Menopausal Hormone Therapy: Safety, Diet, and Breast Health Concerns - Obstetrics and Gynecology

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What is hormone therapy for menopause in women?


I started hormone replacement therapy for menopause in January of this year and have also been taking soy isoflavone capsules (two capsules daily, each containing 50 mg).
Is this combination advisable? Recently, I underwent a free breast cancer screening, and I received a call indicating that there is a shadow that requires further ultrasound examination.
I am unsure if this is related.
Additionally, regarding my diet, since January, I have been eating two fried meatballs nearly every week on Mondays, Wednesdays, and Fridays.
Could this have any impact?

Xiao Ling, 40~49 year old female. Ask Date: 2021/04/19

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, since you have taken the medication, you can skip the dietary supplements.
However, it is still recommended to have an ultrasound for peace of mind.
Your diet will not be affected.
Wishing you good health!

Reply Date: 2021/04/19

More Info


Menopausal Hormone Therapy (MHT) is a treatment used to relieve symptoms of menopause by replacing hormones that are at lower levels. While MHT can be effective in alleviating symptoms such as hot flashes and night sweats, it also raises concerns regarding safety, particularly in relation to breast health and overall well-being.


Safety of Menopausal Hormone Therapy
The safety of MHT has been a topic of extensive research and discussion. Studies have shown that while MHT can provide significant relief from menopausal symptoms, it may also increase the risk of certain health issues, particularly when used for extended periods. These include an increased risk of breast cancer, cardiovascular disease, and stroke. The risk appears to vary depending on the type of hormones used, the duration of therapy, and the individual’s health history.
For women who are considering or currently using MHT, it is crucial to have regular check-ups with a healthcare provider to monitor any potential risks. It is also recommended to use the lowest effective dose for the shortest duration necessary to manage symptoms.


Diet and Lifestyle Considerations
Diet plays a significant role in managing menopausal symptoms and overall health. The consumption of phytoestrogens, such as those found in soy products, can be beneficial. Soy isoflavones, like those in your soy isoflavone capsules, may help alleviate some menopausal symptoms. However, it is essential to consult with a healthcare provider before combining these with MHT, as the effects can vary based on individual health conditions.

Regarding your diet, consuming fried foods, such as the fried meatballs you mentioned, on a regular basis may not be ideal. A diet high in saturated fats and processed foods can contribute to weight gain, cardiovascular issues, and may exacerbate menopausal symptoms. It is advisable to focus on a balanced diet rich in fruits, vegetables, whole grains, and lean proteins. Incorporating foods high in omega-3 fatty acids, such as fish, and maintaining hydration can also support overall health during menopause.


Breast Health Concerns
The recent notification about a shadow found during your breast cancer screening warrants attention. While it is not possible to directly link your MHT or dietary habits to this finding without further investigation, it is essential to follow up with the recommended ultrasound. Early detection is crucial in managing breast health, and any changes should be discussed with your healthcare provider.


Conclusion
In summary, while MHT can be effective for managing menopausal symptoms, it is essential to approach it with caution, considering potential risks and benefits. Regular monitoring and open communication with your healthcare provider are vital. Additionally, maintaining a healthy diet and lifestyle can significantly impact your overall well-being during menopause. If you have concerns about your breast health or the implications of your current treatment regimen, do not hesitate to seek further evaluation and guidance from your healthcare provider.

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