Which conditions would the nurse identify as decreasing the effectiveness of estrogen therapy

A new client telephones the clinic requesting a renewal prescription for contraceptives she has been taking for 4 years. It has been more than a year since her last health care visit, but she is unable to come into the clinic until next month. She insists she is "doing fine" on this medication and must have her prescription now. Considering the circumstances and related safety issues, how should the clinic nurse respond?

"Since you are doing well on this regimen, I'll arrange to get the prescription filled for a month to last until your clinic appointment."
"Before estrogen based drugs are prescribed, you must see the health care provider to get an order for a mammogram."
"If you have a physical within 2 years, I can get your medication refilled."
*"Before the drugs are prescribed, a complete medical history, physical examination, Pap test, urinalysis, and weight and blood pressure measurements are recommended."

In what conditions is estrogen therapy contraindicated?

Contraindications for oral or transdermal estrogen-based therapies include: Known, suspected, or history of breast cancer. Known or suspected history of other estrogen-based cancer, i.e., uterine cancer. Women who have had a hysterectomy and have no remaining evidence of disease are still candidates for HRT.

What causes low estrogen?

The most common cause of low estrogen is age. It's natural for your estrogen levels to fall as you get older. Low levels unrelated to menopause may be a sign of a condition. Age.

What happens when estrogen decreases with age?

The most common consequence of aging-related hormonal changes is menopause. Around age 50, women's ovaries begin producing decreasing amounts of estrogen and progesterone; the pituitary gland tries to compensate by producing more follicle stimulating hormone (FSH).