HORMONE

REPLACEMENT

THERAPY (HRT)

Hormone replacement therapy, or HRT aims to supplement the level of hormones as they reduce in the body during menopause. It can ease symptoms and improve quality of life.

HRT consists of oestrogen, and for people with a uterus, progesterone is added to reduce the risk of endometrial cancer

It comes in various forms, including tablets, skin patches, gels, and creams.

HRT can effectively reduce menopausal symptoms such as hot flushes, night sweats, vaginal dryness, and mood disturbances, leading to an improved quality of life and overall well-being. Additionally, HRT can help prevent bone loss and reduce the risk of osteoporosis, a condition that weakens bones and makes them more brittle.

Hormone Replacement Therapy (HRT) is the most effective treatment for menopausal symptoms. While it may slightly increase the risk of certain conditions—such as breast cancer, blood clots, and stroke—these risks vary depending on the type of HRT, the route of administration, and individual health factors. Transdermal HRT (patches or gels) is associated with a lower risk of blood clots and stroke compared to oral forms. Starting HRT before age 60 or within 10 years of menopause does not increase cardiovascular risk and may offer protective benefit.

There are different types of HRT that may be prescribed based on a woman's individual needs and health considerations. For those who have undergone a hysterectomy, oestrogen-only HRT may be recommended. For those who have not had a hysterectomy, combined HRT, which includes both oestrogen and progesterone, is typically prescribed to reduce the risk of endometrial cancer. To determine the most suitable type of HRT, a GP should be consulted, they will be able to give advice based on individual circumstances.

The duration of HRT use varies and should be based on individual needs, symptoms, and health considerations. For some, HRT may be used for a short-term period to manage severe menopausal symptoms, while for others, it may be recommended for a longer duration to address ongoing symptoms and support bone health. Regular discussions with a GP to assess the benefits and risks and ongoing need for HRT are advised.

Making an informed decision about HRT involves shared decision-making with a GP. It is important to have open and honest discussions about symptoms, concerns, and treatment preferences. Healthcare professionals can provide information, guidance, and support to help make decisions that align with individual health needs and goals.

It's important to consider the potential risks and benefits before making decisions about this treatment option. By engaging in open and informed discussions with a GP, decisions about HRT can be made that are tailored to individual needs and preferences.