Risks Of Hormone Replacement

Female (estradiol +/- progesterone)

  • breast cancer

    • risk is only in those needing to take progesterone, but the risk is less than 1 additional case per 1,000 women per year, which is less than the risk of drinking 2 glasses of wine per day

  • ovarian cancer

  • endometrial cancer

    • no risk if your uterus was removed

    • risk is nearly zero if taking continuous progesterone

  • blood clots

    • risk seems to only be with oral estrogens as no study to date has shown a clinically significant increased risk vs placebo when using estradiol cream or patch

  • gallbladder issues

Male (testosterone)

  • increases red blood cells, which may lead to stroke, heart attack, or blood clots.

  • may worsen obstructive sleep apnea

  • may cause accelerated male-pattern baldness, increased body hair growth, or breast enlargement

  • may stimulate the growth of existing prostate cancer

  • testicular atrophy with reduction in sperm, possible infertility

Benefits Of Hormone Replacement

Female (estradiol +/- progesterone)

  • increased life expectancy

  • increased quality of life

  • improved bone density

  • improved glucose control

  • improved sleep

  • improved mood

  • improved body composition (muscle/fat)

  • improved vaginal health (mainly with use of vaginal estradiol creams)

  • improvement in joint pains/stiffness

  • improvement in hair and nails

Male (testosterone)

  • increased muscle mass and strength

  • increased energy

  • improved glucose control

  • improved bone density

  • improved erectile function

  • improved body compositions (muscle/fat)

  • improved sexual activity and libido

  • improved walk speed in the elderly

  • improvement in mood/depressive symptoms

  • improvement in some types of memory

  • improvement in unexplained anemia