A nurse is preparing to do a presentation on progestin combined with estrogen (combined hormone therapy [HT]). Which of the following statements are true regarding HT? (Select all that apply.)

Question

a. Estrogen alone therapy does not increase the risk of uterine cancer.
b. Combined HT should not be used for prevention of cardiovascular disease.
c. Women who have had a hysterectomy should not use estrogen-alone therapy.
d. Women on combined HT or ET (estrogen alone) should take the smallest effective dose for the shortest possible time.
e. HT is the most effective treatment for menopausal symptoms.

Answer 1

b. Combined HT should not be used for prevention of cardiovascular disease.
c. Women who have had a hysterectomy should not use estrogen-alone therapy.
d. Women on combined HT or ET (estrogen alone) should take the smallest effective dose for the shortest possible time.
e. HT is the most effective treatment for menopausal symptoms.
FEEDBACK:
a. Women should not use estrogen alone, due to their increased risk of uterine cancer.
b. Combined HT should not be used for prevention of cardiovascular disease, due to the small but significant risk of conditions such as breast cancer, heart attack, stroke, and blood clots. .
c. Women who have had a hysterectomy should not use estrogen-alone therapy, due to the increased risk of blood clots and stroke. .
d. Women on combined HT or ET (estrogen alone) should take the smallest effective dose for the shortest possible time (preferably less than 5 years) and annually review the decisions to take hormones. .
e. HT is the most effective treatment for menopausal symptoms.