Pros and Cons of Hormone Therapy: Making an Informed Decision
Introduction
Why Hormone Therapy May or May Not be Prescribed
Learning About Hormone Therapy
Know the Risks
The Current Wisdom about Hormone Therapy
Making an Informed Decision about Hormone Therapy
If You Decide to Take the Hormones
Growing Older, Growing Wiser
Women's Health Clinic
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Pros and Cons of Hormone Therapy:
Making an Informed Decision
IF YOU DECIDE TO TAKE HORMONES
- If you decide to take hormone therapy then you may want to learn more about the available forms of the hormones estrogen and progesterone before you decide which ones you wish to take. Some are made from the urine of pregnant mares (Premarin), others are synthesized from wild yams and soy. Exactly how each of these hormones work within your body will vary, as will the side effects.
- These hormones can be administered in many different ways. The most popular way in Canada is to take them by mouth in a pill form. Hormones are also available in creams, patches that stick on your skin and injections. There are various minor advantages and disadvantages to each of these methods of taking hormones. (For more information see: Hormones: What? When? A Friend Indeed, Vol. 11, No. 9; Menopause Handbook, Montreal Health Press, 1997)
- Some women are prescribed both hormones every day and others are told to take estrogen every day and add in the progesterone for a period of time in order to have a period. Women who take both hormones every day usually do not get a period but may have irregular bleeding for the first several months.
- If you have a uterus, estrogen and progesterone should both be prescribed in order to reduce the very high risk of endometrial cancer found among women who only take estrogen therapy. If for any reason you are unable to take progesterone or discontinue using it, you must have yearly endometrial biopsies to ensure that cancerous cells are not developing. The risk of endometrial cancer continues after women have discontinued taking estrogen therapy so yearly exams are important.
- Make sure you have regular check-ups, including pelvic exams and PAPs, physical breast exams, mammograms, monitoring of blood lipids, blood pressure, etc. If you have side effects, work with your doctor to adjust dosages or alter the type of hormone therapy and how it is given. If you decide to stop, it is best to taper off slowly.
- If you live in an area where resources are limited, work out a plan. Is there a public health nurse in the region with whom you can discuss any concerns? Staff at women's health clinics, community health centres or menopause clinics in a larger town or city will usually answer questions by phone and see you for consultations.
- Read about new research findings and information concerning hormones. Share information with other women. Ask questions. Be informed. You can evaluate your decision as necessary, to address your needs and concerns.
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