Doctor insights on:
No: Hormone therapy is usually given to relieve symptoms of hormone deficiency. Osteoporosis prevention was the reason that was given to most women in the past but now we have other options that may be less risk. We also follow bone density to see if it is necessary to take preventive measures. ...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
Lots of joint, tendon n ligament problems after menopause. Doc said it's related to menopause. Any test to prove that n any treatment options? HRT?
No: Not immune, but some people respond better to one rx than another. Discuss w/your doctor. Also, your needs can change over time, sometimes requiring a change in dose or medication. ...Read more
Im currently on HRT gel what do you think of it and do you have other treatment you would recommend?
Generally U R fine, : Sympt. Relief important. Topic broad, there are types of hormones, estrogen and progesterone. In post menopausel women, combined hormes, for those with a uterus, confers a roughly 43/10, 000/yr risk of issues that would not otherwise occur. Estrogen alone, 7/10, 000. Avg age in study 63. Consider cost, Estradiol oral or low dose ocp, cheap. Safety oftransdermal , bioidentical over oral speculative. ...Read moreSee 2 more doctor answers
Treatment for thickened endometrial lining. If adjust HRT to increase progesterone, how likely are side effects hair loss, weight gain & depression?
Progesterone use: Progesterone is required to oppose the estrogen in Estrogen Replacement Therapy(ERT). the number one problem when it is not used by Rx is the one you already have had-thickening of the endometrium which can lead to endometrial cancer. Often it is used for just a few days of the HRT regimen and the side effects you mentioned are often minimal to non-existent in those circumstances. ...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
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