So I asked Dr Pepine if in his studies, he saw a correlation and he said absolutely, there have been many studies that show estrogen helps keep the vessels open and he advised me to stay on it and dose it correctly. Now this hypothesis is not set in stone, I have had horrible angina episodes while doing the correct doses of my patch, but I do notice that when I stretch the changing of them out, I get episodes. And when I would start changing it as prescribed, the angina episodes lessened. Then when I started getting heart issues, there were times I could correlate my angina episodes and especially the severity and frequency to when I had stretched out the days between changing my patch. 5 and would stretch the days out between changing to kinda see if I could wean myself off. I've weaned myself down to the lowest dose a. So over the years, I hear one doctor tell me to try and wean off they are bad, and others tell me stay on it is good. So he said I wasn't absorbing the pills and he put me on the Vivelle patch. So he did a blood test to see my estrogen levels and there was minimum in there. I was on the highest dose and still nothing. So he started me on estrogen pills, and no difference. The doctor cut me off all hormones the day of the surgery and I went into a major depression and crying jag. I was on Premarin (the ucky horse urine mix of estrogen and progesterone) from 2000 when I started getting menopausal symptoms, until my hysterectomy in 2003. In any case, reading this report you shared, I feel less nervous about still being on the HRT and about using a slow weaning process so as to give my body an easier adjustment process. length of life, etc, and how we don't know yet, whether something like HRT might contribute to SCAD or not. Of course this new wrinkle of SCAD prone arteries changes the ball game, and so it's about weighing so many factors: my age (63), quality of life vs. I am reluctant to go off HRT given how my mother and grandmother suffered and died from the complications of osteoporosis, but am hoping my excellent diet, being more physically active than both of them, etc, will help. I also used natural progesterone cream (prescribed and pharmacy compounded) applied topically 10 days a month about every 2 months or so, to protect the my uterine lining from excessive build-up and break-through spotting, and will concurrently wean myself off that too. I already was reducing the estradiol gel dose before the heart attacks, so am continuing the process of a slow weaning off of it. After I had my SCAD heart attacks in August 2011, I went to my gynecologist about this, and she felt I should discontinue the HRT. Yes, thank you, Mary, for sharing this info! I have been on HRT, due to extremely high risk for osteoporosis (family history as well as family history of early menopause), since 1991, but always via patch, gel or cream, never orally.
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