Understanding the Risks of Hormone Therapy and the Importance of a Mammogram

Introduction Hormone therapy, often used for menopause and other conditions, carries potential risks. Being aware of these risks and taking preventive measures, such as regular mammograms, is crucial for managing your health.

Risks of Hormone Therapy

1. Increased Risk of Breast Cancer:
    Risk of breast cancer (less than ~1 case per 1000 women on MHT per year)
2.  Blood Clots:
   Hormone therapy may increase the risk of blood clots, leading to conditions like deep vein thrombosis (DVT) or pulmonary embolism (PE). Smokers and those with a history of clotting disorders are at greater risk. This risk is much less with the estrogen gel or patch.
3. Stroke:
   There is a heightened risk of stroke, particularly in older women or those with high blood pressure.
4. Heart Disease:
   Long-term hormone therapy may raise the risk of cardiovascular issues, including heart attacks. Risks vary with the type of therapy and individual health factors.
5. Mood Changes and Mental Health:
   Hormone therapy can affect mood, potentially leading to depression or anxiety. Monitoring these changes is important for mental well-being.

Importance of a Mammogram

Regular mammograms are crucial for early detection and management of breast cancer, especially for those undergoing hormone therapy.

Mammograms are the current standard of care for breast cancer screening. The other types of imaging that are done for breast concerns include:

1. Breast Ultrasound:
   Uses sound waves to create images of the breast. It’s often used to investigate specific areas of concern found in mammograms or to guide biopsies. It is particularly effective for distinguishing between solid masses and fluid-filled cysts. This can be done in addition to mammography if you have a high breast density (category C or D)
2. Breast MRI (Magnetic Resonance Imaging):
   Employs magnetic fields and radio waves to produce detailed images of the breast. This method is commonly used for women with a high risk of breast cancer, those with dense breast tissue, or to evaluate the extent of cancer after diagnosis.
3. Breast Tomosynthesis (3D Mammography):
   A type of mammography that generates three-dimensional images of the breast. It provides more detailed views than traditional 2D mammograms and can help detect small or hidden tumors. This is generally done in addition to regular mammograms or in situations where they need more specific views or if you have breast implants.

Each imaging method has its specific uses and may be combined with others to provide a thorough evaluation. Consult with your healthcare provider to determine the most appropriate imaging method based on your individual needs and medical history.

Key Points:

• Early Detection: Mammograms can detect breast abnormalities early, leading to improved outcomes with timely intervention.
• Ongoing Monitoring: Regular screenings are essential to monitor changes in breast tissue and identify potential issues early.
• Personalized Care: An up-to-date mammogram report helps healthcare providers tailor treatment plans to your specific needs

Action Steps

1. Schedule a Mammogram:
   Arrange a mammogram, particularly if you are undergoing or considering hormone therapy.
2. Submit the Report:
   Submit your mammogram report by fax or upload it to the sanoMidLife patient portal before your next hormone therapy appointment.
3. Discuss with Your Clinician:
   Talk openly with your healthcare provider about the risks of hormone therapy and the necessity of regular screenings.

Conclusion Managing the risks of hormone therapy through regular mammograms is an important tool for maintaining health and ensuring early cancer detection. Consult your healthcare provider for personalized advice and to discuss any concerns.