Can you take HRT after surgery?

When can I resume HRT after surgery?

Surgery. Major surgery under general anaesthesia, including orthopaedic and vascular leg surgery, is a predisposing factor for venous thromboembolism and it may be prudent to stop HRT 4–6 weeks before surgery; it should be restarted only after full mobilisation.

Does HRT affect surgery?

Current advice (based on limited evidence and expert opinion rather than on the results of RCTs) is that HRT use should be regarded as one of the risk factors for venous thromboembolism to be considered when assessing patients pre‐operatively. There is no evidence to support stopping HRT pre‐operatively.

When should you not take HRT?

But HRT may not be suitable if you: have a history of breast cancer, ovarian cancer or womb cancer. have a history of blood clots. have untreated high blood pressure – your blood pressure will need to be controlled before you can start HRT.

How long after surgery does surgical menopause start?

If the surgeon removes both ovaries, menopause will begin immediately after the operation. If they remove the uterus, fallopian tubes, or both but leave one or both ovaries intact, menopause will probably start within 5 years.

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What are the signs that you need hormone replacement therapy?

Signs that you may need hormone replacement therapy include:

  • Hot flashes.
  • Night sweats.
  • Vaginal dryness.
  • Pain, itching, or burning during intercourse.
  • Bone loss.
  • Low sex-drive.
  • Mood changes.
  • Irritability.

When do you start HRT after surgical menopause?

Experts recommend beginning estrogen immediately following surgery and continuing until the typical age at natural menopause (around 51 years old) in order to protect bone, brain, and cardiovascular health.

Can you restart HRT after stopping?

If you decide to restart HRT, you should be able to return to your usual treatment straightaway, unless you’ve been off it for some time. If this is the case, you should return to a lower dose at first, after discussing this with your healthcare professional.

How long does it take to get HRT out of your system?

Most women are able to stop taking HRT after their menopausal symptoms finish, which is usually two to five years after they start (but in some cases this can be longer). Gradually decreasing your HRT dose is usually recommended, rather than stopping suddenly.

What are the symptoms of estrogen withdrawal?

Postpartum, menopause, and the premenstrual syndrome are all associated with decreasing estrogen and withdrawal syndrome-like manifestations (75, 76) (Table 2). These may include hot flushes and autonomic hyperactivity, but also fatigue, irritability, anxiety and depression, and even psychosis.

When should you consider HRT?

‘Early menopause’ is when the final menstrual period occurs before a woman is 45. For women who experience premature or early menopause, HRT is strongly recommended until the average age of menopause (around 51 years), unless there is a particular reason for a woman not to take it.

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What is a good substitute for estrogen?

The most widely cited natural remedy is soy, which is very high in phytoestrogens, or plant estrogens. Other sources are red clover and flaxseed, both of which are available as supplements.

Who should not take HRT?

Doctors prescribe hormone therapy to ease menopause symptoms, such as hot flashes, vaginal dryness and mood disturbances. But hormone therapy isn’t appropriate for some women. You shouldn’t use hormone therapy for menopause symptoms if you have: Heart and blood vessel (cardiovascular) disease.