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Perimenopause, Menopause, and Beyond
Reply to "Why does my doctor say HRT for women under 50 is not safe but everyone around me is taking it and feeling good?"
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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]i asked this question from my friend who is an OBGYN. She said doctors are slow to change and many operate on antiquated outdated debunked information. She said women’s health suffers as a result. [/quote] Ask her what doctors will treat the women who have a stroke shortly after starting HRT … HRT significantly increases the risk of stroke in the first year taking it. I have a 12 year old - I don’t like hotflashes but I need to stay healthy for him. A stroke would be a disagree. [/quote] But there is also research that says HRT in women <60 years of age and/or at or near menopause "significantly reduces all-cause mortality and cardiovascular disease (CVD)," and I would take an increased reduction of all-cause mortality at an increased risk of a stroke. The article also says, "Magnitude and type of HRT-associated risks, including breast cancer, [u]stroke[/u], and venous thromboembolism are rare (<10 events/10,000 women), not unique to HRT and comparable with other medications. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9178928/#:~:text=Initiated%20in%20women%20%3C60%20years,lowering%20fail%20to%20do%20so.[/quote] that’s a single paper. [/quote] Is that a challenge? Here's another paper published by the National Library of Medicine that states in the Abstract: "HRT may prevent chronic conditions when started in symptomatic women before the age of 60 years or within 10 years of the onset of the menopause, taking into consideration the characteristics and risk profiles of each given woman. [b]The bulk of scientific evidence from preclinical, clinical, epidemiological, and also randomized studies indicates that wisely selected HRT is generally useful and rarely dangerous. Following simple and well-established rules, HRT benefits outweigh all of the possible risks.[/b] Progestogen choice can make the difference in terms of cardiovascular disease benefits." https://pubmed.ncbi.nlm.nih.gov/30626218/#:~:text=In%20fact%2C%20climacteric%20symptoms%20are,replacement%20therapy;%20hypertension;%20osteoporosis. And if you follow the suggested articles, there is scientific support that HRT is neuroprotective and reduces the risk of cardiovascular disease and osteoporosis. [/quote]
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