Estrogen considerations
With UTERUS: Estrogen must be in combo with Progesterone
*risk of endometrial cancer
Topical Estrogens
[17-beta-Estradiol]
Estrace = cream
Estring = ring
Vagifem = tablet
[Conjugated Equine Estrogens]
Premarin = cream
Systemic Estrogens
[Estradiol] PATCH on Lower Abdomen
Vivelle-Dot
Climara
Alora
[Conjugated Equine Estrogens]
Premarin
[Contraindications]
1) Cancer: Endometrial / Breast
2) Hx VTE
Systemic Progesterones
[Medroxyprogesterone]
Provera
[Micronized progesterone]
Prometrium
Combined Estrogen-Progesterone (Conjugated Equine Estrogens + Medroxyprogesterone)
Prempro
Premphase