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Hrt questions
HRT QUESTIONS
- Adding progestogen to my oestrogen each month gives me a bad headache. What can I do about that?
Headaches such as you describe are sometimes caused by fluid retention. It may be possible for you to reduce the dose of progestogen you are taking, and this possibility should be raised with your doctor.
- I've had a hysterectomy and I'm taking Premarin pills. Are they likely to raise my blood pressure?
No, Premarin should not have this effect. If your blood pressure is considered high, it should be treated with a medication for lowering blood pressure and you should continue with your oestrogen.
- Does HRT have any effect on rheumatoid arthritis?
A number of studies of oestrogens and rheumatoid arthritis have been published, with a mixed set of results. A 1986 study suggested a protective effect, while several more recent studies failed to confirm this. If there is an effect, we don't yet know how long it lasts, whether some methods of delivering HRT to body tissues have a more beneficial effect on this condition than others, or what effect the addition of progestogen may have.
- I've been having HRT to relieve severe hot flushes, and I'm wondering if the dosages are any different from those I need to protect me from osteoporosis or heart disease?
This depends on the dosage you need to relieve your symptoms, and the individual way your body handles the hormones. If you are a young woman your symptoms are probably severe, and the dosage you are taking is likely to be ample for protecting your bones and heart. If you are older, your hormone dose may be low and your level of protection may be doubtful. To further complicate the situation, two women of the same age and with similar symptoms may handle the hormones somewhat differently, resulting in a greater level of protection for one or the other.
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