Wendy said:
absolute contraindications:
current undiagnosed abnormal bleeding
current treatment for estrogen dependent tumor (like breast cancer)
significant thrombotic event/ blood clot while taking bioidentical estrogen (this rarely happens, most of the time it's from fake estrogens)
Do I offer everyone hormones? Well, I now always have the conversation about using them prophylactically and not just for symptoms, since the science is there. I have no big feelings about it either way, but it's good medicine to mention the science.