Skip to content

    Announcements

    Exciting News for WebMD Members!

    We've been busy behind the scenes building new message boards for you. You'll have new and easier ways to find messages, connect with others, and share your stories.

    And, this will all be available on your smartphone or other mobile device!

    What Do You Need to Do?

    The message board you're used to will be closing in the coming weeks. While many of your boards will be making the move to our new home, your posts will not. Want to keep a discussion going? Save posts you want to continue (this includes your member profile story), so that you can re-post them in the new message boards.

    Keep an eye here and on your email inbox, we'll be back in touch soon to give you all the information you need!


    Yours in health,
    WebMD Message Boards Management

    Includes Expert Content
    To HRT or Not
    avatar
    An_254824 posted:
    I have never posted to this nor any other discussion group. But I am truly needing some common sense advice. I am 62 years old and have taken some form of HRT since my hysterectomy over 20 years ago. They left my ovaries. However, over the years I struggled with HRT, as it seemed to make me sick to my stomach. I finally tried the patch a couple of years ago and had instant success. However, I did experience the typical weight gain, albeit minor. But the biggest concern that I've had is this sense that my thought processes are sluggish. I'm a professional and my biggest asset is thinking quickly on my feet. It is embarrassing to struggle in this regard. I thought it perhaps age but then I decided to experiment and discontinue the use of estrogen. I found that my response time increased and my thought patterns were faster and much more clear . . . if this makes any sense. But now, I'm left with nasty hot flashes and I developed a case of perioral dermatitis. I understand that hormonal changes cause perioral dermatitis. I've swapped problems. So, first, can HRT cause one to have slow cognitive abilities and aside from the hot flashes, is perioral dermatitis just a coincidence?
    Reply
     
    avatar
    Mary Jane Minkin, MD responded:
    Dear an_254824,
    Hope I can help a bit. As for the perioral dermatitis, I'll have to say probably coincidental. Decrease estrogen can certainly contribute to dry skin, but no definite association with such a dermatitis. As far as estrogen and various cognitive functions: the opinions on this are all over the map. the data from the SWAN study would indicate that in the perimenopausal and early post menopausal time frame, that the loss of estrogen can contribute to decreased concentration, etc., but that that tends to go away once one is firmly post menopausal. The research of Roberta Brinton and Pauline Maki would suggest favorable effects of estrogen on cognitive function. So it's difficult to give you a definitive statement. Do take a look at these studies -but I don't think anyone can give you a definitive answer.
    Good luck,
    Mary Jane
     
    avatar
    campbp62 replied to Mary Jane Minkin, MD's response:
    Thank you Dr. Minkin for your prompt reply. I will definitely read both the SWAN study and that of Roberta Brinton and Pauline Maki. Thank you again.

    I also think that because recently I assumed a VP position, the stress is a contributing factor that I failed to mention. However, I caved yesterday and started using the estrogen patch again. What's interesting is this morning, the dermatitis is 85% improved. Perhaps coincidence but whatever it is, I'm pretty satisfied. I live in a very dry part of the country and the weather has turned extremely cold. All of this could be lending to the cause of the outbreak.

    Again, thank you for your time and advice. Best, Pat


    Featuring Experts

    Mary Jane Minkin, MD, is a nationally recognized obstetrician gynecologist, with a special interest in menopause. Dr. Minkin is clinical professor of ...More

    Helpful Tips

    perimenapausal help that works for me.
    I'm 47 jus started expeiraning hot flashes again after not having them for 10Yrs. Now I'm not having periods for 2M Now and crave sugar for ... More
    Was this Helpful?
    1 of 1 found this helpful

    Related Drug Reviews

    • Drug Name User Reviews

    Report Problems With Your Medications to the FDA

    FDAYou are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088.

    For more information, visit the North American Menopause Society website