Hormone replacement therapy

Menopause occurs naturally as a woman’s body transitions out of its reproductive years, typically between the ages of 45 and 55. It is caused by a decline in hormone production, particularly oestrogen and progesterone, which are essential for regulating the menstrual cycle and supporting various bodily functions. Factors such as surgical removal of ovaries, certain medical treatments, or premature ovarian insufficiency can also induce menopause.

Menopause is usually diagnosed based on symptoms such as irregular periods, hot flushes, night sweats, mood changes, and vaginal dryness. For women under 45, blood tests may be conducted to measure hormone levels and confirm the diagnosis. A healthcare provider will also consider a woman’s medical history and overall health when evaluating symptoms.

Hormone replacement therapy (HRT) is one of the most effective treatments for managing menopausal symptoms. It works by replacing the hormones that the body no longer produces, helping to alleviate symptoms such as hot flushes, night sweats, mood swings, and vaginal dryness. There are various forms of HRT available, including tablets, patches, gels, and vaginal creams. The choice of treatment depends on individual needs, medical history, and preferences. While HRT is effective, it is not suitable for everyone, and the risks and benefits should be discussed with a healthcare professional.

Although menopause cannot be prevented, its symptoms can be managed effectively with a combination of lifestyle adjustments and medical treatment. A healthy diet rich in calcium and vitamin D, regular weight-bearing exercise, and adequate hydration can support bone and overall health. Managing stress and prioritizing sleep can also help alleviate some symptoms.

Avoiding triggers like caffeine, alcohol, and spicy foods may reduce hot flushes for some women. Regular check-ups with a healthcare provider ensure that any treatments, including HRT, remain effective and appropriate.

Further information about menopause and hormone replacement therapy is available from the European Menopause and Andropause Society:

https://nationalmenopausefoundation.org/education/

Hormone replacement therapy is safe for most women, but it’s not suitable for everyone. Women with a history of certain cancers, blood clots, or liver disease may need alternative treatments. It’s important to discuss your medical history and risk factors with your doctor to determine if hormone replacement therapy is right for you.

While hormone replacement therapy has many benefits, it may slightly increase the risk of certain conditions, such as blood clots or breast cancer, depending on the type and duration of treatment. Your doctor will assess your personal risks and benefits before starting hormone replacement therapy and regularly review your treatment plan.

Hormone replacement therapy may help stabilize mood swings associated with menopause and improve emotional wellbeing. While some might worry about weight gain, research shows that hormone replacement therapy does not directly cause significant weight changes. A healthy lifestyle remains important for managing weight during menopause.

Hormone replacement therapy should generally be tapered off gradually under medical supervision to allow your body to adjust. Stopping suddenly can lead to a return of menopausal symptoms. Your doctor can guide you on the best approach to discontinuing hormone replacement therapy when the time comes.