How can I know if HT is right for me?
The balance of risks versus benefits of HT can be very different for each woman, depending on her age, family history, and personal medical history. It is important to allow enough time at an office visit to discuss the risks and benefits of hormone therapy. This is a question that should usually be addressed at a separate office visit to allow plenty of time for detailed discussion with your doctor.
How long should I take HT?
Since research on HT is ongoing, women should reevaluate their treatment plans each year. Discontinue HT (under your health care provider's guidance) if you develop a medical condition that would make it less safe for you.
Based on the WHI study results, should I stop taking HT?
It's important that you do not make any abrupt changes to your HT without consulting your doctor. He or she can discuss with you the benefits and risks of HT based on your individual circumstances.
- First, the therapy should not be continued or started to prevent heart disease. Women should consult their doctor about other methods of prevention, such as lifestyle changes, and cholesterol- and blood pressure-lowering drugs.
- Second, for osteoporosis prevention, women should consult their doctor and weigh the benefits against their personal risks. Alternate treatments also are available to prevent osteoporosis and fractures.
- Finally, women taking HT for relief of menopausal symptoms may reap more benefits than risks. Women should talk with their doctor about their personal risks and benefits.
- North American Menopause Society. The 2012 hormone therapy position statement of the North American Menopause Society Accessed 2/27/2017.
- American College of Obstetricians and Gynecologists. Practice Bulletin No. 141: Management of menopausal symptoms. Obstet Gynecol 2014; 123:202-216.
- Stunkel CA, Davis SR, Gompel A, et al. Treatment of symptoms of the menopause, an Endocrine Society clinical practice guideline. J Clin Endocrinol Metab 2015; 100: 3975-4011.
- deVilliers TJ, Pines A, Panay N, et al. International Menopause Society. Updated 2013 International Menopause Society recommendations on menopausal hormone therapy and preventive strategies for midlife health. Clincateric 2013; 16: 316-337.
- Is there a right time to stop hormone therapy? Cleveland Clinic Journal of Medicine 2016: 83(8): 605:12.