Topics:
Radiation Oncology • Gynecologic Cancers • Cervical Cancer • Medical Oncology • Endocrinology • Menopausal Hormone Therapy
Do you recommend progesterone for endometrial protection in a young woman on estrogen replacement therapy for iatrogenic menopause after definitive radiation therapy for locally advanced cervical cancer?
If so, what do you typically prescribe?
Answer from: at Academic Institution
For women with a uterus, I give a combination of estrogen and progesterone therapy, even after definitive radiation therapy. Transdermal preparations have the advantage of bypassing first-pass effect of the liver, but oral combinations are also acceptable.
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