When is it Time to Stop Hormone Replacement Therapy in Women?

The median time for taking bio-identical HRT to control symptoms of menopause is 10-11 years.  Longer periods of time might be indicated in slender white or Asian women or in those with a family history of hip fractures.  As menopause symptoms decrease, every year or two, the patient might try to reduce the dose or switch to an intra-vaginal prescription.  Natural progesterone might be used instead of estrogen-containing preparations, especially if the indication is osteopenia or osteoporosis.

See Menopause. 2014 Jun; 21: 679-81.

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