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 Uterus

Hormone Therapy and Estrogen TherapyWho 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 if you have had your 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)
  2. Askearlymenopause.org [Ask EM] [+ Video: What Is Early Menopause?]
  3. BMS & WHC’s 2020 Recommendations on Hormone Replacement Therapy In Menopausal Women
  4. Bioidentical Hormone Therapy
  5. Bioidentical Hormones Explained – A British Menopause Society Video
  6. Bioidentical Hormones: Are They Safer?
  7. Combined Menopausal Hormone Therapy (MHT)
  8. Compounded Bioidentical Hormone Therapy [Video]
  9. Consider Benefits, Risks When Prescribing Menopausal Hormone Therapy
  10. Consumer Health: Menopause, Hormone Replacement Therapy and Heart Health
  11. Coronary Heart Disease (CHD) Explained – A British Menopause Society Video
  12. Deciding About Hormone Therapy
  13. Deciding About Hormone Therapy Use
  14. EMAS Replay [Multiply Languages]
  15. EMAS Replay: Risk Assessment for MHT – When, To Whom, Which, and How Long? [Multiply Languages]
  16. EMAS Replay: Role of Progestogens In MHT [ Multiply Languages]
  17. EMAS Replay: The Relevance of Estrogen and Progestogen Choice for Breast Safety During MHT [Multiply Languages]
  18. Early Menopause: Women’s Experiences – Resources and Information: Quick Links – 1. Question Prompt List
  19. Early Menopause: Women’s Experiences – Women’s Profiles
  20. Estrogen & Hormones
  21. Estrogen & Hormones: Postmenopausal Hormone Replacement Therapy
  22. Estrogen Therapy Has No Long-Term Effect on Cognition In Younger Postmenopausal Women
  23. Estrogen, Hormone Therapy and Menopause
  24. Estrogen: What It Does and 5 Benefits
  25. Experiencing Vaginal Dryness? Here’s What You Need To Know
  26. Fast Facts: HRT and Breast Cancer Risk
  27. HRT and Bleeding Explained – A British Menopause Society Video
  28. HRT and Breast Cancer: Overall Risks and Benefits Explained – A British Menopause Society Video
  29. HRT and the Risk of Breast Cancer Explained – A British Menopause Society Video
  30. HRT: Benefits and Risks
  31. HRT: The History
  32. HRT: Types, Doses and Regimens
  33. Hormone Help Desk: ET, EPT, and More
  34. Hormone Replacement Therapy
  35. Hormone Replacement Therapy (HRT)
  36. Hormone Replacement Therapy (HRT) Explained – A British Menopause Society Video
  37. Hormone Replacement Therapy (HRT): Risks of HRT
  38. Hormone Replacement Therapy (HRT): Types
  39. Hormone Therapy for Menopause
  40. Hormone Therapy: Is It Right for You?
  41. Hormones After Age 65 Are OK for Some Women
  42. Hot Flashes: Manage Without Medication?
  43. Hot Flashes: What Can I Do?
  44. Index To Drug-Specific Information [United States]
  45. Lifestyle and Behaviour Changes for Menopausal Symptoms
  46. Lifestyle and Behavioural Modifications for Menopausal Symptoms
  47. MHT Still Maligned & Misunderstood: Expert
  48. MHT and Breast Cancer Risk
  49. Making Choices At Menopause
  50. Making Sense of Menopausal Hormone Therapy Means Understanding the Benefits As Well As the Risks
  51. Managing Menopausal Symptoms—Hormone Replacement Therapy Is Not the Only Option!
  52. Mayo Clinic Minute: Help With Hot Flashes Due To Menopause [+ Video]
  53. Mayo Clinic Minute: Lifestyle Changes To Manage Menopause Symptoms [+ Video]
  54. Mayo Clinic Q and A: Estrogen Replacement Therapy After Ovary Removal
  55. Menopausal Hormone Therapy and Women’s Health: An Umbrella Review
  56. Menopause
  57. Menopause
  58. Menopause
  59. Menopause Explained – A British Menopause Society Video
  60. Menopause FAQs: Hormone Therapy for Menopause Symptoms
  61. Menopause Hormone Therapy: Does It Cause Vaginal Bleeding?
  62. Menopause Hormone Therapy: Follow-Up Appointments?
  63. Menopause Hormone Therapy: Who Shouldn’t Take It?
  64. Menopause Management: Hormone Replacement Therapy (HRT)
  65. Menopause Matters
  66. Menopause Symptoms and Relief
  67. Menopause Treatment
  68. Menopause: Diagnosis & Treatment
  69. Menopause: Diagnosis and Management – Information for the Public: Questions To Ask About Menopause [NICE Guideline]
  70. Menopause: Is Menopausal Hormone Therapy (HRT) Safe? [Multiply Languages] [Video]
  71. Menopause: Medicines To Help You
  72. Menopause: Menopause – Hormone Treatments
  73. Menopause: What Is Menopausal Hormone Therapy (HRT)? [Multiply Languages] [Video]
  74. NAMS 2017 Position Statement Updates Guidelines for Hormone Therapy Use
  75. Non-Hormonal Treatment Options for Menopausal Symptoms
  76. NonHormonal Treatments for Menopausal Symptoms
  77. Oestrogen Only Menopausal Hormone Therapy
  78. Practical Prescribing Explained – A British Menopause Society Video
  79. Revised Global Consensus Statement on Menopausal Hormone Therapy
  80. Risks and Benefits of MHT
  81. Stages of Menopause: Downloadable Resources – My Personal Path Print Tools: Medication Tracker
    Hormone Therapy and Estrogen Therapy
  82. The 2020 Genitourinary Syndrome of Menopause Position Statement of The North American Menopause Society
  83. The Menopause: Hormone Replacement Therapy (HRT) [+ Video: Is HRT Bad for You?]
  84. The Menopause: Treating Menopause Symptoms [+ Video: Talking Menopause With Your GP]
  85. Types of Hormone Therapy
  86. Understanding Menopause – Booklet
  87. Understanding Premature & Early Menopause – Booklet
  88. Venous Thrombosis/Thromboembolism Risk and Menopausal Treatments
  89. Video Series-2020: TSECs—A New Treatment Option for Hot Flashes and Night Sweats
  90. Video Series-2020: What You Need To Know About Bioidentical Hormone Therapy
  91. Video Series-2021: Treatment Options for Vaginal Dryness and Urinary Issues
  92. Video Series-2021: What Women Need to Know About Hormone Therapies
  93. Video Series-2021: What You Need to Know About the #1 Cause of Death In Women
  94. Video Series-2022: Perimenopause, Signs, Symptoms, and Solutions
  95. Webinars: Previous – Breast Cancer
  96. Webinars: Previous – Primary Prevention of Cardiovascular Disease With MHT: Where Are We Now?
  97. Webinars: Previous – Progestogen, Progestin, Progesterone: Why All the Confusion?
  98. Webinars: Previous – The Early Menopausal Patient
  99. What Is Estrogen?
  100. What Is Menopausal Hormone Therapy (MHT) and Is It Safe?

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: 22 March 2022
  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: 22 March 2022
  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: 22 March 2022
  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: 22 March 2022
  5. Hormone Replacement Therapy (HRT): Types – HRT Hormones. Page Last Reviewed: 09 September 2019. NHS https://www.nhs.uk/conditions/hormone-replacement-therapy-hrt/types/#hrt-hormones Accessed: 22 March 2022
  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: 22 March 2022
  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: 22 March 2022

Topic Last Updated: 12 April 2022 – Topic Last Reviewed: 22 March 2022
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