HORMONE THERAPY: SOME FREQUENT QUERIES
What are the periods like in the treatment?
They are usually lighter than in earlier years, particularly after the first period or clearing out. It varies very much from woman to woman, and the quantity of flow is related to age and the dose of oestrogen. The closer to your last periods, the heavier they usually are, but as you age the lining of your uterus reacts less to the oestrogen stimulation, and no period may occur at all. Progestogen must still be taken monthly.
Is there any premenstrual tension with progestogen?
This occurs in some patients but is not common and often settles with repeated doses. There are three progestogens used commonly, and one may suit one person better than the other in some instances. Simply try the other progestogens and fit whichever one suits you into your programme. You had to organize yourself with your hormones in your youth, and it is necessary to do so now if you want the benefits of oestrogen therapy. Progestogen is necessary in the programme of treatment.
Do these periods mean I can get pregnant?
The periods are purely a local effect due to a cleaning out of the lining of the uterus. They do not mean you are producing eggs and can become pregnant, provided you have had no periods for twelve months before starting treatment.
Is oestrogen replacement sometimes necessary before periods cease?
If true menopausal symptoms exist, then your oestrogen production may have decreased, particularly if your periods are more scanty and are longer spaced. Your symptoms may then be relieved by oestrogen therapy. This of course would never be given if bleeding was heavier or more frequent, as it would only aggravate this and might produce undesirable changes in the lining of the uterus.
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