AVADEN (estrogen) replacement therapy and weight gain

Patient

Q: Hello
My name is Rossana, I am 43yrs old and started going through menopause 9 month ago. My dr in Venezuela put me on AVADEN so I have been taking it for 4 month now. My problem is that since I started taking AVADEN I have gained about 17lbs my breast and behind are doubled the size and my belly is so big. I have never been over weight until now. I walk every day, I dont eat breat, pasta, sweet or drink soda. This is really bothering me because I have gained so much weight in short period of time. My dr here in Canada told me to take triquilar like I used to before but triquilar are birth control pills. What should I do? Please help me.

Doctor

A:   Thank you for your question. Avaden is a hormone replacement medication containing estradiol hemihydrate, an analog of the female hormone, estrogen. This was given to you to treat your symptoms associated with menopause. Now, if you are gaining weight as a result of this medication you can switch to an oral contraceptive medication (birth control) which will have less weight gain side effects, but provide you with the same symptomatic control of your menopausal symptoms. Triquilar (levonorgestrel and ethinylestradiol), an oral contraceptive is one such medication that can help. Many women who are going through menopause are prescribed oral contraceptives to treat their symptoms, and regulate menstrual periods during this time. It is a good option if you want to avoid side effects of hormone replacement therapy, such as weight gain.

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