It has been a while since my last post. After reviewing summaries of multiple trials (since 1976) on hormone replacement therapy, what do we currently know and how should one approach the topic of HRT (hormone replacement therapy) in this decade.
-If you are postmenopausal by 10 years or more, the studies suggest that HRT is not for you. It has a higher likelihood of increasing your risk for diseases such as heart attack, blood clots and stroke. If you are on a progestin then there is an increased risk for breast cancer. So ask your physician for alternate therapies for maintaining bone strength and reducing hot flashes.
-For those of you who are perimenopausal or recently postmenopausal, HRT may be an option for treating symptoms such as hot flashes, night sweats or vaginal dryness (vaginal dryness alone can be treated with vaginal creams).
Discuss the various options with your physician and as always try to use the smallest dose possible for the shortest period of time.
Stay posted: Two other studies are still underway. The KEEPS (Kronos Early Estrogen Preventions Study) and the ELITE (Early Versus Late Intervention Trial with Estradiol) trials will be ending in 2012 and 2013 respectively.
There may be new recommendations coming sooner than we think.