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Real members of MyLupusTeam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.
April 16
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A MyLupusTeam Member

Since HRT may worsen lupus activity, you may want to consider talking to your doctor about alternatives to help with perimenopause, such as SSRIs or gabapentin. Eating soy (milk, tofu, etc.) can also relieve hot flashes for some people.

April 17
MyLupusTeam

What is your experience using HRT (estradiol patch) with lupus and ITP?

It's important to know that HRT isn't suitable for everyone with lupus. HRT can potentially cause lupus flares or increase the risk of blood clots, which is a significant concern.

People with active lupus, a history of blood clots, or a higher risk of Show Full Answer

What is your experience using HRT (estradiol patch) with lupus and ITP?

It's important to know that HRT isn't suitable for everyone with lupus. HRT can potentially cause lupus flares or increase the risk of blood clots, which is a significant concern.

People with active lupus, a history of blood clots, or a higher risk of blood clots (such as having high antiphospholipid antibodies) shouldn't take HRT. Since ITP is a comorbidity of lupus that affects blood platelets, this adds another layer of complexity to your situation.

The type of HRT matters too. Non-oral estrogen (like your patch) may be a safer option for some people, as it's less likely to lead to blood clotting in the blood vessels compared to oral forms.

HRT carries risks including:
- Increased risk of blood clots
- Potential for lupus flares
- Stroke risk
- With long-term use, increased breast cancer risk

Given your recent ITP diagnosis alongside lupus, it's crucial to discuss with your doctor whether continuing the estradiol patch is safe for you. They'll need to consider how well-controlled your lupus is, your complete health history, and how ITP affects your blood clotting factors.

April 16

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A MyLupusTeam Member asked a question 💭
Greencastle, IN