Estrogen Replacement Therapy

Estrogen replacement therapy restores estrogen, the hormone that helps regulate body temperature, mood, bone strength, and vaginal and urinary tissue health. Replacing it eases many of the most disruptive symptoms of menopause. Revibe’s providers determine whether it’s appropriate and, if so, the right form and program for you.

Estrogen alone is generally used by women who have had a hysterectomy (no uterus). Women who still have a uterus typically need a progestogen added to protect the uterine lining, because unopposed estrogen can cause it to overgrow. Your Revibe provider confirms which approach and program will be the best option for you.

Estrogen is the most effective treatment for hot flashes and night sweats, and it also helps with vaginal dryness and discomfort, sleep, mood, and prevention of bone loss. The degree of benefit varies by individual. Discuss your symptoms with your Revibe provider during your evaluation to learn more.

Estrogen can be taken as a pill or delivered through the skin via a patch, gel, or spray, and low-dose vaginal forms are available for localized symptoms. Skin (transdermal) and vaginal routes bypass first-pass liver metabolism and may carry a different risk profile than oral estrogen; your provider selects the route based on your needs and risk factors.

If you have a uterus, yes – progestogen is generally needed alongside estrogen to protect the uterine lining. If you’ve had a hysterectomy, estrogen alone is usually appropriate. Your Revibe Health provider will evaluate you and recommend the right regimen for you based on your health history, lab work, and goals.

Duration is individualized based on your symptoms, goals, and ongoing benefit-risk assessment, which your provider revisits over time. Some women use localized low-dose vaginal estrogen long-term for genitourinary symptoms.

For many healthy women with bothersome symptoms, benefits outweigh risks especially when started before age 60 or within about 10 years of menopause. Safety depends on your age, health history, and the type and route of estrogen. Your Revibe Health provider will develop a custom plan and set up ongoing monitoring and evaluation to ensure your program is safe and effective.

Estrogen therapy can be associated with risks such as blood clots and stroke, which vary by route and personal risk factors. Common side effects include breast tenderness, nausea, headache, and spotting. Your Revibe provider reviews your benefit-risk profile before prescribing.

Estrogen therapy is generally avoided in women with a history of breast or other estrogen-sensitive cancers, unexplained vaginal bleeding, active liver disease, or a history of blood clots or stroke. Your Revibe provider will review your history to determine whether it’s safe for you and make a recommendation based on a clinical evaluation.