Reply to How are we supposed to know what to do about HRT when drs all give wildly different advice?

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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]Docs being willing to Rx the pill is so insane. The hormone doses are so much higher![/quote]

i think pill controls your own hormones, hrt adds hormones. right?

'unlike typical HRT which supplements  hormones in your body, birth control pills literally take over.

They override your own hormonal production — in effect, signaling your ovaries to take a breather and stop producing estrogen and progesterone — and supplant it with the hormones in the pills themselves.

In other words, you get just what is in the pill. You’re not adding hormones on top of what you’re producing on your own, but literally replacing them

It’s also a key reason why birth control pills are often prescribed if you’re perimenopausal and suffering with symptoms: In perimenopause, you’re still producing non-menopausal (that is, higher) levels of estrogen and progesterone on your own, so adding more hormones (as you would if you went on standard HRT) might actually make you feel worse.'

https://www.earlymenopause.com/information/topics/hrt-vs-birth-control/[/quote]

Not quite:
“Currently, combined hormone replacement therapy (HRT) or the combined oral contraceptive pill (COCP), both of which contain estrogen and progestin, are commonly prescribed. HRT is often considered more “physiological,” because most preparations contain estradiol, which is found naturally, whereas COCPs contain the synthetic ethinyloestradiol and also higher doses of progestin. COCPs are recognized to increase the risk of venous thrombo-embolism (it is doubled with levonorgestrel-containing COCPs) and are also considered a risk factor for cardiovascular and cerebrovascular disease (11). Oral HRT also increases venous thromboembolism (12). Estradiol has less thrombotic effect than ethinyloestradiol (13) but its clinical effect in younger women has not been evaluated. In women under 60 HRT does not increase cardiovascular disease (12). However, many young women dislike the idea of taking a medication designed for older women and find the COCP more “peer friendly.” To date, only one small crossover trial has compared the effects of HRT vs COCP in POF (14). Most of the women included in this trial had Turner's syndrome or iatrogenic POF. No difference in bone density between the regimens was found, but only 18/34 completed follow-up, and each treatment was taken for just one year. No studies have compared HRT and the COCP in purely spontaneous POF. It is also recognized that there are a significant number of women who decline estrogen treatment in spite of the recommendation to take it (3, 15, 16), and we have no specific information on which to advise these women on the likely effects of this choice.”

https://academic.oup.com/jcem/article/101/9/3497/2806843#
[/quote]

1. This study was to assess the efficacy of the pill vs hrt to increase bone density in women with pof and 
2. It doesn’t contradict the above. It mentions that the type of estrogen in each one is different. [/quote]

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