6 responses to “Step by step approach to determine the safety of prescribing Hormone Replacement Therapy”

  1. Thanks for this information, Dr. Leon. It sounds like a practical & useful approach to MHT. Further on this topic, recently one of my patients brought the CeMCOR (The Centre for Menstrual Cycle and Ovulation Research, http://www.cemcor.ubc.ca) website to my attention, as she wanted to be on progesterone as well as estrogen despite having had a hysterectomy – this was a new concept for me. For those who don’t know, CemCOR was founded by Dr. Jerilynn Prior, whose name many of us recognize (she was one of my lecturers in medical school in the late 1980’s). The website has areas for patients and healthcare providers. It’s worth a look.

  2. Thank you for the information Dr Leon. I am definitely going use this approach in my practice.

  3. I think the 5 question approach Is a useful guide in deterimining eligibility for MHT.

  4. Thank you I did appreciate this article as well and encouraged to return to more HRT use with a strong approach. I wonder about the use of progesterone only in perimenopausal woman. It seems to work well for symptoms. Would progesterone only hold any benefit for menopausal women?

  5. Thanks, very helpful and straightforward article. I wonder about small doses of vaginal estrogen (i.e. estrace cream).
    I had been told no need to also rx progesterone, but should we still have the woman on both estrogen and progesterone in this case?

  6. useful article

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