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Doctor insights on: Estrogen Replacement Therapy

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Estrogen replacement therapy effects on health?

Estrogen replacement therapy effects on health?

Depends on age: Early estrogen replacement rx (hrt) is of major value in women with either surgical menopause or early menopause in diminishing the likelihood of heart disease. It diminishes the chance for osteoporosis and colon cancer. It makes a females sexual-life longer. However, in older females with metabolic syndrome, or who have been off or never on hormones, a serm like Evista (raloxifene) may be better option. ...Read more

Estrogen (Definition)

Estrogen is a hormone that is secreted by the ovaries and affects ovulation, ...Read more


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Estrogen replacement therapy effects on health?

Depends on age: Early estrogen replacement rx (hrt) is of major value in women with either surgical menopause or early menopause in diminishing the likelihood of heart disease. It diminishes the chance for osteoporosis and colon cancer. It makes a females sexual-life longer. However, in older females with metabolic syndrome, or who have been off or never on hormones, a serm like Evista (raloxifene) may be better option. ...Read more

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If you have a medical hysterectomy can you go through menapause? I had a medical hysterectomy and was wondering if i will go through menapuse? I am 56 years old had my hysterctomy about 6 years ago i was on an estrogen replacement therapy for about one ye

If you have a medical hysterectomy can you go through menapause? I had a medical hysterectomy and was wondering if i will go through menapuse? I am 56 years old had my hysterctomy about 6 years ago i was on an estrogen replacement therapy for about one ye

Hi. : Hi. Yes, if you had a hysterectomy with removal of your ovaries, you can have the same menopausal symptoms that woman go through who still have ovaries and a uterus. Symptoms can include: hot flashes, night sweats, depressed mood, mood swings, fatigue, tenderness of your breasts, vaginal dryness, weight gain and osteoporosis. This can feel quite miserable. I recommend that sit down with your doctor and advise him or her of your symptoms. There are approaches that don't require hormone replacement therapy and treatments using hormone replacement. ...Read more

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Does this cancer prevent me from considering estrogen-replacement therapy?

Does this cancer prevent me from considering estrogen-replacement therapy?

Breast Cancer?: May or may not have estrogen receptors, but the unbridled use of post menopausal estrogen to prevent hot flashes resulted in increased frequency of breast cancer. For unbearble symptoms, some experts use ginger doses in patients with breast cancer, but there are risks that it may fuel growth and metastasis, especially if the tumor was er+. I would not do it for me or loved one. ...Read more

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I experience hot flushes between day10-28& also hormonal acne Doc told low estrogen is the reason,could estrogen replacement therapy improve symptoms?

I experience hot flushes between day10-28& also hormonal acne
Doc told low estrogen is the reason,could estrogen replacement therapy improve symptoms?

Ans: Ypu are 21 years old. Before you do estrogen replacement give a good family history. What was your mothers gynecological history? Then blood work to look at possible endocrine abnormalities. Start there ...Read more

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Still confused about estrogen, hormone replacement therapy and cardiovascular disease?

Still confused about estrogen, hormone replacement therapy and cardiovascular disease?

Complex issues: Female hormones increase thromboembolism, deep venous thrombosis--progesteron is blamed, more than estrogen--because at menopause, there is changes in blood coagulation?Increase weight, arteriosclerosis, metabolic syndrome all of this increase risk of cardiovascular disease-- estrogen can be given at low dose for brief periods. ...Read more

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I had a hysterectomy. Could i benefit from estrogen and progestrin replacement therapy to help with decreased libido, hot flashes should I use pills or injections

I had a hysterectomy. Could i benefit from estrogen and progestrin replacement therapy to help with decreased libido, hot flashes should I use pills or injections

It : It depends whether your ovaries were removed when the hysterectomy was performed and your age. After a hysterectomy in a premenopausal woman, the treatment can be symptom-based. One no longer needs the protective nature of Progesterone (against uterine cancer) after a hysterectomy. Hot flashes also can be addressed with a non-estrogen plan of management. In 1991, the the women’s health initiative (whi) was launched and consisted of a set of clinical trials and an observational study, which together involved 161, 808 generally healthy postmenopausal women. The clinical trials were designed to test the effects of postmenopausal hormone therapy, diet modification, and calcium and vitamin d supplements on heart disease, fractures, and breast and colorectal cancer. The hormone trial had two studies: the estrogen-plus-progestin study of women with a uterus and the estrogen-alone study of women without a uterus. First, the benefits of the study showed that hormonal therapy did reduce hot flashes and night sweats. It relieved vaginal dryness and prevented osteoporosis-related fractures. However, on the quality of life issue, there were no clear benefits for those taking hormonal therapy compared to those who did not and there was an increase in breast cancer, coronary heart disease and clots in the lungs. One should know the risks and benefits of replacement hormonal therapy before embarking on that course of treatment and discuss your concerns with your gynecologist. For more information about hormonal and non-hormonal replacement, you may want to refer to my ebook on this and other women’s health issues. http://www.amazon.com/inside-information-women-mysteries-ebook/dp/b004kspxt6/ref=sr_1_1?ie=utf8&qid=1328377660&sr=8-1 if you and your gynecologist decide on estrogen replacement, then a dermal (skin) patch may be an option. ...Read more

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

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

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. ...Read more

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

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

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 ...Read more

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What are healthy blood levels of estrogen when on hormone replacement therapy?

What are healthy blood levels of estrogen when on hormone replacement therapy?

Invalid: There is no validity to following blood estrogen levels in order to adjust the dosage of hormone replacement. At age 32, I would not expect that you should need hormone replacement, unless you went through early menopause or had surgical removal of your ovaries. In postmenopausal women the dose is adjusted based on symptoms (hot flashes, sleep issues), not blood levels. ...Read more

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Hormone replacement therapy. Estrogen alone increases risk of uterine cancer. Adding progesterone increases risk of breast cancer, but reduces risk of uterine cancer. What's the right balance?

Hormone replacement therapy. Estrogen alone increases risk of uterine cancer. Adding progesterone increases risk of breast cancer, but reduces risk of uterine cancer. What's the right balance?

Individual: Yes, estrogen alone does increase the risk of uterine cancer over time. And yes the whi showed that the combination of a certain synthetic estrogen and a certain synthetic progestin increased the risk of breast cancer. But most specialists do not use those older types of synthetic hormones and with newer medications the risks are lower and different. So a balance can be achieved. ...Read more

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Why would my estrogen go down and testosterone go up while on MTF hormone replacement therapy?

Why would my estrogen go down and testosterone go up while on MTF hormone replacement therapy?

MTF: Does not make sense to me. I see MTF and FTM patients only after they have been evaluated and referred by a Psychologist and have yet to encounter this - not that I see that many, perhaps one or two a month. Something doesn't sound right so please have your doctor explain what is happening or have the doctor refer you to someone else. ...Read more

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What are your views on hormone replacement therapy involving the use of premarin (conjugated estrogens)?

What are your views on hormone replacement therapy involving the use of premarin (conjugated estrogens)?

Only use for 1 thing: Hi. I know I'll get jumped all over for this, but I'd only consider systemic estrogen for one thing in postmenopausal women: relief of menopausal symptoms that can't be relieved any other way. To me, the risks outweigh the benefits. I'll get bruised & bloodied for saying that! Vaginal estrogen is fine & safe for atrophy of vaginal mucosa after menopause. Making Premarin (conjugated estrogens) is not nice for the mares! ...Read more

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Can i stop hormone replacement therapy cold turkey or should I wean myself off of it have been taking estratest (esterified estrogens and methylestosterone) HS for many years. I am now 53 and want to stop

Can i stop hormone replacement therapy cold turkey or should I wean myself off of it have been taking estratest (esterified estrogens and methylestosterone) HS for many years. I am now 53 and want to stop

Seek Gynegologist : I would encourage you to talk with your gynecologist before stopping any hormone therapy. There are many benefits to hrt that are not obvious the most vital one is preventing osteoporosis. Other therapy is available and should be considered if one stops hrt. ...Read more

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How come a woman who has had a hysterectomy and only takes estrogen replacement, doesn't become estrogen dominant without the progesterone?

How come a woman who has had a hysterectomy and only takes estrogen replacement, doesn't become estrogen dominant without the progesterone?

Because the theory: Is flawed. Estrogen dominance is a theory about a metabolic state where the level of estrogen outweighs the level of Progesterone in the body. This is said to be caused by a decrease in Progesterone without a subsequent decrease in estrogen. The theory is popular among natural health practitioners, but is generally not recognized by mainstream medicine. It's another internet scam. ...Read more

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Can estrogen replacement after hysterectomy make your breasts larger?

Can estrogen replacement after hysterectomy make your breasts larger?

Yes: Estrogen does stimulate breast tissue. If your does is too high it can also cause persistent tenderness. Tell you prescribing doctor if this occurs. ...Read more

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Ive had a total hysterevtomy and am taking estrogen replacement. Im always hungry. Is this normal, and will it go away?

Ive had a total hysterevtomy and am taking estrogen replacement. Im always hungry. Is this normal, and will it go away?

Not estrogen: This is not usually a side effect of hysterectomy or estrogen therapy so I don't know if it will go away. Talk to your doctor about what might be going on. ...Read more

Dr. William Singer
22 doctors shared insights

Ert (Definition)

Therapy meaning hormones to replace the hormones your ...Read more