Risks and benefits of menopausal hormone therapy

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You have a 54 year old patient who had her last menstrual period 3 years ago, until 4 months ago when she started having some light spotting every few weeks. She is having hot flashes several times nightly that interfere with sleep and would like to consider starting estrogen to help with hot flashes. She has no other medical problems. You tell her: You have a 54 year old patient who had her last menstrual period 3 years ago, until 4 months ago when she started having some light spotting every few weeks. She is having hot flashes several times nightly that interfere with sleep and would like to consider starting estrogen to help with hot flashes. She has no other medical problems. You tell her: We cannot consider hormone therapy until we evaluate your recent spotting Hormone therapy is contraindicated for treatment of hot flashes based on results of the Women's Health Initiative (WHI) study Lets discuss the risks and benefits of menopausal hormone therapy together We will need to get you a mammogram and do a breast exam before we start hormone therapy.

Reference no: EM133625615

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