At Winona, patient safety comes first. “Do no harm” has been one of the guiding principles of medicine for millennia and Winona takes that seriously. For this reason, there are certain conditions that have too high a risk to justify the benefits of HRT. These are called contraindications and you will be screened for these during the onboarding process. Some of the contraindications to HRT include:

  • Currently pregnant or breastfeeding

  • Previous DVT, PE, or history of a clotting disorder

  • Cancer of the Female reproductive system (uterus, ovary, or cervix)

  • Personal history of breast cancer

  • Previous history of heart attack or history of heart disease

  • History of transient ischemic attack (TIA)

  • History of stroke

  • Active liver disease

  • Undiagnosed abnormal vaginal bleeding.

It is also considered too high a risk to start HRT after turning 60. The exception to this is vaginal estrogen cream.

There are other conditions that may cause problems as well. That is why it is important to fill out the health questionnaire accurately. Your Winona provider will carefully review your medical history to make sure the medications prescribed are safe for your unique medical history.

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