12 doctors weighed in:

Still confused about estrogen, hormone replacement therapy and cardiovascular disease?

12 doctors weighed in
Dr. Gamal Boutros
Neurology
7 doctors agree

In brief: 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.

In brief: 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.
Dr. Gamal Boutros
Dr. Gamal Boutros
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1 comment
Dr. Saptarshi Bandyopadhyay
So are we. It seems, in an environment of conflicting & changing data, that the best "do no harm" approach is to err on the side of withdrawing medication & letting "nature take it's course". It can't be worse than what humans have been going thru for 1000s of years!
Dr. Liviu Klein
Internal Medicine - Cardiology
4 doctors agree

In brief: 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.

In brief: 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.
Dr. Liviu Klein
Dr. Liviu Klein
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Dr. Bryan Treacy
Gynecology
1 doctor agrees

In brief: 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.

In brief: 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.
Dr. Bryan Treacy
Dr. Bryan Treacy
Thank
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