Q for Wendy - contraindications of HRT

By Kayaleya Bonnette in 6 Nov 2023 | 18:07
Kayaleya Bonnette

Kayaleya Bonnette

Student
Posts: 3
Member since: 24 Nov 2021
Hi Wendy, I saw your response to the question about long term alternatives to HRT and in it you said that HRT looks to be beneficial for limited time for most peri/post-menopausal folks, *except* those with absolute contraindications. So I was just wondering - – what are "absolute contraindications" to HRT? Would that be history of estrogen dependent cancer? Anything else? Also as a follow up to that- do you pretty much offer HRT to everyone in those transitional years in your practice? Or just those with symptoms? Thanks! Kay'a
6 Nov 2023 | 18:07
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Eileen

Eileen

Staff
Posts: 215
Member since: 16 Dec 2019
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.
6 Nov 2023 | 21:26
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