Doctor insights on:
Hrt Therapy For Women
58 year old woman with 7 CM endometrial lining, stopped HRT therapy 3 months ago. Endometrial biopsy recommended by doc with d&c or hysterectomy?
Hysteroscopy/ D&C: If you are having postmenopausal bleeding then a hysteroscopy with a D&C is appropriate. About 10% of postmenopausal bleeding may be attributed to cancer. However since you were on hrt, sometimes it can take up to 6 months for bleeding to stop. Given your history that your bleeding (assuming you are having this) the likelihood that it's due to hrt or endometrial polyp is more common than cancer. ...Read moreSee 1 more doctor answer
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
After reading a lot of info on hrt, i'm getting nervous about being on it. Is pellet therapy better? I had never heard about it before.
A Matter Of Choice: After the diagnosis is made, the reestablishment of hormone balance is the key to hrt. The method you pursue is a matter of choice. Componded pellet implants are simply one of those choices. Compounded pellets have not undergone the fda approval process. When rx'd appropriately, pellets are effective and safe. Off-label prescribing is also not fda approved, but many md prescribe off-label rx. ...Read moreSee 2 more doctor answers
What tests are required to find out why the endometrium is thickened in post menopause? No HRT therapy to date.
SAFE for most women: Hrt (and its reputation and safety) constantly changes as new studies come out. Here is the best 2012 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 moreSee 2 more doctor answers
Mum diagnosed with premature menopause.Doc ask to do hrt, she's just 45. Is there any side effects of this therapy? And is this a must ?
Not always necessary: Hrt can help a number of problems. Women who take hrt generally feel better and maintain their bone density better but there are risks including cardiovascular risks and a slight increase in the risk of breast cancer. The decision whether or not to use hrt is a balancing act that is individualized for each patient. ...Read more
If higher estrogen dose is prescribed in addition to HRT therapy in peri/menopause will this help with breast tissue loss? A short time - wean off?
Confusing Q: Hrt is by definition estrogen. Are you suggesting that your doctor is going to increase the estrogen portion of your hrt? To my knowledge, i haven't heard of estrogen being used to help with breast tissue loss. Hrt should be used primarily to ameliorate the symptoms of menopause like insomnia, hot flashes, vaginal dryness. If breasts are your prime concern, how about implants? ...Read more
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 moreSee 1 more doctor answer
This doc put my mom on hormone replacement therapy for menopause eventhough she experienced few symptoms. Is it risky for her to use hrt?
HRT: Hormone replacement post menopause is a tough area. In most women it should not be started more than 3 years after menopause. Her gynecologist will spend time with her discussing the pros and cons. The publications are trending towards being less concerned about hormone replacement in menopause but that is still undecided. ...Read more