Q When I was 39, I had a total hysterectomy. The doctor put me on hormone-replacement pills -- first strong, then gradually weaker ones. Now, I am on a patch, estradiol derm 50. My doctor told me to take it for the rest of my life, because it is good for the bones. I am 79 and now have a different doctor who told me to stop it. I tried, but I felt depressed and had hot flashes. I have used this patch for 40 years and have had no ill effects with it. What is your opinion? A This is a very controversial area. Let me start with what is not controversial: The patch is good for your bones and protects you from fracture. It also appears to reduce the risk of colon cancer. Unfortunately, it increases your risk for blood clotting in the deep veins of your legs, which can then spread to the lungs. Also, estrogen increases the risk of breast cancer. The controversial part is what it does to your risk of heart disease. Recent data suggest that estrogen alone (with no progesterone, something a woman who has not had a hysterectomy shouldn't take), if given … Continue reading
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