For Women: Deciding About Hormone Therapy (HT)

Is hormone therapy (HT) right for you? That's up to you and your health care provider. Your provider will review your health needs. Then they will suggest steps you can take to control any symptoms or health risks. HT may be one part of your overall program.

Deciding about HT is a personal choice. Take some time to weigh the pros and cons.

Benefits include the following:

• Helps prevent bone fractures
• Decreased hot flashes and sweating
• Less vaginal dryness
• Fewer mood swings

Risks include:

• Increased risk for uterine cancer if estrogen is taken alone. Taking progestin along with estrogen eliminates this increase in risk.
• Increased risk for breast cancer with long-term use.
• Increased risk for stroke and blood clots.
• Possible increased risk for dementia with hormone replacement therapy.

Side effects may include:

• Breast tenderness.
• Fluid retention.
• Headache.
• Nausea.
• Bloating.
• Ongoing monthly bleeding or spotting. Taking HT will not restore your ability to get pregnant (fertility).

For some people, HT may not be a safe choice. Tell your health care provider if you are pregnant. Also mention if you have had any of the following:

• Gallbladder disease
• High blood pressure
• Seizure disorders
• High cholesterol
• Liver disease
• Migraine headaches
• Breast or uterine cancer
• Heart attack or confirmed heart disease
• Blood-clotting problems
• Inflammation of a vein (phlebitis)
• Abnormal vaginal bleeding