Related Questions

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...

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...
Not good. Based on the randomized controlled trial - women's health initiative - hormone therapy is not protective for cardiovascular disease and my even cause strokes, along with blood clots, etc. Bottom line: not recommended for cardiac prevention. If you are young and early postmenopausal with symptoms and have no cardiac disease, short course (1-2 years) may be ok. Talk to your doctor before starting it. Read more...
Start early. From the hers study based on long term study of nurses in the uk, early use of hrt is cardioprotective. If, like the whi study, hrt is started at the average age of 61, there is an increased risk of blood clots, heart attack etc. Read more...

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...

In using bio identical hormone replacement therapy, for a 57y/o, what is the target values to make me feel young and sexy in my blood work.

No magic. Bioidentical is a great marketing phrase, but has no medical substantiation. It's just another hype to sell product. Blood work values don't make you feel young and sexy. That all a state of mind and mental attitude. Read more...

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...

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...
Yes, but... Remember that Estradiol levels are much higher during ovulation than those typically achieved during hrt. The focus has primarily been on the negative aspects of hrt rather than the health benefits. That's an inflammatory reaction to hrt, ignoring all the positive aspects of hrt. See a physician that focuses on the positive, while monitoring for the negative. Read more...