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Doctor insights on: How Safe Is Hrt

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How safe is hrt?

How safe is hrt?

SAFE for many women: Hrt (and its reputation and safety) constantly changes as new studies come out. Here is the best review: in patients with no increased risk of breast cancer, heart disease, or blood clots, trans-dermal hrt (patch, cream, gel) is relatively safe, and safe for just a few years, but as few as necessary. An even better review: talk to your own doctor. ...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 the final word on HRT out yet? Who is considered safe to get HRT nowadays?

Is the final word on HRT out yet? Who is considered safe to get HRT nowadays?

Almost: The "final word" seems to change, but for now, the best advice is 2 recommendations: 1) transdermal therapy (patch, cream, or gel) is safest; and 2) "lowest dose, shortest time" is the catchphrase from every women's health expert. Natural, plant-derived, trans-dermal estrogens, for most women (with a normal breast-cancer risk), appear to not increase breast cancer risk in the first 4 years of use. ...Read more

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At the age of 50 how long is it safe to be on hrt?

At the age of 50 how long is it safe to be on hrt?

Conversation with MD: This is an important conversation with your doctor as there isn't a one-size-fits-all answer to this question. We do know that if a woman is going to go on hrt, it is better to start it at the time of menopause. Most important is to consider your cardiovascular risk as estrogen thickens blood and puts increased risk for blood clot. Make sure to discuss your family history with your md. Exercise. ...Read more

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Is alcohol and smoking on HRT safe?

Is alcohol and smoking on HRT safe?

Smoking and HRT.: Smoking and HRT are very bad together, greatly increasing the risks of cardiovascular side effects, like blood clots and strokes. Alcohol in large quantities, both primarily and secondarily, can have some estrogenic effects which could impact those also taking HRT, too. Smoking is dangerous enough just by itself. ...Read more

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What HRT is safe for me with strong family history of cancer.?

What HRT is safe for me with strong family history of cancer.?

It depends: All are potentially safe. The risk of estrogen therapy, although low, should be thoroughly discussed before starting, including the risks and benefits. Other hormonal therapies are generally considered safe as long as normal youthful physiologic levels are maintained. ...Read more

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Im on ridaq 12.5mg and pharmapress 10mg for high bb is it safe to still take my estro-pause 2mg for hrt?

Im on ridaq 12.5mg and pharmapress 10mg for high bb is it safe to still take my estro-pause 2mg for hrt?

NO: 2 mg is too high. You should not use more then 1 mg. You have to use Progesterone also to balance the estrogen even if you have had a hyster. Progesterone, not the synthetics, stimulates the p53 gene to protect you from cnacer. ...Read more

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Is it safe to use HRT after removal of mucinous cystadenoma and total hysterectomy ?

Yes: Assuming you have no other medical issues preventing you from taking hormones. A mucinous cystadoma is a benign ovarian tumor and would not disqualify you from hormone therapy. ...Read more

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At 27, I had ovarian cancer and then a hysterectomy. Is HRT safe for me? My cancer was malignant dysgermanoma.

At 27, I had ovarian cancer and then a hysterectomy.  Is HRT safe for me?  My cancer was malignant dysgermanoma.

Yes: Before your ovaries were removed, they made hormones (hrt) so you should be fine using replacement after the surgery. That particular type of cancer should not be affected by replacement. A person with breast cancer, active blood clots, certain types of uterine cancer or undiagnosed vaginal bleeding should not use hrt. ...Read more

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Is it safe: daily aspirin reg. + 300mg Relora 2x/day? I bruise very easily, have big waist circum. & family hist. of stroke/hrt dis. No other meds.

Is it safe: daily aspirin reg. + 300mg Relora 2x/day?  I bruise very easily, have big waist circum. & family hist. of stroke/hrt dis. No other meds.

Probably safe: Hi. An aspirin per day is safe for the vast majority of people, although I usually recommend half an aspirin/day (162 mg). Relora, on the other hand, is snake oil, and has never been shown to be either safe OR effective. You are certainly doing something wonderful for the snake oil vendors (the Relora company), but not so for yourself. Treat blood pressure, cholesterol, diabetes w/ real medicines! ...Read more

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Tranexamic acid (1000 mg) prescribed for heavy menstrual bleeding. Is this safe to take 24 hours prior to traveling on a 19 hour flight? Also on HRT!

Tranexamic acid (1000 mg) prescribed for heavy menstrual bleeding. Is this safe to take 24 hours prior to traveling on a 19 hour flight? Also on HRT!

NOT SAFE!!: Tranexamic acid is contraindicated, according to package insert, if you are on hormone replacement therapy. In addition, since a 19 hour plane flight increases the risk of venous thrombosis it would also not be advised prior to flying. Unless you are flying first class there is less and less leg room as airlines are squeezing more seats into the cabins. ...Read more

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Considering going back on hrt. Is it safe if you have no history of breast cancer? Also am at risk for osteoporosis which i think HRT helps.

Considering going back on hrt. Is it safe if you have no history of breast cancer? Also am at risk for osteoporosis which i think HRT helps.

Check with you Dr.: This is an important question as many women in your age group face this situation. Estrogen replacement or hrt will definitely benefit some women. There are risks and these should be discussed with your primary care doctor or gyn. Factors to consider is osteoporosis, breast cancer family history, genetics and current past medical history. ...Read more

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Stopped hormone replacement therapy and now have symptoms including insomnia. Dr prescribed ativan (lorazepam) for sleep. Which is safer, ativan (lorazepam) or hrt?

Stopped hormone replacement therapy and now have symptoms including insomnia. Dr prescribed ativan (lorazepam) for sleep. Which is safer, ativan (lorazepam) or hrt?

Hrt: The best treatment for insomnia is to find its cause, often hormonal imbalances and deficiencies may play a significant role and hrt may contribute to eliminating or improving the sleep disorder. Ativan (lorazepam) simply relieves anxiety, which is not dealing with the root of the insomnia. It may be associated with dependence and side effects, such as hangover, memory loss, etc. ...Read more

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My question is related to menopause symptoms. I know I cannot take HRT due to a history of blood clots-pulmonary embolism- and TIA. However, is BHRT safe considering this history?

No!: Estrogen increases risk of blood clots. Having a history of blood clots (TIA, PE), you need to avoid all estrogen-containing products. This includes oral birth control pills and hormone replacement therapy (HRT) that contain estrogen. Bioequivalent hormone replacement therapy (B-HRT) does contain a form of estrogen and therefore is as dangerous for you to take as regular HRT. Avoid all estrogens! ...Read more

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Had hyster at 32, ovaries removed. On estradiol 1 mg daily for HRT. Told its needed and safe. No breast cancer risk for estrogen only!? Is this true?

Had hyster at 32, ovaries removed. On estradiol 1 mg daily for HRT. Told its needed and safe. No breast cancer risk for estrogen only!? Is this true?

No breast Ca risk: Question is raised as to rationale of total hysterectomy at 32. Hormone therapy is indicated but has no relationship to the induction of breast Cancer. There latter is induced in most patients by viral transformation thru the Wnt gene and not ingestion of hormones. Fire is not caused by spilling gasoline on paper. The paper must be on fire and Ca must be present in breast for stimulation. ...Read more

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Which HRT works best?

HRT: I presume you mean Hormone Replacement Therapy. Pharmaceutical reps, all nice folk, come often to the doctor with new information about their "wonder" drug. The drugs are almost always very reliable but the doctor really won't know which new product is best for which patient. Take your doctor's advice which may or may not be sound. Free meds will be given but the next lot will likely be expensive ...Read more

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How do I know when i need hrt?

How do I know when i need hrt?

Possible symptoms: Menopause is defined as no periods for 1 year, but you can be perimenopausal for 15 years before menopause! the symptom list is long, but many note difficulty sleeping, foggy brain, memory lapse, hot flashes and night sweats. Saliva tests give you a good idea of tissue levels of hormones, so your doctor can make an educated estimate of how much you need in replacement with bioidentical hormones. ...Read more

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What is your opinions about hrt?

What is your opinions about hrt?

HRT: In my opinion should be reserved for moderate to severe menopausal symptoms. Usually bad hot flashes and night sweats. Take care! ...Read more

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