Hormone Therapy

Question 1

ET is

Answer 1

Estrogen therapy

Question 2

Take home for EPT

Answer 2

Fewer women with colorectal cancer
only a “slight” increase in breast cancer - 9 more cases in 10,000
decreases risks of hip fractures

Question 3

EPT

Answer 3

Estrogen/Progestin therapy

Question 4

Take home for ET

Answer 4

Must couple with a progestin if the person has a uterus

Decreases in number of heart attacks

Decrease in breast cancer

Decrease in hip fractures

Question 5

Contraindication for hormone therapy

Answer 5

undiagnosed abnormal vaginal bleeding
known, suspected, or history of breast cancer
known or suspected estrogen-dependent cancer
current or hx of DVT or PE
current or recent (within last year) stroke or MI
liver disease
known or suspected pregnancy
known hypersensitivity to ET/EPT

You can smoke and use HT

Question 6

ET available as

Answer 6

oral
transdermal
topical
vaginal

Question 7

EPT available as

Answer 7

oral
transdermal

Question 8

EPT

Answer 8

transdermal
for women using SYSTEMIC estrogen, a progestin is needed
to protect from endometrial hyperplasia

Question 9

Dosing regimen

Answer 9

trial and error for individual people

strat with a low dose and titrate upward PRN

Rx the lowest dose of HT that effectively manages symptoms for the shortest time possible

optimally, EPT should not be taken for longer than 5 years