Hormone Therapy and Estrogen Therapy

“If you do not have a uterus, you can take estrogen alone, without a progestogen”.1

Umbrella
What may the Hormone Therapy and Estrogen Therapy Umbrella include?

Depending on the Source (DotS) this Umbrella may include:

  • Estrogen Alone
  • Estrogen Therapy (ET)
  • Estrogen-Alone HRT/MHT
  • Hormone Replacement Therapy (HRT)
  • Hormone Therapy (HT)
  • Menopausal Hormone Therapy (MHT)
  • Oestrogen-Only HRT
  • Oestrogen-Only Therapy/Oestrogen Only Therapy
  • Systemic ET

No UterusHormone Therapy and Estrogen Therapy

Who may choose to use estrogen therapy (ET)?

One of the points of consensus in the Revised Global Consensus Statement on Menopausal Hormone Therapy: Section B: General Principles Governing the Use of MHT – endorsed by seven menopause-related organizations – published online 20 June 2016, is:

  • “Estrogen as a single systemic agent is appropriate in women after hysterectomy…”.2

On page two in Deciding About Hormone Therapy Use: Estrogen Alone or Estrogen Plus Progestogen the North American Menopause Society in June 2017 note:

  • “If you do not have a uterus, you can take estrogen alone, without a progestogen”.3

In Oestrogen Only Menopausal Hormone Therapy: Key Points the Australasian Menopause Society (AMS) note about menopausal hormone therapy (MHT)/hormone replacement therapy (HRT):

  • “After hysterectomy MHT/HRT only needs to contain oestrogen”.4

In Hormone Replacement Therapy (HRT): Types – HRT Hormones the (United Kingdom) NHS (National Health Service) also note:

“Oestrogen-only HRT is usually only recommended for women who have had their womb removed during a hysterectomy”.5

Health Care Provider

If I choose to use ET what are my risks?

Different women who choose to use ET can have different risks. It may therefore be in your best interest to choose to talk to your health care provider about this.

One of the points of consensus about menopausal hormone therapy (MHT) in the Revised Global Consensus Statement on Menopausal Hormone Therapy: Section B: General Principles Governing the Use of MHT is:

  • “The option of MHT is an individual decision in terms of quality of life and health priorities as well as personal risk factors such as age, time since menopause and the risk of VTE, stroke, ischemic heart disease and breast cancer. MHT should not be recommended without a clear indication for its use”.6

What is VTE?

VTE can be an abbreviation for Venous Thromboembolism.

In Menopause FAQs: Hormone Therapy – Q. What Is Hormone Therapy? the NAMS also note:

“You should discuss your individual risks and preferences with your healthcare team to determine whether hormone therapy or alternatives, including FDA-approved nonhormonal therapies, are right for you”.7

What is FDA?

FDA can be an abbreviation for the (United States) Food and Drug Administration.

Health Topics A-Z

Where may I find Health Topics related to Hormone Therapy and Estrogen Therapy?

In Health Topics A-Z on you may find:

Health Topics A-Z

Links

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Links

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  1. 2016 IMS Recommendations on Women’s Midlife Health and Menopause Hormone Therapy
  2. 9 Myths and Misunderstandings About Menopausal Hormone Therapy (MHT): 4. Misunderstanding – MHT Increases the Risk of Heart Disease
  3. 9 Myths and Misunderstandings About Menopausal Hormone Therapy (MHT): 6. Myth – Complementary Medicines and Therapies Are As Effective As MHT and Safer
  4. 9 Myths and Misunderstandings About Menopausal Hormone Therapy (MHT): 7. Myth – Compounded Bioidentical Hormone Therapy Is Safer Than Conventional MHT
  5. Bioidentical Custom Compounded Hormone Therapy
  6. Bioidentical Hormone Therapy
  7. Bioidentical Hormones Explained – A British Menopause Society Video
  8. Bioidentical Hormones: Are They Safer?
  9. Combined Menopausal Hormone Therapy (MHT)
  10. Coronary Heart Disease (CHD) Explained – A British Menopause Society Video
  11. Deciding About Hormone Therapy
  12. Deciding About Hormone Therapy Use
  13. Decidir Sobre La Hormonoterapia
  14. Early Menopause: Experiences and Perspectives of Women and Health Practitioners – Women’s Profiles
  15. Estrogen & Hormones
  16. Estrogen & Hormones: Postmenopausal Hormone Replacement Therapy
  17. Estrogen Therapy Has No Long-Term Effect on Cognition In Younger Postmenopausal Women
  18. HRT and Bleeding Explained – A British Menopause Society Video
  19. HRT and Breast Cancer: Overall Risks and Benefits Explained – A British Menopause Society Video
  20. HRT and the Risk of Breast Cancer Explained – A British Menopause Society Video
  21. HRT: The History
  22. Hormone Help Desk: ET, EPT, and More
  23. Hormone Replacement Therapy
  24. Hormone Replacement Therapy (HRT)
  25. Hormone Replacement Therapy (HRT) Explained – A British Menopause Society Video
  26. Hormone Replacement Therapy (HRT): Risks of HRT
  27. Hormone Replacement Therapy (HRT): Types
  28. Hormone Therapy: Is It Right for You?
  29. Hormones After Age 65 Are OK for Some Women
  30. Hot Flash Relief Without Hormones
  31. Hot Flashes: Manage Without Medication?
  32. Hot Flashes: What Can I Do?
  33. Hot Stuff: What’s New About Hot Flashes?
  34. Index To Drug-Specific Information [United States]
  35. Information About Menopause [Videos]
  36. Lifestyle and Behaviour Changes for Menopausal Symptoms
  37. Lifestyle and Behavioural Modifications for Menopausal Symptoms
  38. MHT and Breast Cancer Risk
  39. Making Choices At Menopause
  40. Making Sense of Menopausal Hormone Therapy Means Understanding the Benefits As Well As the Risks
  41. Maori: What Is Menopausal Hormone Therapy (MHT) and Is It Safe?
  42. Menopause
  43. Menopause
  44. Menopause
  45. Menopause
  46. Menopause & Hormones: Questions To Ask Your Doctor
  47. Menopause FAQs: Hormone Therapy for Menopause Symptoms
  48. Menopause FAQs: Hot Flashes
  49. Menopause FAQs: Menopause Symptoms
  50. Menopause Management: Hormone Replacement Therapy (HRT)
  51. Menopause Matters
  52. Menopause Symptoms and Relief
  53. Menopause Treatment
  54. Menopause – Is Menopausal Hormone Therapy (HRT) Safe? [Multiply Languages] [Video]
  55. Menopause – What Is Menopausal Hormone Therapy (HRT)? [Multiply Languages] [Video]
  56. Menopause: Diagnosis & Treatment
  57. Menopause: Diagnosis and Management – Information for the Public: Questions To Ask About Menopause [NICE Guideline]
  58. Menopause: Hormone Replacement Therapy (HRT) [Video Interview Stories]
  59. Menopause: Medicines To Help You
  60. Menopause: Menopause – Hormone Treatments
  61. Menopause: Non-HRT and Lifestyle Options [Video Interview Stories]
  62. NAMS 2017 Position Statement Updates Guidelines for Hormone Therapy Use
  63. Non-Hormonal Treatment Options for Menopausal Symptoms
  64. NonHormonal Treatments for Menopausal Symptoms
  65. Oestrogen Only Menopausal Hormone Therapy
  66. Practical Prescribing Explained – A British Menopause Society Video
  67. Revised Global Consensus Statement on Menopausal Hormone Therapy
  68. Risks and Benefits of MHT/HRT
  69. Tipos de Hormonoterapia
  70. Types of Hormone Therapy
  71. Venous Thrombosis/Thromboembolism Risk and Menopausal Treatments
  72. Video Series-2018 – Risks and Benefits of Long Term Hormone Therapy
  73. Video Series-2018 – Tailoring Estrogen Therapy for Maximum Cardiovascular Health
  74. Video Series-2018 – What Cardiologists Want You To Know
  75. Video Series-2019 – Cardiovascular Update: What Women Need To Know
  76. Video Series-2019 – What Is New In Hormone Therapy?
  77. Video Series-2020 – How To Talk To Your Primary Care Clinician About Your Overall Health
  78. Video Series-2020 – TSECs—A New Treatment Option for Hot Flashes and Night Sweats
  79. What Is MHT and Is It Safe? Video Series-2020 – What Women Need To Know About Heart Disease
  80. Video Series-2020 – What You Need To Know About Bioidentical Hormone Therapy
  81. Vietnamese: What Is Menopausal Hormone Therapy (MHT) and Is It Safe?
  82. What Is Estrogen?
  83. What Is Menopausal Hormone Therapy (MHT) and Is It Safe?
  84. Women’s Wellness: Mindfulness May Ease Menopausal Symptoms
  85. Women’s Wellness: Treating Hot Flashes Without Hormones

Sources

Where may I find the Sources quoted above?

You may find the Sources at:

Sources

  1. Deciding About Hormone Therapy Use: Estrogen Alone or Estrogen Plus Progestogen. 2017:2. North American Menopause Society https://www.menopause.org/docs/default-source/for-women/menonote-deciding-about-ht-2017.pdf Accessed: 06 July 2020
  2. De Villiers, T. J., Hall, J. E., Pinkerton, J. V., Pérez, S. C., Rees, M., Yang, C. and Pierroz, D. D. Revised Global Consensus Statement on Menopausal Hormone Therapy: Section B: General Principles Governing the Use of MHT. Climacteric, 2016;19:4:314 https://www.imsociety.org/manage/images/pdf/ba6379e868044bec13015ac2b84f2753.pdf Accessed: 06 July 2020
  3. Deciding About Hormone Therapy Use: Estrogen Alone or Estrogen Plus Progestogen. 2017:2. North American Menopause Society https://www.menopause.org/docs/default-source/for-women/menonote-deciding-about-ht-2017.pdf Accessed: 06 July 2020
  4. Oestrogen Only Menopausal Hormone Therapy: Key Points. Content Updated February 2017. Australasian Menopause Society https://www.menopause.org.au/hp/information-sheets/552-oestrogen-only-mht Accessed: 06 July 2020
  5. Hormone Replacement Therapy (HRT): Types – HRT Hormones. Page Last Reviewed: 09 September 2019. NHS (National Health Service) https://www.nhs.uk/conditions/hormone-replacement-therapy-hrt/types/#hrt-hormones Accessed: 06 July 2020
  6. De Villiers, T. J., Hall, J. E., Pinkerton, J. V., Pérez, S. C., Rees, M., Yang, C. and Pierroz, D. D. Revised Global Consensus Statement on Menopausal Hormone Therapy: Section B: General Principles Governing the Use of MHT. Climacteric, 2016;19:4:314 https://www.imsociety.org/manage/images/pdf/ba6379e868044bec13015ac2b84f2753.pdf Accessed: 06 July 2020
  7. Menopause FAQs: Hormone Therapy – Q. What Is Hormone Therapy? North American Menopause Society https://www.menopause.org/for-women/menopause-faqs-hormone-therapy-for-menopause-symptoms Accessed: 06 July 2020

Topic Last Updated: 23 August 2020 – Topic Last Reviewed: 06 July 2020
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