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Topic: ERT or HRT

	Should I use hormone replacement therapy (HRT)?
		Women who do decide that HRT benefits outweigh their risks are advised to use the lowest effective dose for as short a time as possible, not exceeding 3 or 4 years.
		Within the first 2 years, HRT use slightly increased the risk of blood clots in the lungs (pulmonary embolism) and legs (deep vein thrombosis) in all healthy postmenopausal women regardless of risk factors.
		During the second year, HRT use began to slightly increase heart attack and stroke risk in all healthy postmenopausal women, regardless of risk factors.
	www.webmd.com /menopause/should-i-use-hormone-replacement-therapy-hrt (3087 words)

	Hormone Replacement Therapy
		A therapy for the physical, emotional, and health-risk symptoms associated with menopause is either estrogen replacement therapy or hormone replacement therapy (ERT or HRT).
		HRT is the replacement of both estrogen and progesterone.
		Although there are serious risks associated with both ERT and HRT, many health care providers and agencies believe that the positive results outweigh the risk factors.
	www.umm.edu /women/hreplace.htm (271 words)

	ACS :: Menopausal Hormone Replacement Therapy and Cancer Risk
		ERT and combined HRT are sometimes used to relieve menopausal symptoms.
		The decision to use hormone replacement therapy (ERT or HRT) after menopause should be made by each woman and her doctor after weighing the possible risks and benefits.
		If a woman and her doctor decide that ERT or HRT is appropriate to treat specific menopausal symptoms or health problems, it is often used at the lowest dose that works in her case and for as short a time as possible.
	www.cancer.org /docroot/CRI/content/CRI_2_6x_Menopausal_Hormone_Replacement_Therapy_and_Cancer_Risk.asp (2141 words)

	North Ohio Heart Center (Site not responding. Last check: )
		ERT is either a natural or a synthetic form of estrogen that is taken in a pill.
		HRT is estrogen therapy combined with the natural hormone progesterone or with its synthetic form, progestin.
		In the long-term Nurses’ Health Study, ERT and HRT reduced the risk of death from heart disease and stroke, as well as risk of death from all major diseases except breast cancer.
	www.nohc.com /hearttalk/estrogen (872 words)

	Hormone replacement therapy (HRT)
		HRT is most often used to treat symptoms of menopause such as "hot flashes," vaginal dryness, mood swings, sleep disorders, and decreased sexual desire.
		Based on early studies, many physicians used to believe that HRT might be beneficial for reducing the risk of heart disease and bone fractures caused by osteoporosis (thinning of the bones) in addition to treating menopausal symptoms.
		HRT is also available as a patch which is applied to the abdomen or the thigh.
	pennhealth.com /ency/article/007111.htm (1944 words)

	HRT-Benefits, Risks and Side Effects
		ERT, HRT, and NHRT can all help relieve menopausal symptoms such as hot flashes, night sweats, sleep problems, and vaginal dryness.
		This effect may be associated primarily with HRT using continuous combined oral estrogen and progestin (Prempro) or the daily use of an oral progestin such as Provera with estrogen.
		For a long time, it was thought that ERT and HRT reduced the risk of heart disease, based on large observational studies that found lower rates of heart disease in ERT and HRT users.
	www.project-aware.org /Managing/Hrt/benefits-risks.shtml (945 words)

	Postgraduate Medicine: Making a decision about ERT/HRT
		Vascular smooth-muscle contractility appears to be affected by ERT and HRT.
		ERT appears to reduce CAD risk by impeding atherogenesis, improving HDL and LDL cholesterol levels, improving vascular reactivity, and decreasing insulin resistance (table 3).
		ERT or HRT improves bone mineral density and decreases fracture risk regardless of the age at which it is initiated
	www.postgradmed.com /issues/2001/03_01/nerhood.htm (2922 words)

	All About HRT and ERT (Site not responding. Last check: )
		HRT may also be used to treat menstrual changes that can happen during menopause, such as excessive cramping or bleeding.
		ERT is the standard HRT for women who have had their uterus surgically removed in a hysterectomy.
		Whether you are a candidate for HRT depends on your health, the severity of your symptoms and your willingness to tolerate side effects.
	www.healthatoz.com /healthatoz/Atoz/hc/wom/meno/menoerthrt.jsp (1619 words)

	Menopause (Disease)... Fort Lauderdale, Florida (Site not responding. Last check: )
		Other medications besides ERT or HRT are also available for preventing osteoporosis, and calcium supplementation is recommended for all postmenopausal women to help to reduce bone loss.
		ERT has been shown to improve irritating bladder symptoms (frequent urination, urinary urgency and burning) that are often associated with urinary incontinence, but the amount of incontinence or urinary leaking does not appear to improve with estrogen treatment.
		Other potential risks associated with ERT or HRT use include an increase in gallbladder disease and a small increased risk for venous blood clots, such as deep venous thrombosis (blood clots in the legs).
	www.browardhealth.org /17563.cfm (1410 words)

	Early Hormone-Replacement Therapy Helps Prevent Osteoporotic Fractures (Site not responding. Last check: )
		Overall, HRT was found to reduce the risk of nonvertebral fractures by 27 percent, a statistically significant result.
		Torgerson further states "our review suggests that the effect of HRT on fracture for women starting therapy when older than age 60 years may be reduced," but acknowledges this finding was heavily influenced by one study in women at low risk of developing osteoporosis.
		You should not take ERT or HRT if you have had any breast or uterine cancer, abnormal vaginal bleeding, abnormal blood clotting, or if you think or know you are pregnant.
	www.pslgroup.com /dg/1fe16a.htm (640 words)

	Healthopedia.com - Hormone Replacement Therapy (HRT, Estrogen Replacement Therapy, ERT)
		HRT for menopause usually consists of the hormones estrogen and progesterone taken together.
		HRT did not slow the rate of memory loss in women after menopause.
		HRT and ERT can increase a woman's risk of blood clots, such as deep venous thrombosis and pulmonary embolism.
	www.healthopedia.com /hormone-replacement-therapy (766 words)

	Imaginis - Researchers Investigate Link Between Hormone Replacement Therapy and Ovarian Cancer
		HRT, or estrogen replacement therapy (ERT), is also effective at treating osteoporosis, which commonly affects post-menopausal women and can lead to debilitating bone fractures.
		In addition, HRT is thought to help prevent heart disease, although recent studies suggest that past data on HRT and heart disease may be flawed.
		ERT has also been associated with an increased risk of endometrial cancer (cancer of the uterine lining), but using combination hormone therapy (with progestin) counteracts this risk.
	www.imaginis.com /ovarian-cancer/news/news11.03.02.asp (1118 words)

	Menopex.com - Questions about Menopex, Chinese herbal dietary supplement for menopausal women
		HRT and ERT introduce synthetic or animal-derived estrogen and/or progestin into ones body to help mitigate symptoms caused by the decline of self-produced hormones.
		Consult with your physicians when switching from prescription HRT or ERT to Menopex™ or any other dietary supplement.
		Yes, you can take Menopex™ by itself or in addition to prescription HRT or ERT.
	www.webmasterwebsites.com /menopex/faq_M.htm (1382 words)

	Johns Hopkins Reproductive Endocrinology and Infertility - Estrogen Replacement Therapy
		For women who have already been treated for cancer or have a family history of cancer, the decision to use ERT to reduce the risk of osteoporosis or treat menopausal symptoms can create tremendous conflict.
		In addition, the use of androgen and estrogens to suppress hot flashes in women previously treated for breast cancer is problematic because duct and alveolar growth within the breast may respond to progestins and the effect of androgens on breast cancer has not been well studied.
		Johns Hopkins has assembled a team of reproductive endocrinologists, gynecologists and cardiologists to help women assess their personal health and to decide if ERT is right for you.
	womenshealth.jhmi.edu /rei/conditions/estrogen_therapy.html (6011 words)

	Hormone Replacement Therapy FAQ's
		ERT refers to estrogen replacement therapy, estrogen taken without a progestin, and is usually given only to women who have had a hysterectomy, in which their uterus was surgically removed.
		Bleeding or spotting that accompanies HRT is not usually a cause for concern; it can be a sign that your body is adjusting to the addition of hormones to your system.
		However, if you are thinking about stopping your HRT because of the irregular bleeding that might initially occur with continuous combined HRT, talk to your health care provider about different dosages of continuous combined therarpy or consider cyclic HRT, which results in the regular monthly bleeding some women prefer.
	www.womensclinicseattle.com /hrt.htm (694 words)

	Estrogen replacement therapy (ERT)
		ERT slightly increases the risk of blood clots in the legs (deep vein thrombosis) and lungs (pulmonary embolism), which can be life-threatening.
		When taken orally, ERT seems to increase a clotting factor in the blood; this does not happen with ERT that is absorbed through the skin.
		ERT breast cancer risk is lower than the estrogen-progestin (HRT) breast cancer risk.
	www.webmd.com /menopause/estrogen-replacement-therapy-ert-16198 (1416 words)

	To Take HRT or Not? (Site not responding. Last check: )
		HRT, experts now believe, may not be a woman's best hedge against osteoporosis, Alzheimer's disease and heart disease as doctors once assumed.
		One of the landmark studies on HRT and heart disease is the Heart and Estrogen/Progestin Replacement Study (HERS), a large clinical trial conducted in the mid-1990s.
		Studies have also shown that HRT has been found to increase breast density, which is one of the biggest risk factors for breast cancer and may interfere with mammograms.
	www.healthatoz.com /healthatoz/Atoz/hc/wom/meno/menohrtorno.jsp (1790 words)

	Estrogen or Raloxifene for Postmenopausal Osteoporosis Therapy? (Site not responding. Last check: )
		Clinical fractures were not significantly different between HRT and placebo in the Heart and Estrogen/Progestin Replacement Study of 2673 women at low risk for osteoporosis [12].
		The beneficial effects on postmenopausal symptoms are well-known but the putative fracture efficacy of ERT and HRT is suggested by several observational studies.
		HRT and Vit D in prevention of non-vertebral fractures in postmenopausal women; a 5 year randomized trial.
	emas.obgyn.net /healthcare.asp?page=mp-cogibop02 (1144 words)

	ERT Website Solutions-Custom Web Site Design & Development
		ERT Website Solutions is dedicated to "branding" your business onto the world wide web.
		ERT Website Solutions caters mainly to small business owners who need a presence on the web or are looking to update their current site.
		ERT is one of the most affordable web design companies in the conejo valley for small business owners.
	www.ert2go.com (235 words)

	Estrogen Replacement Therapy
		The only difference between ERT and HRT is the addition of a synthetic progesterone to counteract these undesirable side effects.
		In 1975, it was announced that ERT was associated with an increased risk of endometrial cancer.
		Although cyclical HRT produces withdrawal bleeding for about 5 days each month (similar to a menstrual period), it is prescribed more often because continuous HRT is associated with irregular bleeding which can decrease the likelihood of patient compliance.
	www.macalester.edu /psychology/whathap/UBNRP/Estrogen/ERT.html (1286 words)

	Hormone Replacement Therapy
		HRT has been used to relieve the short-term symptoms of menopause, such as hot flashes, sweats, and disturbed sleep.
		In the recent past, HRT also was prescribed to help prevent heart disease, but new evidence shows that heart health should not be a reason to take HRT.
		New study results now show that HRT does not cut the risk of heart attack and death for women with established heart disease, and it is unclear whether HRT can help prevent the onset of heart disease in healthy postmenopausal women.
	www.hormone-replacement-therapy.net /benefits.htm (364 words)

	Should I take estrogen replacement therapy (ERT) or hormone replacement therapy (HRT)? - Health Conditions - Conditions ...
		ERT is commonly used to decrease short-term discomfort from menopause-related symptoms, such as hot flashes, insomnia, and mood swings.
		ERT can prevent the decline of bone density and may reduce the incidence of fractures.
		HRT usually refers to a combination of estrogen and progesterone.
	www.drugdigest.org /DD/HC/AdditionalContent/0,4054,606,00.html (626 words)

	Does Estrogen Replacement Therapy Cause High Blood Pressure?
		While HRT decreases blood pressure on the average in women with hypertension, not all women respond (9).
		One study examined using injectable shots for ERT and HRT in a group of women who had moderate hypertension and who had discontinued their anti hypertensive medication (10).
		Improved cholesterol levels are well documented from ERT with a lowering of the low density lipids (LDL) and a raising of the high density lipids (HDL) which is the good cholesterol (13).
	www.wdxcyber.com /ngen25.htm (1093 words)

	Nursing Spectrum- Career Fitness Online
		The findings also showed HRT did not benefit women by reducing atherosclerosis because there was no difference in the amount of atherosclerosis between the two groups.
		The American College of Obstetricians and Gynecologists urged women to consult their physicians to discuss the use of HRT, citing the researchers’ views that HRT continues to control menopause-related symptoms during women’s perimenopausal and early menopausal years.
		Women desiring HRT for symptom control only may elect to initiate therapy on a short-term basis or may want to consider other pharmacological or nonpharmacological approaches.
	community.nursingspectrum.com /MagazineArticles/article.cfm?AID=7462 (1228 words)

	Estrogen Therapy And Hormone Replacement Therapy
		Estriol, although little-studied to date, may be as effective as and safer than standard ERT; however, it is less potent and must be given in higher doses than the other two estrogens.
		Some investigators have found that unopposed estriol (that is, without progesterone) does not cause endometrial hyperplasia (increase in the number of cells), However, it is believes that estriol, as with other forms of estrogen, should be given along with progesterone in postmenopausal women with or without a uterus.
		There are reports of possible side effects that HRT brings like increase of ovarian and breast cancer, weight gain, anxiety, fluid retention and etc. There is much research ongoing but we don't yet know all the long term effects of HRT, yet many doctors prescribe estrogen and progestogins for the duration of our life.
	www.beautynationpl.com /en/info_en.asp?pageID=ert-hrt (1043 words)

	Estrogel Available In Canada For ERT (Site not responding. Last check: )
		Estrogel, which comes in a bottle with a metered-dose pump, is a transdermal preparation combining a hydro-alcoholic gel and 0.06% of the physiological hormone 17beta-estradiol, derived from yam.
		ERT and hormone replacement therapy (HRT), which combines estrogen and progesterone, are generally recognised as providing relief from the symptoms of menopause and helping to prevent bone loss which can lead to osteoporosis.
		The relative risk of breast cancer with HRT would account for an excess of two, six or 12 cases per 1,000 HRT users after five, 10 or 15 years of use, respectively.
	www.pslgroup.com /dg/e5e9e.htm (902 words)

	ThirdAge: Hormone Replacement Therapy (HRT)
		The hormones provided with HRT are meant to replace the natural hormones that a woman's body no longer produces after menopause.
		However, a major study suggests that the long-term use of HRT (estrogen plus progestin) significantly increases women's risks of breast cancer, strokes, and heart attacks, while another major study suggests that estrogen replacement therapy (ERT) increases the risk of ovarian cancer.
		Cardiovascular Disease–Although HRT was previously believed to reduce the risk of cardiovascular disease, it appears that long-term use of HRT may actually increase this risk.
	www.thirdage.com /healthgate/files/14451.html (1142 words)

	Premarin (Premarine) ERT/HRT & PMU Farms Controversy: Page 1
		HRT drugs containing PMU, like the hormone replacement insulin before it, can now be 100% synthesized or organically compounded PMU free.
		If the former, you can demand that your medication be switched to a synthetic or non PMU based organic form of HRT (which reportedly have less side-effects than PMU-based ones anyhow).
		This is probably the main reason several HRT medications touted as direct non generic replacements to Premarin have failed to catch on.
	premarin.org (5722 words)

	Femalepatient.com
		Benefits of estrogen replacement therapy (ERT) and hormone replacement therapy (HRT; estrogen plus a progestogen) for the relief of menopausal symptoms and risk reduction of osteoporosis are well documented.
		Despite the known and potential advantages of ERT/ HRT, many women are unwilling either to start therapy or to continue it after a few months of use.
		Also, low-dose HRT was as effective as CEE 0.625 mg, suggesting that MPA may have a synergistic effect with CEE.
	www.femalepatient.com /html/arc/sig/meno/articles/article_5.asp (952 words)

	ERT page (Site not responding. Last check: )
		The amount of estrogen medication prescribed is not enough to be a replacement as it is only a small fraction of the amount of estrogen that the ovary usually produces.
		When the uterus is present, it is essential that progesterone must also be replaced, sometimes with progesterone vaginal suppositories or (in some countries outside the U.S.) progesterone tablets, but most often with tablets of 'progestin' (a synthetic progesterone).
		ERT and HRT are sometimes used incorrectly or interchangeably by the media as well as by health care providers contributing to confusion.
	members.aol.com /lovel99/ert.htm (272 words)

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