Menopausal hormone therapy: Finding relief and balance
Written by:
GP
Published: 30/11/2023
Edited by: Sophie Kennedy
Many of the symptoms which accompany the menopause can seriously impact a woman’s physical health and emotional wellbeing. Fortunately, there are a number of treatment options and lifestyle modifications which can help to ease the journey through menopause. In this informative guide, revered menopause specialist Dr Nina Wilson shares her expert insight on one such approach to treatment – menopausal hormonal therapy, also known as hormone replacement therapy (HRT).
What is menopausal hormone therapy?
Menopausal hormone therapy, also known as hormone replacement therapy (HRT), involves taking medications that contain the hormones your body produces less of during menopause. The primary goal is to alleviate the troubling symptoms that can disrupt your daily life, such as hot flushes, night sweats, mood swings, and vaginal dryness.
A closer look at hormones
Menopause is the time in a woman’s life when periods stop. They stop because there is a drop in production of hormones from the ovaries – mainly oestrogen and progesterone. These hormones drive our menstrual cycles and fertility, but also impact bone health and overall wellbeing. The hormonal change that occurs before and after the menopause itself (perimenopause) can lead to the uncomfortable symptoms you may be experiencing.
Are there different types of hormone therapy?
HRT comes in various forms, including pills, patches, creams, gels, sprays, pessaries and even vaginal rings. These options allow you and your healthcare provider to choose the most suitable method based on your preferences and medical history.
What are the key benefits and considerations associated with HRT?
HRT offers many benefits for symptom control, such as relief from hot flushes, improved mood, reduced anxiety, reduced joint pain, more energy, and help with vaginal dryness. It can also support your bone health by preventing the accelerated loss of bone density that often accompanies menopause. However, it's essential to consider potential risks and consult your doctor before starting hormone therapy.
Personalised approach
Every woman's experience with menopause is unique, and so is her response to hormone therapy. Your doctor will assess your medical history, current health and individual symptoms before recommending a tailored treatment plan. This approach ensures that the therapy's benefits outweigh any potential risks for your specific situation.
Potential side effects
In general, HRT is very well tolerated. If women have been struggling with symptoms caused by low hormone levels, many report that replacing them can ‘make them feel themselves again’. However, some side-effects are possible, particularly just after starting, but these are usually mild and disappear within 3 months. These may include breast tenderness, bloating, or some unscheduled vaginal bleeding. Starting with a low dose and increasing as needed can minimise the chance of this.
Longer term, HRT has been associated with a change in risk of certain conditions. However, your doctor or menopause specialist will discuss all this as it relates to you, closely monitor your progress and make adjustments as needed to minimise any negative effects.
Making an informed decision
Before embarking on hormone therapy, it's crucial to have an open and honest conversation with your doctor. Together, you can weigh the benefits and potential risks based on your medical history, preferences, and the severity of your symptoms.
If you think you could benefit from specialist guidance through the menopause, schedule a consultation with Dr Wilson today by visiting her Top Doctors profile.