Jul 31 • General discussion
HRT and liver disease
As I navigate this menopausal journey that has also come with fatty liver disease as well as significant liver fibrosis, I realize that I must do much of the research myself so that I may better advocate for my own health.
I have been on oral HRT for several years. For me, it was a life saver and almost immediately helped resolve the incredible anxiety I was experiencing. It also helped mitigate hot flashes and improved my sleep (for as much as my sleep can improve). Since being diagnosed with fatty liver and fibrosis, I have found myself needing to explore every avenue as I try to improve my health. This led me to the discovery that oral HRT is not advised for women with liver disease as that is where it is first metabolized, forcing the liver to work that much harder. If a liver is already compromised, this can spell disaster.
Here's the thing: my doctors all use the EPIC system, which is supposed to help doctors better coordinate health care. Each doctor can see all medications that are in one's chart. They can message each other, see what tests have been ordered, etc. So is it that no one realized, once I was diagnosed, that perhaps this was not a good option for me, anymore? I will give my GYN a pass since I have not seen him since being diagnosed, but as soon as I learned this and reached out to him through the portal, he confirmed that this should be stopped immediately and prescribed the gel (I had originally been on a patch, but developed dermatitis due to the adhesive). While my research revealed that transdermal estrogen bypasses the liver, he was still cautious and stressed the need for monitoring. No one else has.
I cannot stress the lack of research into women's health, especially menopausal women. Yes, there are new platforms that seek to provide better care, but why are we still playing catch up? We deserve better and should demand it.
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HRT and liver disease
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