A member asked:

Hello. im 50 years of age and interested in how can i maintain healthy estrogen level without hormonal replacement therapy?

3 doctors weighed in across 3 answers

Clarify: Hi. Once you go through menopause, your estrogen levels will plummet, but not go to zero. That is biologically natural, so by definition, the "healthy estrogen level". So eat healthily, exercise regularly, and stay healthy! You DO NOT need to take estrogen (+/- progestin, depending on presence or absence of uterus) for that! Many docs feel that hormone replacement risks outweigh benefits.

Answered 6/9/2015

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Dr. Carrie Cannon answered

Specializes in Family Medicine

Take care: There are other meds for menopausal symptoms besides estrogen. Apparently the lowest dose of estrogen possible is best. Take vitamin D and calcium in multivitamins daily. Exercise aerobically and with weights. Eat a balanced mediterraen diet. Maintain a healthy weight for height or BMI. You will not miss having periods every month. That is a bonus of menopause.

Answered 9/21/2014

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Dr. Carrie Cannon answered

Specializes in Family Medicine

Use lubrication: A healthy estrogen level in menopause is now thought to be your own body's natural level. If you have hot flashes or other bothersome symptoms of peri-menopause, you may want to supplement estrogen with progesterone to prevent uterine cancer for a few years, less than 5 seems to be the current thinking. I still think the jury is out on hormone replacement therapy. Osphena may not be safer? KY

Answered 9/21/2014

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