Estrogen Replacement Therapy for Menopause

What Is Estrogen Replacement Therapy?

Estrogen replacement therapy (ERT) is a hormone therapy that licensed healthcare providers may recommend to supplement declining estrogen levels that may occur during or after menopause. Estrogen plays a role in regulating reproductive health, skin integrity, bone density, and aspects of mood and cognition. As natural levels decline, some women may experience symptoms such as:

• Hot flashes
• Night sweats
• Vaginal dryness or discomfort
• Mood changes
• Difficulty sleeping
• Mental fog
• Dry skin or thinning hair

ERT introduces estrogen into the body using various delivery methods with the goal of helping reduce the impact of estrogen decline. The use of this therapy should be evaluated on a case-by-case basis with a licensed healthcare provider.

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How Estrogen Therapy May Help During Menopause

ERT may support hormone levels during menopause, which some women report helps improve quality of life. When appropriately prescribed, ERT may provide support in several areas:

• Temperature regulation: Some individuals report fewer hot flashes and night sweats.
• Sleep quality: Hormonal support may promote better rest by reducing nighttime disruptions.
• Skin and tissue hydration: Estrogen influences moisture retention and collagen production.
• Vaginal comfort: Localized or systemic therapy may support vaginal health.
• Mood support: Estrogen interacts with neurotransmitters that may influence emotional wellbeing.
• Bone maintenance: Estrogen plays a role in bone density regulation over time.

Results vary from person to person. A licensed healthcare provider can help assess whether this therapy aligns with your needs and medical history.

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Types of Estrogen Replacement Therapy

Estrogen therapy is available in several forms. The method prescribed depends on your symptoms, medical profile, and preferences. Licensed healthcare providers may consider options such as:

• Oral tablets: Taken daily and absorbed through the digestive system.
• Transdermal patches: Worn on the skin for continuous release of estrogen.
• Topical gels or creams: Applied directly to the skin for absorption.
• Vaginal formulations: Including creams, rings, or tablets to address vaginal or urinary symptoms locally.

Each method has its benefits and limitations. For example, patches may bypass liver metabolism, while vaginal options may target specific localized symptoms.

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Who May Be a Candidate for Estrogen Replacement Therapy?

ERT may be considered for individuals who are:

• Experiencing moderate to severe menopause symptoms
• In perimenopause or early postmenopause
• In generally good health with no contraindications to hormone therapy

You may wish to explore ERT with a licensed provider if you are:

• Experiencing frequent hot flashes or night sweats
• Having sleep disturbances associated with hormonal changes
• Noticing mood changes or vaginal dryness
• Concerned about changes in skin or hair
• Discussing bone health with your provider

ERT should only be prescribed after a full health evaluation. Self-diagnosing or beginning therapy without medical oversight is not recommended.

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Understanding Risks and Safety Considerations

As with any prescribed therapy, ERT comes with potential risks. That’s why licensed healthcare providers perform detailed evaluations before initiating treatment.

Risk factors that may be considered include:

• History of hormone-sensitive cancers (e.g., breast or uterine)
• Blood clotting disorders or history of clots
• Liver conditions
• Cardiovascular disease
• Unexplained vaginal bleeding

In many cases, providers may recommend the lowest effective dose for the shortest appropriate duration. Regular follow-ups and re-evaluations are critical. If a patient has not had a hysterectomy, the provider may also recommend a progestin or progesterone to reduce the risk of endometrial complications.

ERT is not right for everyone. A licensed medical provider will help determine whether it's safe and appropriate.

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How Eden Connects You to Personalized Care

Eden makes it simple to access expert-guided care by connecting you with licensed healthcare providers who specialize in menopause and hormone health.

Here’s how it works:

• Online Evaluation: Complete a secure health questionnaire to give licensed healthcare providers a clear understanding of your symptoms and medical background.
• Virtual Consultation: Speak with a licensed provider who can answer your questions and evaluate your suitability for therapy.
• Treatment Access: If appropriate, your provider may prescribe treatment, which is filled by a state-licensed compounding pharmacy and delivered to your door.
• Ongoing Support: Eden offers ongoing support, including follow-ups and adjustments, to ensure your care stays aligned with your needs.

Eden does not manufacture medications, operate a pharmacy, or practice medicine. Instead, we help patients access care from trusted, licensed professionals through a secure and user-friendly platform.

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Start Your Journey with Confidence

Menopause doesn’t have to be something you navigate alone. With guidance from licensed healthcare providers on the Eden platform, you may find a treatment approach that fits your lifestyle and health goals.

Start your estrogen therapy evaluation today and take the first step toward a personalized care experience.

Disclaimer: This article is for informational purposes only and does not constitute medical advice. Always consult with a licensed healthcare provider before starting or changing any hormone therapy.