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 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. 9 Myths and Misunderstandings About Menopausal Hormone Therapy (MHT): 4. Misunderstanding – MHT Increases the Risk of Heart Disease
  2. 9 Myths and Misunderstandings About Menopausal Hormone Therapy (MHT): 6. Myth – Complementary Medicines and Therapies Are As Effective As MHT and Safer
  3. 9 Myths and Misunderstandings About Menopausal Hormone Therapy (MHT): 7. Myth – Compounded Bioidentical Hormone Therapy Is Safer Than Conventional MHT
  4. BMS & WHC’s 2020 Recommendations on Hormone Replacement Therapy In Menopausal Women
  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. Compounded Bioidentical Hormone Therapy [Video]
  11. Consumer Health: Menopause, Hormone Replacement Therapy and Heart Health
  12. Coronary Heart Disease (CHD) Explained – A British Menopause Society Video
  13. Deciding About Hormone Therapy
  14. Deciding About Hormone Therapy Use
  15. Decidir Sobre La Hormonoterapia
  16. Early Menopause: Women’s Experiences – Resources and Information: Quick Links – 1. Question Prompt List
  17. Early Menopause: Women’s Experiences – Women’s Profiles
  18. Estrogen & Hormones
  19. Estrogen & Hormones: Postmenopausal Hormone Replacement Therapy
  20. Estrogen Therapy Has No Long-Term Effect on Cognition In Younger Postmenopausal Women
  21. Experiencing Vaginal Dryness? Here’s What You Need To Know
  22. HRT and Bleeding Explained – A British Menopause Society Video
  23. HRT and Breast Cancer: Overall Risks and Benefits Explained – A British Menopause Society Video
  24. HRT and the Risk of Breast Cancer Explained – A British Menopause Society Video
  25. HRT: Benefits and Risks
  26. HRT: The History
  27. Hormone Help Desk: ET, EPT, and More
  28. Hormone Replacement Therapy
  29. Hormone Replacement Therapy (HRT)
  30. Hormone Replacement Therapy (HRT) Explained – A British Menopause Society Video
  31. Hormone Replacement Therapy (HRT): Risks of HRT
  32. Hormone Replacement Therapy (HRT): Types
  33. Hormone Therapy for Menopause
  34. Hormone Therapy: Is It Right for You?
  35. Hormones After Age 65 Are OK for Some Women
  36. Hot Flashes: Manage Without Medication?
  37. Hot Flashes: What Can I Do?
  38. How Do I Deal With Vaginal Atrophy? — Ask Dr Jean
  39. Index To Drug-Specific Information [United States]
  40. Information About Menopause [Videos]
  41. Lifestyle and Behaviour Changes for Menopausal Symptoms
  42. Lifestyle and Behavioural Modifications for Menopausal Symptoms
  43. MHT and Breast Cancer Risk
  44. Making Choices At Menopause
  45. Making Sense of Menopausal Hormone Therapy Means Understanding the Benefits As Well As the Risks
  46. Maori: What Is Menopausal Hormone Therapy (MHT) and Is It Safe?
  47. Menopause
  48. Menopause
  49. Menopause
  50. Menopause
  51. Menopause Explained – A British Menopause Society Video
  52. Menopause FAQs: Hormone Therapy for Menopause Symptoms
  53. Menopause FAQs: Hot Flashes
  54. Menopause FAQs: Menopause Symptoms
  55. Menopause Hormone Therapy: Does It Cause Vaginal Bleeding?
  56. Menopause Hormone Therapy: Follow-Up Appointments?
  57. Menopause Hormone Therapy: Who Shouldn’t Take It?
  58. Menopause Management: Hormone Replacement Therapy (HRT)
  59. Menopause Matters
  60. Menopause Symptoms and Relief
  61. Menopause Treatment
  62. Menopause – Is Menopausal Hormone Therapy (HRT) Safe? [Multiply Languages] [Video]
  63. Menopause – What Is Menopausal Hormone Therapy (HRT)? [Multiply Languages] [Video]
  64. Menopause: Diagnosis & Treatment
  65. Menopause: Diagnosis and Management – Information for the Public: Questions To Ask About Menopause [NICE Guideline]
  66. Menopause: Hormone Replacement Therapy (HRT) [Video Interview Stories]
  67. Menopause: Medicines To Help You
  68. Menopause: Menopause – Hormone Treatments
  69. Menopause: Non-HRT and Lifestyle Options [Video Interview Stories]
  70. NAMS 2017 Position Statement Updates Guidelines for Hormone Therapy Use
  71. Non-Hormonal Treatment Options for Menopausal Symptoms
  72. NonHormonal Treatments for Menopausal Symptoms
  73. Oestrogen Only Menopausal Hormone Therapy
  74. Practical Prescribing Explained – A British Menopause Society Video
  75. Revised Global Consensus Statement on Menopausal Hormone Therapy
  76. Risks and Benefits of MHT
  77. The 2020 Genitourinary Syndrome of Menopause Position Statement of The North American Menopause Society
  78. Tipos de Hormonoterapia
  79. Types of Hormone Therapy
  80. Understanding Menopause – Booklet
  81. Understanding Premature & Early Menopause – Booklet
  82. Venous Thrombosis/Thromboembolism Risk and Menopausal Treatments
  83. Video Series-2018 – Risks and Benefits of Long Term Hormone Therapy
  84. Video Series-2018 – Tailoring Estrogen Therapy for Maximum Cardiovascular Health
  85. Video Series-2018 – What Cardiologists Want You To Know
  86. Video Series-2019 – Cardiovascular Update: What Women Need To Know
  87. Video Series-2019 – What Is New In Hormone Therapy?
  88. Video Series-2020 – How To Talk To Your Primary Care Clinician About Your Overall Health
  89. Video Series-2020 – TSECs—A New Treatment Option for Hot Flashes and Night Sweats
  90. Video Series-2020 – What Women Need To Know About Heart Disease
  91. Video Series-2020 – What You Need To Know About Bioidentical Hormone Therapy
  92. Video Series-2021 – Treatment Options for Vaginal Dryness and Urinary Issues
  93. Video Series-2021 – What Women Need To Know About Hormone Therapies
  94. Vietnamese: What Is Menopausal Hormone Therapy (MHT) and Is It Safe?
  95. Webinars: Symposia – 2021 Vision: Practical Steps To Optimize Your Benefit-Risk. Discussions for A New Decade
  96. What Is Estrogen?
  97. What Is Menopausal Hormone Therapy (MHT) and Is It Safe?
  98. When Sex Is Painful
  99. Women’s Wellness: Mindfulness May Ease Menopausal Symptoms
  100. 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: 27 April 2021
  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/wp-content/uploads/2020/08/global-consensus-hrt-2016-06.pdf Accessed: 27 April 2021
  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: 27 April 2021
  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: 27 April 2021
  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: 27 April 2021
  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/wp-content/uploads/2020/08/global-consensus-hrt-2016-06.pdf Accessed: 27 April 2021
  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: 27 April 2021

Topic Last Updated: 27 April 2021 – Topic Last Reviewed: 27 April 2021
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