Patient's question:
I am 51 years old and have been postmenopausal for over two years. For the past two and a half years, I have frequently experienced hot flashes and insomnia. I have tried all kinds of Chinese and Western medicine, but none of them have been effective. Only hormones have worked for me. I live in a small county, and the only hormone medications available here are Premarin and Progesterone.Doctor's answer:
Currently, the commonly used method is intermittent low-dose estrogen therapy, such as administering sodium estrone 0.625mg for 3 weeks, followed by a 1-week medication break. This conventional treatment can alleviate symptoms and rarely causes vaginal bleeding. Another treatment option is the continuous use of oral contraceptives, which, however, has a stimulating effect on the endometrium and can result in regular withdrawal bleeding.