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Estradiol Side Effects

Wondering about estradiol side effects? Estradiol, is a synthetic estrogen used for a variety of conditions, including but not limited to hormone replacement. It is used for the following:

  • moderate to severe vasomotor symptoms of menopause; vulvar and vaginal atrophy associated with menopause
  • low estrogen levels due to hypogonadism, castration, or primary ovarian failure
  • metastatic breast cancer only in appropriately selected men and women
  • advanced androgen-dependent prostate cancer
  • prevention of osteoporosis, only in women who are at significant risk of osteoporosis and for whom non-estrogen medications are not considered to be appropriate

In addition to the estradiol side effects that are listed below, estradiol also has the following black box warnings:

  • Estrogens in general increase the risk of endometrial cancer
  • Increased risk of myocardial infarction, stroke, invasive breast cancer, pulmonary emboli, and deep vein thrombosis in postmenopausal women
  • Increased probability of developing dementia

Estradiol Side Effects

  • Abdominal cramps
  • Aggravation of porphyria - porphyria is a type of inherited blood disorder
  • Anaphylactoid/anaphylactic reactions
  • Angioedema
  • Arthralgias - joint pain
  • Bloating
  • Breakthrough bleeding
  • Breast cancer
  • Breast enlargement
  • Breast pain
  • Breast tenderness
  • Change in the amount of cervical secretion
  • Changes in cervical ectropion
  • Changes in libido
  • Changes in vaginal bleeding pattern and abnormal withdrawal bleeding or flow
  • Chloasma or melasma - tan/brown patchy discoloration of the skin, especially of the face
  • Cholestatic jaundice
  • Chorea
  • Decrease in weight (weight loss)
  • Deep venous thrombosis
  • Dementia
  • Dizziness
  • Dysmenorrhea - menstrual pain
  • Edema - swelling due to fluid retention
  • Endometrial cancer
  • Endometrial hyperplasia - abnormal thickening of the lining of the uterus due to excessive cell growth
  • Enlargement of hepatic hemangiomas
  • Erythema multiforme - red, blistery rash
  • Erythema nodosum - inflammation of the fat cells under the skin
  • Exacerbation of asthma
  • Exacerbation of epilepsy
  • Fibrocystic breast changes
  • Galactorrhea - abnormal discharge of breast milk without childbirth
  • Headache
  • Hemorrhagic eruption
  • Hirsutism - excessive hair growth, especially in women
  • Hypocalcemia - low calcium levels
  • Increase in blood pressure
  • Increase in size of uterine leiomyomata - a benign growth in the uterus
  • Increase in weight (weight gain)
  • Increased incidence of gallbladder disease
  • Increased triglycerides
  • Intolerance to contact lenses
  • Irritability
  • Leg cramps
  • Loss of scalp hair
  • Mental depression
  • Migraine
  • Mood disturbances
  • Myocardial infarction
  • Nausea
  • Nervousness
  • Nipple discharge
  • Ovarian cancer
  • Pancreatitis
  • Pruritus - itching
  • Pulmonary embolism
  • Rash
  • Reduced carbohydrate tolerance
  • Retinal vascular thrombosis - blood clot in the eye
  • Spotting
  • Steepening of corneal curvature
  • Stroke
  • Superficial venous thrombosis
  • Thrombophlebitis - blood clot in a vein
  • Urticaria - hives
  • Vaginitis, including vaginal candidiasis - inflammation of the vagina
  • Vomiting

The practice of medicine is a thinker's art,
the practice of surgery a plumber's.

- Martin H. Fisher

Drug Manufacturer Information

Bristol-Myers Squibb
345 Park Avenue
New York, New York 10154
800-321-1335 (US only)
609-897-6669

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References:

  • U.S. National Library of Medicine - http://medlineplus.gov
  • U.S. Food & Drug Administration - www.fda.gov

March 9, 2010


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