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I am confused. I had a hysterectomy in my 30’s and took oral replacement therapy up until age 46 when I had coronary artery bypass. Since that time I have had numerous stents due to scar tissue build up. In place of synthetic, oral hormone therapy, I opted to try a natural bioidentical hormone replacement therapy (HRT) called sotte pelle. This is delivered in a pellet form under the skin. I receive it about every 4-5 months. I am now 51 and wondering what is safe and what is not?

The fact that you had a hysterectomy and your ovaries removed at a young age does increase your risk of heart disease and atherosclerosis (hardening of the arteries). Other risk factors for early heart disease include other family members with early heart disease, high blood pressure, smoking, elevated cholesterol and overweight.

The bioidentical hormone therapy you are taking is not an FDA approved medication for treatment of menopausal symptoms. I suggest you see a menopause specialist to discuss bioidentical hormone therapy that is safer and has medical evidence to support its safety and efficacy.

February 6, 2012 at 9:49pm

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