Tyler Morning Telegraph - Gynecologist to lead Walk With a Doc

Dr. Ralph Turner, a gynecologist with UT Health Northeast, leads this weeks Walk With a Doc event on Thursday. He will discuss the role of hormone therapy.

Walk With a Doc is a project of the Smith County Medical Society and gathers at Rose Rudman Park at Copeland Road. Registration is at 5:45 p.m. with a brief health presentation at 6 p.m. followed by walking. For more information on Walk With a Doc, call the Smith County Medical Society office at 903-593-7058 or visit www.walk withadoc.org/our-locations /tyler-tx/.

Q: What is hormone therapy and what is it most often used for?

A: Hormone therapy in women is used to treat moderate to severe vasomotor symptoms (causing or relating to the constriction or dilatation of blood vessels), the discomforts that are included in genito-urinary syndrome of the menopause (GSM) and to prevent the progression of osteopenia to osteoporosis.

Q: What are the specific hormones used for therapy?

A: Estrogen, in the form of tablets or transdermals patches, creams or sprays.

Progesterone, if you have a uterus. Testosterone, if your ovaries were removed at the time of hysterectomy and trials of estrogen replacement have not worked as well as one might hope.

Q: What are risks associated with hormone therapy?

A: The extra risk of hormone therapy, in the general population, and above the random risk of having a condition may be no more than one extra event per 100 to 1,000 people.

Large epidemicological studies on young women less than 60 years of age show there may be increased mortality for not taking hormone therapy.

In fact there is probably cardiovascular benefit to using hormone therapy in the menopause transition. The earliest signs of the menopause transition may occur up to seven years before the last menstrual period.

Q: Who is not a good candidate for hormone therapy?

A: Patients who have a history of breast cancer, deep vein thrombosis or pulmonary embolus. Consult your primary care provider.