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Unread 09-17-2001, 10:40 AM
My Mother

Do any of you experts out there know why it would be important for a woman who is 75 years old, had a TAH and BSO 25 years, would need to continue taking Premarin? Her Dr tells her she needs to take it, or she will get hot flashes? Why would she be getting hot flashes at age 75, wouldn't that all be over with? She is gradually going off it herself, but do women her age need the estrogen still?
Carole ")
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Unread 09-17-2001, 11:08 AM
My Mother

I'm no expert, but even at the age of 75 years, the benefits of estrogen are still many. It is in long-term prevention of major diseases that hormone therapy can have its greatest impact. The long-term disabilities of osteoporosis can be largely prevented and it is now well accepted that estrogen has a wide range of cardioprotective effects. Estrogen also plays a key role in the function of the urogenital tract. Vaginal symptoms usually begin with vaginal dryness, and urinary symptoms may include urge incontinence and cystitis.

The frequency of hot flashes and their duration varies from woman to woman, but generally hot flashes decrease as the years beyond menopause increase. I'm not sure whether or not your mother's hot flashes would increase if she stops taking estrogen, but the long-term benefits of estrogen for other menopausal symptoms is great.

You may want to research the benefits of estrogen for your mother before she decides to stop taking Premarin.

Best wishes,
Unread 09-17-2001, 01:30 PM
My Mother

My Mother is 73 and she also still takes Premarin. Her doc said it was mainly to help prevent bone loss and she should continue to take it. She had a TAH almost 20 years ago. I'm not sure if all doctors think this same way or not. I am really hoping I don't have to take it for the rest of my life, but if I do, it was better than not having the TAH. She should ask her doctor what his beliefs are and why he feels it is necessary, I'm sure he has his reasons.
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Unread 09-17-2001, 02:45 PM
My Mother

Estrogen has many benefits (some risks also). It is important for bone and heart health. My Aunt is still on her .625mg Premarin after 30 years and at 74 is in pretty good shape. She opted to take it when she went into early menopause after a hyst at age 44. Quality of life for her was important in a time when a lot of docs were debating the risks and benefits. Well, let's face it they are still doing that, aren't they but it is generally accepted these days that the benefits outweigh the risks for MOST women. As long as they communicate well with their doctor and discuss developing health problems associated with normal ageing it will probably be of more benefit than detriment. BTW my Aunt still gets the occassional hot flash at 74, after 30 years on ERT! so, in many cases they NEVER go away!
Unread 09-17-2001, 04:33 PM
My Mother

Hello, Spot here again,
Oh my, hot flashes continue when you are in your 70's? I thought that menopause was a temporary change of life. If estrogen is beneficial to my mother still, then she needs to change her estrogen type. She has complained about the side effects of premarin since the day she began. Problem is, her Dr. never tells her about her options or about any other types of estrogen. He seems to be one track minded when it comes to HRT.
Unread 09-17-2001, 05:33 PM
My Mother

Hot flashes are fluctuating hormone levels, in large part. So when you stop HRT, you have them again. Might not be as bad or last as long but it's best to ease off gradually whenever you quit.

my two cents!

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