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- $Unique_ID{BRK00088}
- $Pretitle{}
- $Title{Are Estrogens Safe?}
- $Subject{osteoporosis prevention menopause Musculoskeletal System Connective
- Tissue Estrogen Estrogens menopause progesterone hot flash flashes bone hip
- fractures calcium loss hysterectomy atherosclerotic myocardial infarction
- endometrial carcinoma uterus ovary ovarian failure hormone hormones
- infarctions menstruating menstruation hysterectomies}
- $Volume{M-17, M-22, C-17, C-22}
- $Log{
- Contributing Factors to Osteoporosis*0005701.scf
- Osteoporosis*0005702.scf
- Anterolateral Myocardial Infarction*0005401.scf
- Anteroseptal Myocardial Infarction*0005402.scf
- Posteroinferior Myocardial Infarction*0005403.scf
- Posteroseptal Myocardial Infarction*0005404.scf
- Apical Myocardial Infarction*0005405.scf
- Anterobasal Myocardial Infarction*0005406.scf
- Posterolateral Myocardial Infarction*0005407.scf
- Posterobasal Myocardial Infarction*0005408.scf}
-
- Copyright (c) 1991-92,1993 Tribune Media Services, Inc.
-
-
- Are Estrogens Safe?
-
-
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-
- QUESTION: Isn't it dangerous to take estrogens? How do I know they are safe
- for me, or when a woman should take them?
-
- ------------------------------------------------------------------------------
-
- ANSWER: Estrogen replacement has become a leading treatment for hot flashes,
- osteoporosis, and other conditions once accepted as the inevitable
- consequences of menopause. Although it is not suitable for every woman after
- menopause, new combinations of estrogen and progesterone therapy, and the
- development of several ways to take these medications, are helping many women.
- Estrogen replacement therapy seems to be effective for hot flashes,
- making them occur less often and less intensively in 98% of the women treated.
- However, there are other therapies that may also be helpful for this problem,
- which may last a year a more.
- A much more serious problem is osteoporosis, which can lead to bone and
- hip fractures and serious complications. Since no treatment can reverse
- osteoporosis, prevention is the key. Prevention begins before menopause, and
- includes a routine of weight-bearing exercise, a diet with calcium and vitamin
- D, no smoking, and little drinking of alcoholic beverages.
- Mounting evidence suggests that estrogen replacement therapy, along with
- progesterone immediately after menopause, can go a long way in preventing bone
- loss. The time to begin is based more on menopause than on age, and even if
- therapy is begun late, it can still help slow or stop bone loss. Women who
- have stopped menstruating because of hysterectomy would be advised to begin
- estrogen and progesterone therapy regardless of their age.
- Researchers believe that estrogen delays the beginning of atherosclerotic
- heart disease in women, and that estrogen replacement therapy lowers the risk
- for heart attack (myocardial infarction).
- Estrogen suppositories can improve vaginal lubrication and other changes
- associated with menopause that can interfere with sexual interest and comfort.
- The impact of estrogen therapy and menopause on a woman's emotional state
- is still being studied. Research has shown that women given estrogen had more
- restful sleep than untreated women. But it is difficult to measure how much
- better a woman's memory is, how much less insomnia she has, or whether she is
- less depressed before and after estrogen replacement therapy.
- The most potentially serious side effect of estrogen replacement is
- endometrial carcinoma, a type of cancer that has a higher incidence in treated
- women. Estrogen itself does not cause cancer, but it seems to make the uterus
- more likely to respond to something that does. Recent reports suggest that
- the risk can be reduced by decreasing the dose of estrogen, shortening the
- length of time you take it, and by adding progesterone to the therapy.
- In light of our current information on estrogen and the safer and more
- pleasant ways we have of taking it, it can help many women feel more like they
- did before menopause. As women's life expectancy increases, therapies such as
- estrogen replacement can help improve the quality of your life.
-
- ----------------
-
- 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.
-