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The effects of hormone replacement therapy on renal function

Abstract

This Practice Point commentary discusses a study by Ahmed et al. that evaluated the effects of hormone replacement therapy (conjugated estrogen alone, progestin alone or a combination of progestin and conjugated estrogen) on renal function in elderly community-dwelling postmenopausal women. The authors found that oral estrogen therapy in this population was associated with accelerated decline in kidney function over a 2-year period. In addition, the cumulative amount of estrogen intake was dose-dependently associated with the rate of renal functional decline. This commentary highlights the human and experimental evidence suggesting that endogenous and exogenous estrogen affect renal function, and discusses the possible beneficial or detrimental effects of hormone supplementation on kidney function.

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References

  1. Silbiger SR and Neugarten J (2003) The role of gender in the progression of renal disease. Adv Renal Replace Ther 10: 3–14

    Article  Google Scholar 

  2. Silbiger S and Neugarten J (2008) Gender and human chronic renal disease. Gend Med 5 (Suppl A): S3–S10

    Article  Google Scholar 

  3. Ahmed SB et al. (2005) Oral contraceptives, angiotensin-dependent renal vasoconstriction, and risk of diabetic nephropathy. Diabetes Care 28: 1988–1994

    Article  CAS  Google Scholar 

  4. Monster TB et al. (2001) Oral contraceptive use and hormone replacement therapy are associated with microalbuminuria. Arch Intern Med 161: 2000–2005

    Article  CAS  Google Scholar 

  5. Agarwal M et al. (2005) The relationship between albuminuria and hormone therapy in postmenopausal women. Am J Kidney Dis 45: 1019–1025

    Article  CAS  Google Scholar 

  6. Szekacs B et al. (2000) Postmenopausal hormone replacement improves proteinuria and impaired creatinine clearance in type 2 diabetes mellitus and hypertension. BJOG 107: 1017–1021

    Article  CAS  Google Scholar 

  7. Ahmed SB et al. (2008) Oral estrogen therapy in postmenopausal women is associated with loss of kidney function. Kidney Int 74: 370–376

    Article  CAS  Google Scholar 

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Silbiger, S. The effects of hormone replacement therapy on renal function. Nat Rev Nephrol 5, 6–7 (2009). https://doi.org/10.1038/ncpneph0993

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