$Unique_ID{BRK00198} $Pretitle{} $Title{What is Estrogen Replacement Therapy?} $Subject{ERT estrogen replacement therapy safety Genitourinary System menopause hormones hormone hot flashes night sweats fatigue irritability headaches tension progesterone cancer cancers breast ovaries cervix HRT headache} $Volume{J-22,R-22} $Log{ The Ovaries*0002909.scf The Menstrual Cycle*0009101.scf} Copyright (c) 1991-92,1993 Tribune Media Services, Inc. What is Estrogen Replacement Therapy? ------------------------------------------------------------------------------ QUESTION: I hate to admit it, even to myself, but I guess I am finally reaching menopause. I've tried to study up on its treatment, but there seems to be more than one point of view. Could you explain estrogen replacement therapy and why it's necessary? Is it safe? ------------------------------------------------------------------------------ ANSWER: During a woman's childbearing years, her ovaries produce the sex hormone estrogen. This female hormone is responsible for many feminine qualities, such a giving a women full breasts and soft skin. When a woman reaches menopause, her ovaries gradually reduce estrogen production. This can lead to temporary problems such as "hot flashes," night sweats, fatigue, irritability, headaches or tension. Many women experience pain or discomfort during intercourse, because estrogen is responsible for lubricating the vagina. To relieve these symptoms, many women are put on Estrogen Replacement Therapy (ERT). The hormone can be administered in many different forms, such as pills, injections, vaginal suppositories, ointments, pellets implanted under the skin, skin patches, etc. Nowadays, estrogen is usually given in combination with another female hormone called progesterone. This combined therapy is called Hormone Replacement Therapy. The combination treatment has been found to be more successful in relieving the symptoms of menopause. HRT is also safer than ERT. Taking estrogen without progesterone has caused excessive buildup of the uterine lining in some women and this sometimes may lead to cancer. The combination therapy causes the uterus to shed its tissue lining, which is similar to normal menstrual flow. While no therapy can be totally safe for everyone, recent studies of hormone replacement therapy, which is a relatively new type of therapy, show no link between it and cancer of the breast, ovaries or cervix. ---------------- The material contained here is "FOR INFORMATION ONLY" and should not replace the counsel and advice of your personal physician. Promptly consulting your doctor is the best path to a quick and successful resolution of any medical problem.