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Hormone Replacement Therapy (HRT)

I went into early menopause at age 34, and have suffered from horrible menopausal symptoms. I’ve found that hormones really help. How long can I stay on them?

You ask a very good question. We are continually learning more about the best way to manage menopausal symptoms in women who go into early menopause. Right now, most doctors believe it is safe for young women to start and then stay on hormone therapy until age 50, the age most women go through menopause.

If you still have your uterus, you should be using estrogen and progesterone. If you have had your uterus removed, you can take estrogen alone. This is the recommendation regardless of what kind of hormones you are using. We have no reason to believe that bioidentical hormones are any safer than any other types that are synthetically made. You can read more about bioidentical hormones here.

Around age 50, you should begin to wean yourself slowly off hormone therapy. You can learn more about how to wean yourself off of HRT here.

You should not wait until you go off of estrogen to start paying attention to your bone health. In fact, it's never too early to start working on keeping your bones strong. This includes doing weight-bearing exercise as well as ensuring you are getting the proper amounts of calcium and vitamin D. You can learn more about bone health here.

Resources EarlyMenopause.com–a website and support community for women experiencing early menopause.

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