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.
Depends. It depends on many factors: how long you have been in menopause, your personal and family history of breast cancer, cardiovascular disease...It also depends on the severity of symptoms. Only you and your doctor who knows your history can answer this best.

Related Questions

Does hormone replacement therapy (hrt) increase a woman's risk for heart disease or not?

Yes and no. It reduces the risk of developing plaque which reduces long term risk. However, it increases the risk of forming clots, especially in smokers, which is the final step leading to stroke or heart attack. Read more...

What's hormone replacement therapy (hrt) in 2012?

Various. For women, HRT boils down to the synthetic estrogen replacements available through the pharmaceutical industry and versus compounded hormones versus all natural treatments such as black cohosh, estroven, and herbal treatments. Research them all and make an informed choice that is comfortable for you. Of course, no treatment at all is always an option. Read more...
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 more...
NAMS position stmt. Please read the north american menopause society's position statement for 2012. It considerably tones down restrictive language used in the wake of the whi of 2002. Interestingly some studies have shown (in women with hysterectomies) improved survival in women who got hrt (estrogen alone) even in the whi, women who got hrt had less diabetes. It os not right for everyone, but for many, it is . Read more...

I've heard that hormone replacement therapy can help with hot flashes. Everyone's talking about bioidentical hormones. What exactly are they and are they safe to use?

Yes. I have a different opinion and i really don't reference the fda. Most compounded hormones contain the same hormones that are in fda approved medications. I have used compounded hormones for 23 years, using a reputable international compounding pharmacy. I don't use salivary testing, only serum. The issue is really synthetic v plant based treatment. I get the exact doses i want this way. Read more...
BHRT=your hormones. Bioidentical hormones are hormones that are the same as those you make in your body. Hrt can help with symptoms like hot flashes, insomnia, foggy brain, etc. But they also help preserve health of muscle/bone, brain, eye, skin, heart, etc. Bhrt is safe for most but not all; depends on your medical history, allergies, family history, etc. Your hormone levels should be tested before starting bhrt. Read more...
Natural HRT. . Bioidentical hormones are hormones produced in a laboratory to be identical in chemical structure to what the body would produce. Many doctors, including myself, consider them safer and more effective than non-bioidentical hormones. Read more...

How safe was hormone replacement therapy? Will it come back? >

Bioidenticals. The women's health initiative study was terminated early for increase in breast cancer, heart attack ; stroke looked at only Premarin (conjugated estrogens) ; prempro which contain conjugated equine Estrogens ; progestin (synthetic; not progesterone). Studies show bioidentical hormones (hormones exactly like those you make) are safe for most people (men need HRT too). Progesterone ; estriol protect vs. Breast cancer. Read more...
Use with care. Hrt is a mixed bag - the original info came from the women's health initiative &suggested that for estrogen & progestin, there is an incr. Risk of heart attack, stroke, blood clots & breast cancer. A few years later, the estrogen only arm suggested no increased risk of breast cancer (studies have shown that it is related to progestin) or heart attack. You should disc the pros/cons with your md. Read more...