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Who should not take hormone therapy (HT)?
- Contrary to common myth, women with high blood pressure that is controlled by medication can take hormone therapy (HT) because hormone therapy (HT) does not cause significant elevations in blood pressure. A major medical reason for not taking hormone therapy (HT) is a personal medical history of breast cancer or uterus cancer. Women with abnormal vaginal bleeding should have an evaluation prior to embarking on hormone therapy (HT) to exclude the presence of cancer of the uterus. Similarly, routine mammograms and breast examinations are important to exclude the presence of breast cancer.
- While hormone therapy (HT) may be used in women with migraines or liver disease, certain types of hormone therapy (HT) (often a patch or vaginal form) may be chosen to try to avoid aggravating these conditions.
- Women should not be taking hormone therapy (HT) to prevent heart disease, and should initiate hormone therapy (HT) only with caution if they already have been diagnosed with coronary artery disease (such as past heart attack), as hormone therapy (HT) may be increase the risk of heart attacks.
- Women with a personal history of deep vein thrombosis (blood clots in the veins) should avoid hormone therapy (HT).
- Women with phosopholipid antibodies, including cardiolipin antibodies or lupus anticoagulant, should not take HT because of the added risk of blood clotting and thrombosis.
Medically Reviewed by a Doctor on 2/20/2015