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Doctor insights on: Are Women Using Hormone Replacement Therapy At Risk For Other Health Conditions

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Are women using hormone replacement therapy at risk for other health conditions?

Are women using hormone replacement therapy at risk for other health conditions?

Yes: The estrogen hormone increases the risk of deep vein clots, a dangerous condition, to about twice the baseline rate. It also increases the risk of cancer of the uterus unless combined with a Progesterone hormone. This combination protects the uterus but somewhat increases the risk of breast cancer, an effect not seen with estrogen alone. Hormone replacement also increases the risk of bleeding. ...Read more

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Dr. Bryan Treacy
860 doctors shared insights

Hormone Replacement Therapy (Definition)

Usually done to provide the hormones that would be deficient upon surgical removal or inactivity or malfunction of a hormone producing gland or organ. The endocrinologist is the medical specialist that specializes amongst other things , in doing just that. Insulin/glucagon-pancreas, thyroid hormone-thyroid, ovaries, testicles, hypothalamus, ...Read more


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Is HRT a necessary preventive measure for every menopausal woman or only those that are at risk of osteoporosis? I'm aware of hrt's potential risks

Is HRT a necessary preventive measure for every menopausal woman or only those that are at risk of osteoporosis? I'm aware of hrt's potential risks

Many benefits: Hrt is known to reduce the risk of stroke, heart attack, colon cancer, alzheimers' disease, and osteporosis - when started at the time of menopause. Almost all studies show that women who take HRT are healthier and live longer than women who do not take hrt. There are few contraindications to hrt. Additional benefits include decreased hot flushes, decreased insomnia, and decreased vaginal dryness. ...Read more

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Can there be any other options other than taking hormone replacement therapy drugs?

Can there be any other options other than taking hormone replacement therapy drugs?

Other options: The root of the black cohosh plant is an herb which may be beneficial for hot flashes, but which should be avoided if there is liver illness. It is suggested that the lignans in flaxseed and flaxseed oil may help night sweats/ to obtain the most benefit from flaxseed oil, it should be cold grinded. The plant Estrogens in red clover may be helpful with mild menopausal symptoms but may be >>. ...Read more

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Are older women at risk for medication problems?

Are older women at risk for medication problems?

Yes.: And older men too. As physiologic reserves in major organ systems decline and major chronic illness intervenes in later life, there is less ability of the organism to respond to insults or stresses of medication. In addition older people tend to require more medications and this leads to a multiplicity of potential drug interactions with sometime serious consequence. ...Read more

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What are the DVT risks with estrogen use for menopause?

What are the DVT risks with  estrogen use for menopause?

Not increased: Estrogen only for menopausal women was shown not to statistically increase DVT rates. Estrogen + progestin (synthetic) increased the risk two fold. This seems to implicate synthetic progestins since the same does not hold true for progesterone. I suspect the problem child in HRT therapy is synthetic progestin (medroxy Progesterone acetate). The focus is always on estrogen though. ...Read more

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Any suggestions about treatments for menopause other than hormone replacement therapy?

Any suggestions about treatments for menopause other than hormone replacement therapy?

Some suggestions: Tofu and other soy products as well as herbals like black cohosh and red clover can be helpful in taking the edge off of symptoms. They are not very potent however, and will be ineffective if symptoms are severe. Also calcium, vitamin d, a balanced diet, regular sleep and exercise are also helpful. Prescription medications like Prozac also have a role. ...Read more

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Why do you recommend for cancer prevention? Wheatgrass? Beet juice? Assuming all other medical risk factors are optimized.

Why do you recommend for cancer prevention?  Wheatgrass?  Beet juice?  Assuming all other medical risk factors are optimized.

Cancer Prevention: A healthy life style improves your chances of staying cancer free. This means consuming, healthy diet (Plant- based /Veges, fruits/ grains and lentils with limited amount of Fat and low on meats. Once you control your diet, next step is to exercise daily(30-45 minutes of walking is one option) and keep your weight in the healthy range. Avoid tobacco and alcohol as much as possible. ...Read more

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What are the options in hormone therapy for women with history of blood clots.?

What are the options in hormone therapy for women with history of blood clots.?

None: I believe hormone replacement therapy including Estrogens is contraindicated in patients with history of blood clots. Consult with your gynecologist to discuss all the options. ...Read more

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Should women take hormone replacement therapy if they have a history of cancer?

Should women take hormone replacement therapy if they have a history of cancer?

Depends: Women with history of breast cancer may or may not be given the ok to take estrogen. Some endometrial cancer cases can take ht after @ cancer free yrs. Should not affect other cancers. Best to seek counsel with your md. ...Read more

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Who is at risk for these conditions?

What conditions: Please list the coniditions that you are concerned about. ...Read more

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How common is getting osteoporosis and are there preventative measures for those at risk?

How common is getting osteoporosis and are there preventative measures for those at risk?

Yes: Nearly everyone who lives long enough will have some degree of osteopenia or osteoporosis. There are three main things to remember: walk, eat correct diet with supplemental vitamin d, ask about bone mineral density testing. ...Read more

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Are there safe alternative or supplemental treatments for hypothyroidism, beyond synthetic hormones?

Are there safe alternative or supplemental treatments for hypothyroidism, beyond synthetic hormones?

None: No really, the best treatment is the replacement with thyroid hormone that is synthetic of what the body produces, is one of the safest medications approved by the fda. ...Read more

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Are there alternative therapies for the health issues of someone with down syndrome?

Are there alternative therapies for the health issues of someone with down syndrome?

Question confusing: The management of ds patients includes a variety of therapies designed to maxamize outcome.Surgical repair of defects, monitoring for associated illnesses, hormones if deficient & good nutrition are all standard. Any therapy with measurable results is worth trying. Worth considering;if stong enough to benefit it may also hurt.Beware of anyone who says the drs want to hide their "benificial rx.". ...Read more

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What are the pros and cons of trying hCG shots for treatment of low testosterone in 32 year old male? Are there any significant risks?

What are the pros and cons of trying hCG shots for treatment of low testosterone in 32 year old male?  Are there any significant risks?

Very complex answer: Need >400 chars, but: HCG is used more when fertility is desired bc testosterone can cause dec in testicular volume and sperm count. If ur lh/fsh hormone levels are elevated, then HCG probly won't work, but if not, the HCG will will stimulate leydig cells in testes to produce more testosterone. No significant side effects at usual doses. ...Read more

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What treatments are there for women with hormone induced migraines that occur daily?

What treatments are there for women with hormone induced migraines that occur daily?

Yes: as far as I can see in my practice, progesterone supplementation taken in the luteal phase of your cycle can decrease or sometimes eliminate hormone-induced migraine headaches. talk to an endocrinologist or to a specialist in bioidentical hormone replacement therapy. Good luck ...Read more

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Who is most likely affected or at risk of treatments for osteoporosis?

Who is most likely affected or at risk of treatments for osteoporosis?

Women: Over the age of 50, post-menopausal , caucasian or asian, family history are all factors for increased risk. ...Read more

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What are the heart risks associated with testosterone therapy?

What are the heart risks associated with testosterone therapy?

Recent studies suggest a link between testosterone therapy and an increased risk in heart disease: For example, a 2014 study reported that testosterone therapy might increase the risk of a heart attack in men age 65 and older, as well as in younger men who have a history of heart disease. A 2013 study found a higher frequency of death and heart problems in men who had coronary artery disease and received testosterone therapy. Also, a 2010 trial of testosterone in older men was stopped early because the men receiving testosterone therapy had a higher frequency of heart problems than did the men receiving the placebo. However, two recent studies have also reported a lower risk of death in men who were receiving testosterone than in those who were not. Also, a recent analysis of studies published since these concerns were raised didn't find any reason to alter recommendations for testosterone treatment that have been in use since 2010. As a result, further research is needed to determine the safety of using testosterone therapy to treat older men dealing with age-related declines in testosterone. Currently, the Food and Drug Administration (FDA) is investigating the risk of stroke, heart attack and death in men taking FDA-approved testosterone products. Keep in mind that testosterone therapy carries various other risks, including contributing to sleep apnea, stimulating noncancerous growth of the prostate, enlarging breasts, limiting sperm production, stimulating growth of existing prostate cancer and blood clots forming in the veins. If you wonder whether testosterone therapy might be right for you, talk with your doctor about the risks and benefits.  If you are taking testosterone, make sure your doctor is monitoring your response to treatment with regular blood tests. ...Read more

Dr. Heidi Fowler
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Hormone (Definition)

A hormone (from greek ὁρμή, "impetus") is a chemical released by a cell or a gland in one part of the body that sends out messages that affect cells in other parts of the organism. Only a little amount of hormone is required to alter cell metabolism. In essence, it is a chemical messenger that transports a signal from ...Read more


Dr. Bryan Treacy
257 doctors shared insights

Hormone Replacement (Definition)

Hormone replacements are a kind of women's ...Read more