Please refer to question 55 on page 88 for a general answer to the issue of fibroids and ERT. This is another of those situations that I mentioned earlier in which you have to work out the answer with your doctor.
I’VE HAD PHLEBITIS, SO I’M WORRIED ABOUT TAKING ERT, BUT I DO NEED RELIEF FROM MENOPAUSAL SYMPTOMS. Can I TAKE ESTROGEN?
Scientific opinion is divided on this point. Phlebitis is a circulatory problem in which a vein is inflamed. Physicians with whom I’ve discussed this subject believe that some form of ERT may be attempted if it is carefully monitored. Again, you and your doctor are the only ones who can answer that question after you weigh the risk-to-benefit ratio. If the answer is no,‚ you may find some of the nonhormonal therapies discussed in Chapter 10 to be of help.
I HAVE VARICOSE VEINS IN BOTH OF MY LEGS. C\N I TAKE ESTROGEN?
Varicose veins do not make ERT impossible to take, but because they indicate a circulatory problem, modern medical thinking suggests that prescribing it requires thoughtful and deliberate consideration. Your physician can help you decide after he or she reviews your medical history, completes a thorough physical examination of you, and considers the risks versus the benefits.
I HAVE ENDOMETRIOSIS AND WAS UNABLE TO HAVE CHILDREN. NOW I AM SUFFERING TERRIBLY WITH MENOPAUSAL SYMPTOMS. IS ERT OUT OF THE QUESTION FOR ME? My former physician says yes,‚ BUT SOME OF THE blogS I READ SAY I MIGHT BE ABLE TO TAKE IT FOR A WHILE TO RELIEVE THE WORST OF THE SYMPTOMS. Is THAT POSSIBLE? Endometriosis is a condition in which the tissue that normally is found inside the uterus is displaced and starts to grow elsewhere in the pelvic cavity. Let’s review estrogen’s job in the body, which is to enhance, or thicken, the lining of the uterus, the endometrium. Progesterone’s job is to precipitate the shedding of that lining. Endometriosis is wayward tissue, but still is an estrogen-dependent condition. It may be arrested today with laser treatments and is also expected to clear up if the ovaries are surgically removed or when, at menopause, they no longer produce estrogen. So, you can see why estrogen replacement therapy would seem to defeat the clearing-out of the wayward tissue. Since your question indicates that you have found or are in the process of locating a new gynecologist, I suggest that you discuss the subject of endometriosis and hormone replacement therapy with your doctor. You must decide, in cooperation with your physician, what is best for you.