Precautions While Using This Medicine
It is very important that your doctor check your progress at
regular visits to make sure this medicine does not cause unwanted effects
. These visits will usually be every year, but some doctors require
them more often.
In some patients using estrogens, tenderness, swelling, or bleeding of
the gums may occur. Brushing and flossing your teeth carefully and regularly
and massaging your gums may help prevent this. See your dentist regularly
to have your teeth cleaned. Check with your medical doctor or dentist if you
have any questions about how to take care of your teeth and gums, or if you
notice any tenderness, swelling, or bleeding of your gums.
It is not yet known whether the use of estrogens increases
the risk of breast cancer in women
it is very important that you regularly check your breasts for any unusual
lumps or discharge. Report any problems to your doctor
. You should
also have a mammogram (x-ray pictures of the breasts) done if your doctor
recommends it. Because breast cancer has occurred in men taking estrogens,
regular breast self-exams and exams by your doctor for any unusual lumps or
discharge should be done.
If your menstrual periods have stopped, they may start
. This effect will continue for as long as the medicine is taken.
However, if taking the continuous treatment (0.625 mg conjugated estrogens
and 2.5 mg medroxyprogesterone once a day), monthly bleeding usually stops
within 10 months.
Also, vaginal bleeding between your regular menstrual periods may occur
during the first 3 months of use. Do not stop taking your medicine. Check with your doctor if bleeding continues for an unusually
long time, if your period has not started within 45 days of your last period,
or if you think you are pregnant
Tell the doctor in charge that you are taking this medicine before having
any laboratory test because some results may be affected.