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I just read the new Hormone Replacement Therapy article on the Speaking of Women’s Health site and Dr.Thacker’s comments on using estrogen only therapy. I had a hysterectomy (uterus and ovaries) at age 42 due to fibroids and bleeding. I have been on an estrogen-only patch since earlier this year because my doctor thought it was time to get off the patch.

I am now 56 years old. My HRT related risk factors are maternal and paternal hypertension, paternal coronary heart disease, maternal type 2 diabetes and in-situ ductal breast cancer. I felt comfortable with the HRT since it was estrogen only. However, since stopping the patch, I have trouble with mental focus, weight gain (especially in my breasts), some loss of stability with my depression, some "mini" hot flashes and increased migraines.

My doctor has ruled out anything acute for now and is open to restarting the patch. My question, with the information in the article, is how long can HRT be continued?


Thank you for your question. There is NO time limit to feeling well. Your body will never make estrogen, again since you had a hysterectomy.

Women on estrogen post-hysterectomy live longer and have less cardiovascular disease and osteoporosis than women who do not take estrogen. The dose of estrogen, the route of administration and your overall women’s health condition need to be evaluated by a physician with expertise in this field every year or so.

All my best,
Nurse Mary

August 19, 2013 at 10:10am

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