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HRT Update: Therapy May Reduce Fractures, Boost Some Risks
Date:5/29/2012

uterus and ovaries removed, she said.

Bottom line? It does not appear wise to take hormone therapy long-term to prevent chronic conditions, she said. The best strategy remains to take the therapy, if needed for symptoms, at the lowest dose for the shortest time possible.

Given the different risks associated with estrogen-only and combination therapy, it's important to discuss your individual health history with your doctor, experts said.

Dr. Jill Rabin, chief of ambulatory care, obstetrics and gynecology at Long Island Jewish Medical Center, in New Hyde Park, N.Y., agreed that short-term, low-dose therapy for relief of symptoms is the best strategy.

Another option, she tells her patients, is to "think local." Some women are helped by estrogen cream or estrogen vaginal rings, she said.

More information

To learn more about hormone therapy, visit the U.S. National Institutes of Health.

SOURCES: Heidi D. Nelson, M.D., M.P.H., professor of medical informatics, clinical epidemiology and medicine, Oregon Health & Science University, Portland; Jill Rabin, M.D., chief of ambulatory care, obstetrics and gynecology, head of urogynecology, Long Island Jewish Medical Center, New Hyde Park, N.Y.; May 29, 2012, Annals of Internal Medicine, online


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