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I'm glad you were able to get the evaluations you needed to safely take
estrogen. I currently have 3 endocrinologists, the only 3 in this area. One
actually gave me a 1mg estradiol tablet prescription, but that is not what
I wanted. He didn't even ask about the uterus. He didn't even listen to me
when I asked about bioidentical estrogen. I still have a cervix so I think
I am supposed to take progesterone with estrogen. The other two (who are
more competent) are firmly against it. I think I would be more comfortable
with evaluations by other specialists. Unfortunately, the cardiologists
here are so busy that so far I haven't been able to see one. So far, every
time I ask for a referral, I don't get one. I can see a gynecologist. My
PCP asked me to sign a release to one of my endos in response to my
estrogen request. I will see him in 2 weeks to find out what he thinks.
Thanks so much @mayblin for your input. I always appreciate what you write
on the Mayo thread.
Sue
Replies to "@mayblin, I'm glad you were able to get the evaluations you needed to safely take estrogen...."
I just realized and wanted to add some more info. You probably know that micronized progesterone is added to the mix of E2 for those who still have a uterus to minimized the risk of uterine lining hyperplasia. Your obgyn would know if you need progeterone in your case.
This link which @gently provided is very useful in that it's a compilation of users' data for women older than 65:
https://journals.lww.com/menopausejournal/fulltext/2024/05000/use_of_menopausal_hormone_therapy_beyond_age_65.3.aspx
Table 3 and 4 summarized risk reduction or increase based on:
Estrogen alone
Estrogen + progestin
Estrogen + progesterone
Then by type of Estrogen, route and dose.
If one uses E2 alone, the adjusted hazard ratio looks very favorable in many risk categories. Hope these info are somewhat useful to you also if you haven't read them.
Same reactions here from docs. I think until the FDA takes the black box warning off we may continue to get these responses. One rheumatologist said these recommendations came to them from professional organizations who looked at all the available studies so "we're not going to make that decision in this room."
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Transdermal E2 patches are definitely more advantageous than oral E2 in terms of minimizing side effects. Ugh you are so close getting the right script. Seeing doctors nowadays is such a challenge that the wait is long and the actual appointments often were so short. We almost need to be 200% prepared to get all our questions answered or issues resolved at one single meeting. Hope you get everything resolved soon.