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Oral Menopausal Hormone Therapy Linked to Higher Blood Clot Risk; Transdermal Treatment Shows No Overall Increase

Researchers found oral menopausal hormone therapy raised clot risk, while skin patches did not, in a study of nearly 100,000 Danish women.

  • On Wednesday, a large study published in The BMJ linked oral menopausal hormone therapy to increased risks of blood clots, stroke, and heart attack among nearly 100,000 Danish women ages 50 to 69.
  • Unlike oral forms, transdermal therapy showed no general increased thrombotic risk because it avoids the liver stimulation that increases clotting factors and promotes blood clot formation.
  • Data shows oral therapy carried an absolute increased rate of 0.09% for venous thromboembolism per year, with high-dose oral estradiol above 1 mg per day linked to stroke and heart attack risks.
  • Prof Robert Storey of the University of Sheffield noted results confirm transdermal patches carry lower risks, while co-author Amani Meaidi argued against a "single risk profile" for hormone therapy.
  • Researchers acknowledged the observational study cannot prove cause and effect and may not apply to all ethnically diverse populations, though the FDA removed "black box" warnings last year.
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Newsday broke the news in Melville, United States on Wednesday, September 23, 2026.
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