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Estrogen Related Questions

Estrogen is the primary sex hormone in females and plays an important role in menstrual and estrus reproductive cycles. This hormone is found in oral contraceptives as well as in hormone replacement therapy for women after menopause. While estrogen has many benefits, there are also side effects to the excessive use of this hormone. To get a better understanding of the advantages and disadvantages of this hormone, take a look below at the questions that have been answered by the Experts.

Can low estrogen cause less vaginal lubrication post menopause?

Loss of vaginal lubrication, thinning and/or low elasticity of the vaginal mucosa are usually side effects of low estrogen in post menopausal women. Lack of vaginal lubrication also generally causes pain when engaging in sexual activities. In this situation, more foreplay can help provide additional stimulation to the vagina which may increase vaginal lubrication prior to intercourse.

Many women have success using water based lubricants, KY Jelly or silicone based lubricants to provide relief from vaginal dryness. In some cases, a vaginal dilator is required to assist in stretching the vaginal canal to reduce some of the pain. Topical anesthetics such as Oragel have also been used to numb the painful area.

In certain situations, the pain could also be caused by endometriosis, fibroids, a retroverted uterus and other such problems. However, the woman would have to be properly examined by a doctor to diagnose and treat the condition properly.

Does lack of estrogen and progesterone cause osteoporosis or osteopenia?

Low estrogen levels in women who are going through menopause have been known to decrease bone density. However, if a woman hasn't lost her uterus and is taking estrogen, it is better to use progesterone to avoid the possibility of developing cancer. Having said that, a combination of progesterone and estrogen generally isn't suggested in women, well into menopause, due to the increased risk of breast cancer.

When trying to increase one's bone density, medications such as Fosomax and Actonel which are Bisphosphonates are safer options than using hormones. Supplementing the diet with Vitamin D and Calcium may help increase bone density as well.

Can a doctor refuse to refill an order of estrogen is someone refuses to get a mammogram?

In most situations, a doctor will want to screen a woman for breast cancer prior to prescribing hormones. This is a common approach used by most doctors to ensure the health of their patients. Furthermore, blood pressure and cholesterol levels are generally checked to ensure there are no increased risks of a heart attack with the use of estrogen. Another common test is to check the woman's blood for liver issues which tend to worsen when using estrogen. As for requiring a mammogram prior to an estrogen prescription, most doctors require the test for their protection as much as the woman's. The potential for a law suit would be present if a patient were to die from estrogen stimulated breast cancer.

What is the best type of estrogen to take if a woman has cystitis?

With so many different estrogens available, the easiest estrogen to use is the vaginal estrogen. The Estring is a vaginal ring that is inserted into the vagina and replaced after 90 days. There are oral estrogen treatments as well as estrogen patches. However, women who still have their uterus will generally have to use a combination of estrogen and progesterone which could lead to bleeding.

Will taking estrogen cause endometrioses?

Taking estrogen generally has the potential to create many issues. This is especially true of a woman who begins taking estrogen well after menopause. Some of the potential issues a woman may face are weight gain, abdominal and pelvic pain, possible recurrence of fibroids if the woman has previously had fibroids, an elevated risk of breast cancer and endometriosis implants that may begin growing if the woman has had them in the past.

Estrogen use provides many benefits but also carries many possible side effects. That’s why it is important for women to understand the risks involved before deciding on whether to use estrogen or not. If you have questions or concerns regarding estrogen, ask an Expert for medical insights and suggestions on the best method of estrogen treatment based on the facts of your case.

Ask an OB GYN Doctor

Dr. C.
Dr. C., Board Certified
Category: General
Satisfied Customers: 1706
Experience:  29 years of experience and an award-winning educator.
54412793
Type Your OB GYN Question Here...
characters left:
OB GYN Doctors are Online Now

How JustAnswer Works:

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  • Get a Professional Answer
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    Ask follow up questions if you need to.
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OB GYN Doctors are online & ready to help you now

Dr. C.
Board Certified
Satisfied Customers: 1618
28 years of experience and an award-winning educator.
Monika Hearne, M.D.
Board Certified OB/GYN
Satisfied Customers: 5745
With experience and compassion, I treat my patients like family.
Dr. Charles
OB/GYN (Doctor)
Satisfied Customers: 140
Board Certified. Solo practice for 8 years; delivered more than 1300 infants and performed more than 800 surgeries.

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