WOMENS-HEALTH Messages for May, 2002: Re: Hormone replacement-question for the OB/GYN's

Re: Hormone replacement-question for the OB/GYN's

From: R. Daniel Braun, MD (anonymous@obgyn.net)
Fri, 31 May 2002 07:26:09 -0500 (CDT)

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In reply to: Anne: "Hormone replacement-question for the OB/GYN's"

At Thu, 30 May 2002, Anne wrote: >
>Hello and thank you for your help with helping to decide what I want to
>do with HRT. I had a supracervical hyster. 5 years ago . One ovary
>was left in and it shut down 2 years later. I took Cenestin and
>Prometrium for 2 years (had some endometrial tissue in the cervix). I
>started CHOL medicine about a year ago for slightly increased
>cholesterol. I am faithful to taking calcium and vitamin D, running for
>exercise and weight lifting. My bone density had been great and
>recently I had one done and my bone density has increased. I have been
>off HRT since Jan. The hot flashes bother me at night and I was
>thinking of going back on HRT.
>
>My first question is how long after stopping hormone replacement does
>ones bone density start to decrease again?

Starts right away. Probably does not reach measurable levels for 3-6 months

>
>Is there any harm in taking hormones say for 6 mo. -stopping for 6
>mo.?( I'm thinking about total time in years that one can be on them) Is
>this safe or is this on and off stuff dangerous?

On and off may be bad. The evidence that we have would lead one to think that was a lot wrse than continuously.

>
>I took Prometrium everyday. Can I stop Prometrium for a week or so each
>month?

This would make a little bleeding more likely each month.

I want to take the least amount of hormones that I need. I found >out I had adenomyosis at the time of my hysterectomy.

Should not be involved in your considerations here.

>
>You people have been wonderful and so dedicated to this site. I can't
>tell you how helpful you have been with all the problems I have had the
>past few years. I am also fortunate to have a great GYN.
> Sincerely, Anne

--
R.Daniel Braun, MD  FACOG   FOG
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