I'm going back to see my gynae on Monday and need to be better read about HRT before I see him. Could someone post some links to recent, quality, evidence-based research , particularly relating to HRT in 60+ year olds?
I get the feeling from my GP and gynae that HRT should only be used for as short a period as possible due to risk factors. I do have a higher risk of heart disease (type 2 diabetes, hypertension, hypercholesterolaemia, all well controlled) so I don't want to be foolish, but isn't there evidence out there for benefits to longer and older HRT?
I'm 59 and have been on a couple of different drugs: had a Mirena for menorrhagia during perimenopause but it fell out, was on Premarin for a while in conjunction with the Mirena (but it's very possible I was took the Premarin for about 12 months without the Mirena as not sure when it fell out). Went without HRT for a few months, hot flushes were debilitating, started Livial - did wonderful things for my libido but did not completely cease the hot flushes. I also spotted during the 9 months on it. I've been off it for 5 weeks on Gynae advice as he wanted to see where I was at without HRT - spotting has disappeared, and no withdrawal bleed as he predicted, but hot flushes and tingling feet back with a vengeance. He also got me to have an X-ray to see whether the Mirena had migrated - it's nowhere to be seen so confirms the falling out/flushed out theory.
Anyway, sorry for the long history. I'm not sure what he will recommend next. Last visit he mentioned a hysteroscopy as I have an enlarging (but not huge) fibroid. I want the hot flushes controlled (and would rather like to get my Libido back with the Livial, it was almost miraculous ), but would like to have a better handle on up-to-date info before talking to him, and would be grateful for any links you could send my way.
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Menopause
Need links to good info on HRT
2 replies
crabb · 15/09/2017 06:16
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