When deciding whether to take hormone replacement, a woman should consider her own health conditions, along with her personal goals and beliefs. She should also weigh her personal risks for developing osteoporosis, heart disease, or breast cancer. Ask your doctor for guidance on what is right for you. Undiagnosed abnormal vaginal bleeding History of Malignant Melanoma Chronic liver disease Severely high triglyceride levels History of a clotting disease Endometriosis Gallbladder disease Catherine H. Cary, PharmD Choosing the Right Hormone Replacement Plan Women who choose to take hormone replacement have many therapy options to choose from. Choosing the right option for you depends upon what health benefits you want to achieve, what side effects are concerning, and what is most convenient for you.
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Talk with your doctor to decide which product is best for you. The vaginal cream is very helpful in relieving vaginal discomfort and the urinary problems that sometimes occur after menopause. Since its effects are limited to the vaginal area, it is not helpful in preventing osteoporosis or in improving risks of heart disease. Women who are fearful of breast cancer, but are also fearful of osteoporosis may want to take Evista. Evista is not estrogen.