Yes, We believe that this is a greatly undervalued and underused option. It is most unlikely that any patient is going to suffer serious long-term consequences from a therapeutic trial lasting for three months. Because maximum benefits of estrogens in the relief of hot flushes may not be achieved for three months, duration of treatments shorter than this are insufficient if vasomotor disturbances are the principal symptoms.
Most women receive estrogen and progesterone. The amount of each hormone needed to prevent low estrogen symptoms varies from person to person. Changes in the dose may be needed.
Treatment may last a number of years, even decades.
HRT is most often prescribed in the form of pills. All types of estrogen therapy will give relief if an adequate plasma estrogen concentration is obtained. At times estrogen is given through a patch placed on the skin. Estrogen creams used in the vagina can treat dryness but do not work against other symptoms. Hormone implants are increasingly used. Vaginal injections and suppositories are also being studied.
If one has any unexpected vaginal bleeding, must contact
HRT can not be taken by patient suffering from: