Should I use estrogen replacement therapy (ERT) after a hysterectomy and oophorectomy?
As researchers learn more about the effects of estrogen replacement therapy (ERT) on the body, women are asking more questions about whether ERT is right for them. If you are considering whether to start or stop taking ERT, consider the following when making your decision: • If you have early menopause after a hysterectomy and oophorectomy (or a while after a hysterectomy or oophorectomy), your doctor will probably recommend that you take ERT. ERT replaces some or all of the estrogen that your ovaries would be making at this time in your life. Without the estrogen, you may have menopausal symptoms. You would also be at risk for having weaker bones later in life. For most women in their 20s, 30s, or 40s, ERT benefits outweigh the slight risk of blood clots that comes with taking estrogen. • If you are near the age of natural menopause (around age 50), talk to your doctor about the risks and benefits of starting ERT after hysterectomy and oophorectomy. In large groups of women in their 6
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