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Oral estrogen still a no-no, doctor says

...That's because estrogen in pill form gets processed through the liver, and the side effects associated with those pills include the risk of cardiovascular complications.

That means possible blood clots and elevated levels of a cardiovascular risk factor called C-reactive protein.

This is an unnecessary tradeoff for better skin or a healthy vagina when there are other products available that can reach the same goals, says Dr.

Alan Altman, an assistant professor of Obstetrics, Gynecology and Reproductive Medicine at Harvard Medical School.

Those products include gels, patches, creams, rings and tablets.

Even drops put under the tongue are far preferable to pills, he says.

Altman is the author of a book whose information on oral estrogen he is even now repudiating.

(See Page 25 of "Making Love the Way We Used to .

.

.

Or Better," $14.95, Contemporary Books.) "The change of direction came as the WHI came out," he said following a lecture in Palm Beach, where signed copies of the book were given to guests.

"The book is copyrighted 2001, and it was written between 1999 and 2000.

We were using different kinds of orals, but even then, we knew when a woman had a thrombotic event (blood clots), the answer (when using hormones) was always non-oral.

"Disregard (what is written in the book about) orals.

That was written quite some time ago, and we've ...

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