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The 411 on Hormone Therapy

Women Who Should Not Take Hormones


- Personal history of breast cancer
- Mother or sister with breast cancer
- Blood clots while taking birth control pills

Oral Estrogens

Brand Name / Source
Cenestin / Native-Synthetic
Estrace / Native-Synthetic
Menest / Native-Synthetic
Premarin Natural / Pregnant mare urine

Estrogen Patches

Brand Name / Application
Climara / Once weekly
Climara Pro / Once weekly
Estraderm / Twice weekly
Vivelle / Twice weekly

Vaginal Estrogen


Brand Name / Delivery System / Initial Dose / Maintenance Dose
Estrace / Cream / 1-2 applications per day / ? initial dose after 1-2 weeks
Estring / ring / Place in vagina for 3 months / Replace every 3 months
Ogen Vaginal Cream / Cream / 1-2 applicators per day / ? initial dose after 1-2 weeks
Premarin Vaginal Cream / Cream / ? to 1 applicator per day / ? initial dose after 1-2 weeks
Vagifem / Tablet / 1 tablet vaginally every day / 1 tablet 2 times per week

Becky Wang-Cheng, MD, FACP, has written several articles and book chapters on menopause. She is an internist in solo practice in St. Helena, California.



 
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