Hormone Therapy and Smoking

“Although cigarette smoking does not prohibit
hormone therapy use, smokers are urged
to stop smoking before beginning ET or EPT”.1

Umbrella
What may the Hormone Therapy and Smoking Umbrella include?

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

  • Estrogen Therapy (ET)
  • Estrogen Plus Progestogen Therapy (EPT)
  • Hormone Replacement Therapy (HRT)
  • Hormone Therapy (HT)
  • Menopausal Hormone Therapy (MHT)
  • Smoking

Quit SmokingHormone Therapy and Smoking

What are smokers who choose to use HT urged to do?

The North American Menopause Society explain:

“Although cigarette smoking does not prohibit hormone therapy use, smokers are urged to stop smoking before beginning ET or EPT”.2

What is ET?

ET can be an abbreviation for Estrogen Therapy.

What is EPT?

EPT can be an abbreviation for Estrogen Plus Progestogen Therapy.

Hormone Therapy Options

What are HT options?

In Ask the Nurse: A 54 year old lady who has smoked for 25 years is on estradiol and progesterone for menopause. Can she take oral estradiol, or is estradiol patch a better choice? Also, is there any contradiction for HT for smokers? the (United States) Speaking of Women’s Health Nurse explains:

“A. …Hormone therapy in smokers can be given transdermally or orally. Transdermal is more recommended if the patient has a history of DVT or high Triglycerides, GI issues or high blood pressure. If she has a uterus, both estrogen AND progesterone/progestin are needed with hormone therapy.

There are many menopausal treatment options. Sometimes smokers metabolize estrogen faster and may not be able to use ultra low doses of estrogen if they have marked hot flashes”.3

What is DVT?

DVT can be an abbreviation for Deep Vein Thrombosis.

What is GI?

GI can be an abbreviation for Gastro Intestinal.

Quit Smoking Guide

Where may I find a quit smoking guide?

Your Country may have a quit smoking guide similar to the (United States) Smokefreewomen’s Quit Smoking, the (United Kingdom) NHS’s Quit Smoking or Australia’s Quit website.

Quit Smoking Apps

Where may I find a quit smoking app?

Your Country may have a quit smoking app similar to the Smokefreewomen’s Smokefree Apps and the NHS Quit Smoking app.

Health Care Provider

If I am a smoker and choose to use HT, what are my risks?

If you are a smoker and choose to use HT, it may be in your best interest to also choose to talk to your health care provider about this.

On page 785 in The 2022 Hormone Therapy Position Statement of The North American Menopause Society: Conclusions published July 2022 and “endorsed by more than 20 well-respected international organizations”, one of the conclusions is:

  • “Risks of hormone therapy differ for women, depending on type, dose, duration of use, route of administration, timing of initiation, and whether a progestogen is needed. Treatment should be individualized using the best available evidence to maximize benefits and minimize risks, with periodic reevaluation”.4

Health Topics A-Z

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

In Health Topics A-Z you may find:

Health Topics A-Z

Links

Where may I find Links related to Hormone Therapy and Smoking?

Your Country may have Links similar to:

Links

This Links List to third party websites is neither comprehensive nor exhaustive. Inclusion on this Links List does not imply endorsement or recommendation. Non-inclusion on this Links List does not imply non-endorsement or non-recommendation. Third party websites are not under the control of Meno Martha International Menopause Directory. Third party websites may contain explicit medical images and/or sexual references. Please read Meno Martha International Menopause Directory’s Links Policy before proceeding to a Link. Please contact Webmaster if you experience a problem with a Link.

New or Updated

  1. BMS & WHC’s 2020 Recommendations on Hormone Replacement Therapy In Menopausal Women
  2. Benefits of Quitting Smoking
  3. Bioidentical Hormone Therapy
  4. Bioidentical Hormones Explained – A British Menopause Society Video
  5. Bioidentical Hormones: Are They Safer?
  6. Challenges When Quitting
  7. Cognitive Behavioural Therapy (CBT)
  8. Combined Menopausal Hormone Therapy (MHT)
  9. Complementary Medicine Options for Menopausal Symptoms
  10. Complementary and Alternative Therapies Explained – A British Menopause Society Video
  11. Compounded Bioidentical Hormone Therapy [Video]
  12. Consumer Health: Lung Cancer, Smoking and Why It’s Always A Good Time To Quit
  13. Deciding About Hormone Therapy
  14. Deciding About Hormone Therapy Use
  15. Deep Vein Thrombosis
  16. Deep Vein Thrombosis (DVT)
  17. Dr Gail Busby – I Forgot To Ask the Doctor – Episode 9 The Menopause
  18. Find A Menopause Practitioner [United States and Other]
  19. Find An AMS Doctor [Australasian Menopause Society i.e. Australia and New Zealand]
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  21. Five Reasons Why Calling A Quitline Can Be Key To Your Success
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  23. Great American Smokeout [Third Thursday In November]
  24. HRT & Menopause Extra
  25. HRT: Benefits and Risks
  26. Hormone Replacement Therapy
  27. Hormone Replacement Therapy (HRT)
  28. Hormone Replacement Therapy (HRT) Explained – A British Menopause Society Video
  29. Hormone Replacement Therapy (HRT): Alternatives
  30. Hormone Therapy for Menopause
  31. Hormone Therapy: Is It Right for You?
  32. Hot Flashes
  33. Hot Flashes: What Can I Do? [+ Video: What Are the Signs and Symptoms of Menopause?]
  34. How Quitting Helps Women’s Health
  35. How To Quit Smoking
  36. How To Quit Smoking
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  38. Joint Position Statement By the British Menopause Society, Royal College of Obstetricians and Gynaecologists and Society for Endocrinology on Best Practice Recommendations for the Care of Women Experiencing the Menopause
  39. Later Years (Around 50 Years and Over): Menopause and Post Menopause Health – Early and Premature Menopause [+ Video: Menopause Only Happens In Your 50s]
  40. Later Years (Around 50 Years and Over): Menopause and Post Menopause Health – Hormone Replacement Therapy (HRT) [+ Video: Is HRT Bad for You?]
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  42. Manage the Hard Times
  43. Mayo Clinic Minute: Help With Hot Flashes Due To Menopause [+ Video]
  44. Mayo Clinic Minute: How Lifestyle Changes May Help Manage Menopause Symptoms [+ Video]
  45. Mayo Clinic Minute: Strategies To Quit Smoking [+ Video Courtesy: Mayo Clinic News Network]
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  47. Menopausal Hormone Therapy – Fact Sheet
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    Hormone Therapy and Smoking
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  55. Menopause Patient Information [Videos] 2. Talking To Your GP About Menopause
  56. Menopause Patient Information [Videos] 3. The Risks & Benefits of HRT
  57. Menopause Patient Information [Videos] 4. The Different Types of HRT
  58. Menopause Patient Information [Videos] 5. Lifestyle Advice In Menopause & Perimenopause
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  60. Menopause Preparedness Toolkit Video Series: Mindfulness & Wellbeing During the Menopause Transition
  61. Menopause Preparedness Toolkit: A Woman’s Empowerment Guide
  62. Menopause Symptoms: Mayo Clinic Expert Outlines Hormone and Nonhormonal Therapies
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  67. National Center for Complementary and Integrative Health: Quitting Smoking
  68. Natural Remedies To Help Manage Perimenopause Symptoms
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  70. NonHormonal Treatments for Menopausal Symptoms
  71. Oestrogen Only Menopausal Hormone Therapy
  72. Quit Smoking
  73. Quit Smoking
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  76. Quit Smoking for Good – You Got This
  77. Quit Tobacco Today! [+ Video: Meet Florence – She Can Help You Quit Tobacco!]
  78. Quit.org.au
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  80. Quitting Toolkit
  81. Smokefree.gov [United States]
  82. Smokefreeespañol
  83. Smokefreewomen [United States]
  84. Smokefreewomen [United States]: Smokefree Apps
  85. Smokefreewomen [United States]: Tools & Tips
  86. Smoking
  87. Smoking’s Impact on Women’s Health
  88. Stop Smoking Aids
  89. Stoptober: The 28-Day Stop Smoking Challenge
  90. The Link Between Stress and Smoking
  91. Tips To Help Manage Menopause Symptoms
  92. Using Natural Therapies In the Menopause Transition – Webinar
  93. Video Series-2022: Hormone Therapy: Understanding the Risks and Benefits
  94. Video Series-2022: Perimenopause: Signs, Symptoms, and Solutions
  95. Webinars: Previous – Predictors of Premature and Early Natural Menopause
  96. Webinars: Previous – The Early Menopausal Patient
  97. What To Expect In Each Stage of Menopause
  98. Why Didn’t Anyone Tell Me This? Episode 3: Dr Annice Mukherjee: Your Essential Menopause Toolkit
  99. World No Tobacco Day 2022 [+ Quitting Toolkit]
  100. You Are ‘Here’: A Smoker’s Guide To Quitting

Sources

Where may I find the Sources quoted?

You may find the Sources quoted at:

Sources

  1. North American Menopause Society. Menopause Guidebook: 4 Do I Need Treatment? Weighing the Benefits and Risks of Hormone Therapy: Who Should Not Use Hormone Therapy? Smokers, 8th Edition, 2015:28
  2. North American Menopause Society. Menopause Guidebook: 4 Do I Need Treatment? Weighing the Benefits and Risks of Hormone Therapy: Who Should Not Use Hormone Therapy? Smokers, 8th Edition, 2015:28
  3. Ask the Nurse: A 54 year old lady who has smoked for 25 years is on estradiol and progesterone for menopause. Can she take oral estradiol, or is estradiol patch a better choice? Also, is there any contradiction for HT for smokers? 02 April 2019. Speaking of Women’s Health Nurse https://speakingofwomenshealth.com/askthenurse/smoking-and-hormone-therapy Accessed: 07 March 2023
  4. The 2022 Hormone Therapy Position Statement of The North American Menopause Society: Conclusions. 2022: 785. North American Menopause Society https://www.menopause.org/docs/default-source/professional/nams-2022-hormone-therapy-position-statement.pdf Accessed: 07 March 2023
Topic Last Updated: 07 March 2023 – Topic Last Reviewed: 07 March 2023

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