24/06/2025
Hello you 🙂 Here's a post giving you some invaluable information on...
❤️HRT BASICS❤️
You can get tons more evidence-based information about all aspects of menopause in our private support group! If you see this public post, please give it a like and a share - that way more people get to see this factual information rather than the bobbins stuff that seems to grow wings and fly around...
Hormone Replacement Therapy (HRT) is the most effective way to treat the symptoms
of perimenopause and menopause and is the first-line recommended treatment. Your
body is no longer producing the hormones it was, hormone levels become unstable and that’s why you experience symptoms. HRT just tops up those lost hormones, and most women can then find a new hormonal 'balance'. It can also help to prevent future health concerns such as diabetes, cardiovascular issues, and osteoporosis. These effects are further enhanced when HRT is used as just one of the tools in your menopause toolkit.
❤️What Is HRT?
HRT is a hormone treatment that includes the hormones oestrogen, often progestogen, and in some cases testosterone.
Oestrogen replacements are available through:
• Transdermal types: through the skin in patches, gels, and spray
• Oral types: tablets
• Vulvova**nal types: pessaries, gels, and creams etc.
If you still have your uterus (womb) then you will need to take a form of progesterone
(progestogen) to prevent thickening of the womb lining which could otherwise cause
problems. This isn't needed when using vulvova**nal types.
Progesterone replacements are available in several formulations, such as capsules or
an Intrauterine System (IUS) called Mirena coil. The Mirena coil is also a form of contraception, and once it settles, most women rarely if ever experience a bleed. It needs replacing every 4-5years for HRT purposes. Micronised progesterone (branded Utrogestan or Gepretix in the UK, with generic progesterone also being available) is the safest form and comes in a capsule to be taken either orally, or sometimes va**nally under medical supervision.
Testosterone might also be needed, particularly for women who still have symptoms such as fatigue, brain fog and principally a lack of libido, even after taking HRT for some time. It is available in a gel or a cream (but it is not currently licensed as a treatment for women
in the UK, so it may not be straightforward to get this prescribed in some areas) and it is widely and safely used by many women.
❤️HRT Benefits
HRT usually takes around three months to settle down, it can take a little longer. Most
women start to feel much better and more like themselves after three to six months of taking HRT. There should be a noticeable improvement in your symptoms, and some
of those improvements can be felt pretty quickly, within a week or two of starting in
some cases!
HRT can give added protection and reduces the risk of some future health concerns.
You are less likely to develop osteoporosis as the replenished oestrogen helps prevent your bones from weakening as they otherwise might. HRT also helps to reduce the risk of cardiovascular issues, heart problems, or stroke, particularly when started in perimenopause, under age 60 or within ten years of your last period. There is a lower risk of developing type 2 diabetes in women who take HRT, along with osteoarthritis, some forms of cancer, and depression. The research into prevention of Alzheimer’s and dementia is looking really promising too.
❤️HRT Risks
For most women starting to take HRT under age 60 or within ten years of their last
period, the benefits far outweigh any risks of HRT. There are some risks associated,
and these have been the subject of controversy and exaggeration over previous years, particularly those risks associated with breast cancer.
Whilst taking combined (oestrogen and progesterone) HRT is associated with an
increase in breast cancer risk, this risk is small compared to other lifestyle risk factors. Drinking a moderate amount and/or being obese have much higher associated risks with breast cancer.
There is also a small risk around blood clots, where a history of migraine, liver disease
or previous blood clots may need to be taken into consideration when HRT is prescribed. This risk is only present if the oestrogen element of HRT is taken in a tablet. Transdermal HRT (patches, gels, and sprays) does not have this associated blood clot risk and is safe for these women to take.
❤️Side Effects
HRT side effects usually happen in the first few months of beginning to take it. They
usually settle down once your body has found its new hormonal balance, and can
include breast tenderness, and bleeding. Beyond that, ongoing side effects are pretty
uncommon. Our Starting HRT information gives more detail on this.
❤️When should HRT be taken?
HRT is most effective when taken at the start of your menopause journey. If you are
displaying symptoms, then you are already showing signs of depleted/fluctuating hormone levels.
You do not have to wait until your periods have stopped to start taking HRT! If you
have symptoms, that’s the time to speak to your doctor/prescriber about your options.
Don’t wait until you’re ‘suffering enough’ to take HRT – the sooner you start, the sooner you feel the benefits and add protection against future health concerns that can be caused by depleted hormones.
Starting HRT within ten years of menopause (when you haven’t had a period for a full year) gives the greatest benefits, but women of any age can start to take HRT. It may mean that extra professional care is needed and lower dosages used, but it is possible! Referral to a menopause specialist/NHS menopause clinic may be needed if primary care health professionals aren’t prepared to prescribe under these circumstances.
Taking HRT does not mean that your menopause is delayed. If you stop HRT, and find that you are experiencing symptoms, you would still have been having those symptoms without HRT at that point.
There is no maximum length of time that you can stay on HRT, and there is no need
for most women to stop taking it. Doses and types may need reviewing and revising to
manage personal risk and to continue to get best benefit from treatment as time goes
on. For support to stay in the best possible health, topping up hormone levels with
HRT can be a vital part of the toolkit for many people.
If you have questions, pop over to our support group for answers!
❤️
(Any information or guidance we provide is not a substitute for the consultation, diagnosis, and/or medical treatment of your doctor or healthcare provider.
You must not rely on any information or guidance we provide you with as an alternative to medical advice from your doctor or healthcare provider and we expressly disclaim all responsibility, and shall have no liability, for any damages, loss, injury, or liability whatsoever suffered by you or any third party as a result of your reliance on any information or guidance we provide you with.)