Fibroids and Estrogen Replacement Therapy

In this episode, we discuss a podcast listener’s question. ‘Alesha’ is concerned that she should not take estrogen replacement therapy because she has fibroids. This is a common concern. The idea that estrogen can cause or propagate fibroids has left many menopausal women without support for their symptoms.

Just because women have or have had a history of fibroids does not mean they are not a candidate for estrogen therapy. In fact, women with fibroid can take estrogen hormone replacement therapy.

In this episode, we go into depth about taking estrogen with fibroids. And we break Alesha’s question into:
What are fibroids?
Fibroids and estrogen replacement therapy
Can I take estrogen if I have fibroids?
What is adenomyosis?
Estrogen’s role in fibroids
Difference between perimenopause and menopause
How menopause can affect prediabetes

Alesha’s Question:
Is there any hope for someone with adenomyosis take estrogen? If so, when is the right time? I know adenomyosis is stimulated by estrogen. I even had 1 doctor offer a hysterectomy so I could take estrogen without any issues ??!! I have a history of heavy periods have had many trans vaginal ultrasounds and biopsy’s over the years. Uterus was enlarged, lining was within normal limits (wnl). Had a hysterscopy to remove some cysts they found 4 hrs ago. Last ultrasound showed probable adenomyosis. I am almost 57 and I am in late perimenopause. Cycles have been erratic just went 6 months without a cycle then had a normal cycle. For years of
perimenopause I had symptoms of high estrogen.

Most of the time for the last year I had symptoms of low estrogen.
Poor sleep waking up 4-5x night, dry skin, vaginal dryness, night sweats, brain fog, difficulty concentrating which makes my job very difficult. I have also developed mild sleep apnea (sleep lab) and after my last physical I am on the edge of pre-diabetes. I am normal weight, I walk daily and lift weights, eat high protein diet with lots of veggies and healthy fats. I am currently taking a progesterone troche (1/4 lozenge 50mg 2x day)
and vaginal estrogen. I was taking an oral progesterone 300 mg thought it would help with sleep but didn’t. The progesterone has helped with GI issues, puffiness, bloating, cramping and anxiety.

If you have a question, please visit our website - progressyourhealth.com and click Ask the Doctor a question.

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