Hormone Therapy: What It Is and Why It Matters for Bleeding Risk

Hormone therapy (HT) uses pills, patches, gels or injections to add or block hormones in the body. Doctors prescribe it for menopause symptoms, low testosterone, certain cancers, and some blood disorders. It can feel like a lifeline, but the extra hormones may also change how blood clots and bleeds.

When you start HT, the first thing to do is talk with your prescriber about any current meds, supplements, or health conditions that affect clotting. The CRUSADE Bleeding Score is a simple tool that helps estimate your bleeding risk while on drugs that influence blood vessels. Knowing your score early can prevent surprises later.

Types of Hormone Therapy and Common Uses

There are three main groups: estrogen‑only, progesterone‑only, and combined estrogen‑progesterone. Women in menopause often use estrogen or the combined form to ease hot flashes, night sweats, and bone loss. Men with low testosterone may get gel, patch, or injection therapy to boost energy, mood, and muscle strength. Some breast cancer patients receive hormone‑blocking drugs instead of replacement.

Each type works a bit differently. Estrogen can raise clotting factors, which might increase bruising or bleeding after surgery. Progesterone tends to have a milder effect on clotting but can cause other side effects like mood swings. Testosterone can thicken red blood cells, so people on it sometimes need regular blood‑count checks.

Managing Bleeding Risk with the CRUSADE Score

The CRUSADE Bleeding Score looks at age, blood pressure, heart rate, kidney function, and a few lab values. It gives you a number that translates into low, moderate, or high bleeding risk. Plugging your numbers in before you start HT lets the clinician choose the safest hormone formulation and dose.

If the score is high, doctors might pick a lower‑dose patch, add a protective medication, or schedule more frequent lab monitoring. The goal is to keep the benefits of HT while staying clear of serious bleeding events.

Another practical tip: keep a list of all over‑the‑counter supplements (like fish oil or garlic) because many of them also affect clotting. Sharing that list with your prescriber lets them adjust the CRUSADE score calculation correctly.

Regular follow‑up is key. After a few weeks on HT, revisit the score, especially if you develop new health issues or start another prescription. Adjustments are easy when you have the numbers in front of you.

In short, hormone therapy can improve quality of life, but it isn’t a one‑size‑fits‑all. Using the CRUSADE Bleeding Score turns a vague concern about bleeding into a clear, actionable plan. Talk to your clinician, score your risk, and enjoy the benefits of HT with confidence.