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July 31
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A MyLupusTeam Member

Have you been journaling your questions about estrogen to see a pattern?

July 31
MyLupusTeam

Seeing a gynecologist is a great idea, but it's worth knowing some important things about estrogen and lupus before that appointment.

Estrogen can actually be a bit of a double-edged sword for people with lupus. Higher estrogen levels have been linked to lupus flares, particularly during times when hormones are elevated. If Show Full Answer

Seeing a gynecologist is a great idea, but it's worth knowing some important things about estrogen and lupus before that appointment.

Estrogen can actually be a bit of a double-edged sword for people with lupus. Higher estrogen levels have been linked to lupus flares, particularly during times when hormones are elevated. If estrogen is being considered as hormone replacement therapy (HRT), there are some real cautions to be aware of:

- HRT can trigger lupus flares
- It can increase the risk of blood clots
- It may not be suitable if there's a history of blood clots or high antiphospholipid antibodies
- Long-term use carries additional risks

Non-oral estrogen may be a safer option for some, as it's less likely to cause blood clotting issues. For skin concerns specifically, there are other approaches worth discussing with both a gynecologist and a rheumatologist, such as sun protection, medications that reduce inflammation, and identifying personal triggers.

It's really important to loop in a rheumatologist alongside the gynecologist, so both can work together on a plan that's safe given the lupus diagnosis.

July 31

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