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Smoking and HRT
Smoking and HRT
Jo Cullen avatar
Written by Jo Cullen
Updated over 5 months ago

Smoking is not a contraindication to using HRT, but we strongly recommend that you stop smoking to significantly improve your overall health.

As long as you don't have any other contraindications or underlying health conditions, such as heart disease, people who smoke can safely take HRT.

My doctor won't prescribe me birth control pills because I smoke. Since HRT and birth control are both hormonal medication, how is it safe for me to take HRT?

There is often confusion surrounding the use of HRT in people who smoke, because combination birth control pills are contraindicated for smokers over 35 years old. Smoking cigarettes while using hormonal birth control raises the risk of adverse affects on the cardiovascular system. Using HRT to control menopause-related symptoms is acceptable because of the types of hormones used and the relative low dose of the hormones.

Choosing a transdermal option for administering HRT, such as creams and patches on the skin, decreases the risk even further.

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