Table 4:

Contraindications to systemic menopausal hormone therapy14

Hormone therapyContraindication
EstrogenUndiagnosed abnormal vaginal bleeding
Known, suspected or history of breast cancer
Known, suspected or history of estrogen-dependent cancers (i.e., endometrial, ovarian)
Active or history of coronary artery disease
Active or history of venous thromboembolism
Active or history of stroke
Known thrombophilia
Active liver disease (e.g., with abnormal liver function tests, cirrhosis)
ProgestinUndiagnosed abnormal vaginal bleeding
Current or history of breast cancer
  • Reproduced with permission (Yuksel et al., 2021).14