WOMENS-HEALTH Messages for August, 2007: Re: MENOPAUSE: HRT During Perimenopause and Smoking/Pat

Re: MENOPAUSE: HRT During Perimenopause and Smoking/Pat

From: William F. von Almen, II, MD, FACOG (anonymous@obgyn.net)
Thu, 30 Aug 2007 07:09:19 -0500 (CDT)

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In reply to: Lucrezia: "Re: MENOPAUSE: HRT During Perimenopause and Smoking/Pat"

Lucy

I agree with Pat, that hormones and smoking are a bad couple. That said, you are being affected by menopause with huge quality of life issues. Hormone replacement will help that. And hormone replacement therapy is about 1/10 the amount of estrogen as oral contraceptives

What I would suggest is to start on the lowest dose of replacement. At the same time, initiate a smoking cessation therapy (chantix or zyban). Perhaps the 'feel good' nature of the hormone replacement and the smoking cessation therapy will allow you to stop smoking. You will thus be killing 2 birds with one stone. Good Luck...Dr. von Almen

At Thu, 30 Aug 2007, Lucrezia wrote: >
>Hi Pat,
>
>Thank you for your opinion, and it is much appreciated, but may I please
>ask if you are a Doc? I truly wanted a docs opinion. As for my anxiety,
>it is PTSD related being made worse by Peri insomnia caused by
>heightened dreams, and if many women or men could see a crime committed,
>and have a gun put to their own head and be told to "deal with the
>anxiety" I am sure we sufferers of this would. I never smoked in all my
>life before this event, and honestly, I am suffering less effects of
>Peri than my non smoking peri friends.
>
>I agree with you in part about HRT and smoking, but I have read OB/GYN's
>on this forum say different to each other. My own doc says it is we
>that smoke that need it for a time. I am not condoning the smoking. I
>hate it, and it took a fair amount of pressure from an older woman to
>get me to take up smoking.
>
>Kind Regards,
>Lucy

--
William F. von Almen, II, MD, FACOG
Private Practice
New Orleans, La.

Next message: Kellie : "MENORRHAGIA: My period -- again? 2 in one month? I'm on the pill?"
Previous message: MamaSita: "CONTRACEPTION: Gave birth, started Depo, which is the cause for my bleeding?"
In reply to: Lucrezia: "Re: MENOPAUSE: HRT During Perimenopause and Smoking/Pat"

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