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 A-Z 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. 8 Myths and Truths About Menopausal Hot Flashes
  2. BMS & WHC’s 2020 Recommendations on Hormone Replacement Therapy In Menopausal Women
  3. BMS TV: Bioidentical Hormones
  4. BMS TV: Complementary and Alternative Therapies
  5. BMS TV: Hormone Replacement Therapy (HRT)
  6. Benefits of Quitting Smoking
  7. Bioidentical Hormones: Are They Safer?
  8. Challenges When Quitting
  9. Cognitive Behavioural Therapy (CBT)
  10. Compounded Bioidentical Hormone Therapy [Video]
  11. Consumer Health: Lung Cancer, Smoking and Why It’s Always A Good Time To Quit
  12. Deciding About Hormone Therapy
  13. Deciding About Hormone Therapy Use
  14. Deep Vein Thrombosis (DVT)
  15. Dr Louise Newson: The Truth About the Menopause & HRT
  16. Find A Menopause Practitioner [United States and Other]
  17. Find An AMS Doctor [Australasian Menopause Society i.e. Australia and New Zealand]
  18. Find Your Nearest BMS Menopause Specialist [British Menopause Society]
  19. Five Reasons Why Calling A Quitline Can Be Key To Your Success
  20. Giving Up Smoking
  21. Great American Smokeout [Third Thursday In November]
  22. HRT & Menopause Extra
  23. HRT: Benefits and Risks
  24. Hormone Replacement Therapy (HRT)
  25. Hormone Therapy for Menopause
  26. Hormone Therapy: Is It Right for You?
  27. Hot Flashes
  28. Hot Flashes: What Can I Do? [+ Video: What Are the Signs and Symptoms of Menopause?]
  29. How Quitting Helps Women’s Health
  30. How To Prevent Cancer: 6 Ways To Lower Your Risk
  31. How To Quit Smoking
  32. How To Quit Smoking
  33. How To Quit Smoking: 7 Ways To Kick the Habit
  34. I Forgot To Ask the Doctor – E9: The Menopause: Can Every Woman That Wants It Have HRT?
  35. 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
  36. Later Years (Around 50 Years and Over): Menopause and Post Menopause Health – Early and Premature Menopause [+ Video: Menopause Only Happens In Your 50s]
  37. Later Years (Around 50 Years and Over): Menopause and Post Menopause Health – Hormone Replacement Therapy (HRT) [+ Video: Is HRT Bad for You?]
  38. Let’s Talk About Perimenopause
  39. Manage the Hard Times
  40. Mayo Clinic Minute: Help With Hot Flashes Due To Menopause [+ Video Courtesy: Mayo Clinic News Network]
  41. Mayo Clinic Minute: How Lifestyle Changes May Help Manage Menopause Symptoms [+ Video]
  42. Mayo Clinic Minute: Strategies To Quit Smoking [+ Video Courtesy: Mayo Clinic News Network]
  43. Mayo Clinic Q and A: Perimenopause Transitions and Concerns
  44. Menopausal Hormone Therapy
  45. Menopause
  46. Menopause Management Options: Menopausal Hormone Therapy (MHT)
  47. Menopause Map: Downloadable Resources – My Personal Path Print Tools: Questions for Your Health Care Provider
    Hormone Therapy and Smoking
  48. Menopause Mindfulness: Understanding the Many Paths To Menopause
  49. Menopause Patient Information [Videos] 2. Talking To Your GP About Menopause
  50. Menopause Patient Information [Videos] 3. The Risks & Benefits of HRT
  51. Menopause Patient Information [Videos] 4. The Different Types of HRT
  52. Menopause Patient Information [Videos] 5. Lifestyle Advice In Menopause & Perimenopause
  53. Menopause Preparedness Toolkit Video Series: Lifestyle Tips for Menopause Wellness
  54. Menopause Preparedness Toolkit Video Series: Mindfulness & Wellbeing During the Menopause Transition
  55. Menopause Preparedness Toolkit: A Woman’s Empowerment Guide
  56. Menopause Symptoms: Mayo Clinic Expert Outlines Hormone and Nonhormonal Therapies
  57. Menopause Treatments: What Works, What Doesn’t
  58. Menopause and HRT
  59. Menopause: Diagnosis and Management – Information for the Public: Questions To Ask About Menopause [NICE Guideline]
  60. Menopause: Ensuring A Tranquil Transition
  61. Menopause: Things You Can Do
  62. Menopause: Understanding the Changes and Finding Relief | Dr Susan Davis | The Proof Podcast EP 256
  63. More Than 100 Reasons To Quit Tobacco
  64. Mymenoplan.org [My Menoplan, United States]
  65. National Center for Complementary and Integrative Health: Quitting Smoking With Complementary Health Approaches: What You Need To Know
  66. Natural Remedies To Help Manage Perimenopause Symptoms
  67. Navigating Menopause: Expert Insights and Solutions | Dr Susan Davis | The Proof Podcast EP 245
  68. Non-Estrogen Treatments for Menopausal Symptoms
  69. Nonhormone Treatments for Hot Flashes and Night Sweats
  70. Oestrogen Only Menopausal Hormone Therapy
  71. Quit Smoking
  72. Quit Smoking
  73. Quit Smoking / Tobacco / Vaping
  74. Quit Smoking for Better Health
  75. Quit.org.au
  76. Quitting Starts Now. Make Your Quit Plan.
  77. Quitting Toolkit
  78. Smokefree.gov [United States]
  79. Smokefreeespañol
  80. Smokefreewomen [United States]
  81. Smokefreewomen [United States]: Smokefree Apps
  82. Smokefreewomen [United States]: Tools & Tips
  83. Smoking
  84. Smoking’s Impact on Women’s Health
  85. Stop Smoking Aids
  86. Stoptober: The 28-Day Stop Smoking Challenge
  87. The Great American Smokeout
  88. The Link Between Stress and Smoking
  89. The Truth About Menopause Supplements | Dr Sarah Berry
  90. Therapy for the Effects of Menopause
  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. Video Series-2023: NAMS 2023 Nonhormone Therapies Position Statement for Bothersome Menopause Symptoms
  96. Video Series-2023: New FDA-Approved Nonhormone Option for the Treatment of Hot Flashes
  97. Videos and Podcasts: Videos – Interviews: A Simple Approach To Menopause: The Menopause Quick Six (www.MQ6.ca)
  98. Why Didn’t Anyone Tell Me This? Episode 3: Dr Annice Mukherjee: Your Essential Menopause Toolkit
  99. World No Tobacco Day [31 May 2023]
  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: 24 November 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: 24 November 2023
Topic Last Updated: 24 November 2023 – Topic Last Reviewed: 24 November 2023

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