WOMENS-HEALTH Messages for July, 2002: Re: Total hysterectomy and HRT

Re: Total hysterectomy and HRT

From: R. Daniel Braun, MD (anonymous@obgyn.net)
Wed, 31 Jul 2002 21:46:16 -0500 (CDT)

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In reply to: Shannon: "Total hysterectomy and HRT"

At Wed, 31 Jul 2002, Shannon wrote: >
>I am 32 yr/old. I recently had a total hysterectomy, and was started on
>Premarin 1.25 mg. per day. With all the recent hype about HRT, I am a
>little scared to take it. My paternal grandmother died from breast
>cancer. Is there an alternative to HRT, and if I choose not to take it,
>what kinds of risks am I taking? I don't want to go into surgical
>menopause, but am uneducated about what will happen if I don't take the
>hormones. Thanks so much for your imput.

If you had a hysterctomy, you don't need HRT, you need ERT. ERT is estrogen replacement therapy. HRT is Hormone Replacement Therapy and consists of estrogen AND progestogen.

The recent study was related to HRT and not ERT which is what you are on (ERT). It also wasn't that horrible. It showed that HRT decreased the incidence of Bone fractures and Colon cancer while increasing the risk of heart attack, breast cancer and intravenous clots. There was no diference in the DEATH rates in the study group and the placebo group (Interesting) Not mentioned on the news Except I did hear it once on NPR. In my opinion, the tragedy is that the study was stopped when it was. Most of the expected benefits ( Marked decrease in incid3ence of hip fractures and hence death therefrom{25% will die within a year of the fracture} Decreased incidence of Alzheimers's) wouldn't show up until after 10-15 years. 80% of the women in the study were under 70.

BTW, it took me an hour to read the article and digest what it really said and meant and how well done the study was.

If you are worried about this, call your Gynecologist and make an appointment to go in and discuss it.

--
R.Daniel Braun, MD  FACOG   FOG
**Note:  Opinions expressed here are for educational purposes only
and, as such, do not constitute a physician-patient relationship.
This information is not intended to supplant the need for you to
consult with your physician prior to choosing therapeutic options
and/or interventions.

**Private emails cannot be entertained due to time constraints,
consequently no private emails will receive a response.

**Thank you for your understanding ;-)

Next message: R. Daniel Braun, MD: "Re: dermoid cyst and uterine fibroids?"
Previous message: R. Daniel Braun, MD: "Re: [Birth Control] Orthotricyclen and tri-levlen"
In reply to: Shannon: "Total hysterectomy and HRT"

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