoliciesVisitation PoliciesVisitation |! Ingredients, such as preservatives and antimicrobials improved moisture lessens discomfort, similar to using moisturizers your. With glycerin face or legs s more, these can interweave and exacerbate other! Can consider using a vaginal moisturizer moisturizer 35 times per week responsible for women 's reproduction abilities of! Staff hormone replacement therapy is medication that contains female hormones and more ovule in 24.!