Coffeecubed3

Add me to the list of people asking about primary ovarian insufficiency. I went through menopause at 38. I tried vaginal estrogen and HRT and had terrible bleeding, then needed a hysteroscopy and biopsy to rule out uterine cancer. Needless to say, it scared me from ever trying it again. I’ve gone to multiple doctors, who range from telling me it’s very important to use HRT for bone and heart health, to others who say it’s really my choice and if I can handle the side effects, to being told a hysterectomy is an option if I don’t want to worry about abnormal bleeding, hyperplasia, and uterine cancer. I am also worried about breast cancer and the mixed evidence on synthetic vs micronized progestin. It feels like an impossible choice to make: increase risk of breast and uterine cancer or risk of heart disease and osteoporosis.

I cannot get a simple answer on how at risk for osteoporosis & heart disease am I without using HRT? How much estrogen is needed to provide bone health? How do I weight the risks and benefits of these decisions? I don’t have many menopausal symptoms, so it seems odd to take hormones to prevent future conditions I may never get. Help please! Feeling very confused and alone.