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Hormone Replacement Therapy – post menopause

Hormone replacement therapy is a treatment that doctors can recommend to relieve common menopausal symptoms and to treat long-term changes in the body, such as bone loss, which occurred as a result of the decrease in the level of the natural hormones estrogen and progesterone in a woman’s body during and after menopause.

MHT usually involves treatment with only estrogen or estrogen with progestin, a synthetic hormone that has similar effects as progesterone.

Women who have a uterus or have not had a hysterectomy are usually prescribed estrogen plus progestin for MHT. This is due to the fact that estrogen alone is associated with an increased risk of endometrial cancer, while estrogen plus progestin does not react in a similar way. 

There is a considerable reduction in the level of estrogen during menopause. A lot of women experience unpleasant symptoms, such as hot flashes and vaginal dryness. Hormone replacement therapy remains the most effective treatment for menopausal symptoms.

Who should not take hormone replacement therapy?

If you have one or some of the conditions listed below, then HRT is not meant for you:

  •         Blood clots
  •         Cancer (such as breast, uterine, or endometrial)
  •         Heart or liver disease
  •         Heart attack
  •         Known or suspected pregnancy
  •         Stroke


How to tell if you are an ideal candidate for hormone replacement therapy?

Your doctor and other healthcare professionals are in the best position to determine the pros and cons and suggest choices based on the severity of the symptoms and your medical history.

What are the benefits of HRT?

Some of the common and significant benefits of hormone replacement therapy in postmenopausal women are listed below:

HRT increases the elasticity of blood vessels, allowing them to expand and allow blood to flow freely throughout the body

Improved short-term menopausal symptoms, for example, hot flashes and mood swings, and also vaginal dryness, dry skin, insomnia and irritable bladder symptoms

It reduced the risk of osteoporosis and fractures

Reduced incidence of colon cancer

Possibly reduced incidence of Alzheimer’s disease

Possible improvement of blood glucose

How safe is HRT?

Short-term hormone replacement therapy is safe for most menopausal women taking HRT to control their symptoms. Before prescribing HRT, check your medical history with your doctor. Together, you and your doctor can decide if you have an inherited disease or health problem that can compromise the safety of HRT. HRT is not recommended for women who have:

  •         History of heart attack or stroke and/or increased risk of vascular disease
  •         Unexplained vaginal bleeding
  •         Active or past breast cancer
  •         Fibrocystic breast disease
  •         Active liver disease
  •         Endometrial cancer
  •         Gallbladder disease
  •         High risk of blood clots or a history of blood clots


You can make an appointment with Dr Kenny on 1300 464 464.

This article is written to be informative and does not substitute seeking a professional consultation from a medical professional.

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