Hrt vs oral contraceptives


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Should hormone replacement therapy or oral contraceptive pill be discontinued upon development of melanoma? Clinical practice guidelines for the diagnosis and management of melanoma. Sydney: Cancer Council Australia.

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Is there a link between oral contraceptives and breast cancer?

Women with premature ovarian insufficiency POI have low levels of estrogen. After diagnosis, most women will therefore be recommended to take some form of estrogen replacement. This will help with the symptoms of POI such as flushes, night sweats, mood disturbance, vaginal dryness but estrogen is also important to protect the bones, heart and brain in the longer term.

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Carmen. Age: 30.
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Discontinuation of hormone replacement therapy or oral contraceptive pill

Women with premature ovarian failure POF face many years of estrogen deficiency. One of the major consequences is bone loss. The optimal form of estrogen replacement is unknown and management is not evidence based. Two-year open randomized trial comparing HRT and COCP and nonrandomized observation of women declining treatment using the same protocol.

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There is an increased risk of breast cancer for women who have been using birth control pills for more than five years. However due to the low amount of hormones in birth control pills today, the risk is relatively small. But if a young woman has a significant family history of breast cancer, her gynecologist may recommend taking a break for a year from the pill at the 5-year time frame then resuming again for another 5 years. Although evidence-based research data does not offer strong support for this standard of care, it has nevertheless become an increasingly common practice.