By Dr Gab General Practitioner Specialising in women’s health, with a particular focus on menopause care
Hello, I’m Dr. Gab, a general practitioner specialising in women’s health, with a particular focus on menopause care. My goal is to empower women with the knowledge and support they need as they navigate this important life transition. Menopause can feel overwhelming, and I’m passionate about ensuring every woman has access to the right information and options to manage her health during this phase. Whether you're experiencing symptoms or simply seeking to understand your choices, I’m here to guide you through it.
As a GP who sees many menopausal women each week, I frequently discuss both symptom management and overall health. Building a strong foundation with healthy lifestyle choices—such as proper nutrition, regular movement, and quality sleep—is essential. There are many options available to help manage symptoms, including natural remedies, non-hormonal medications, and, of course, Menopause Hormone Therapy (MHT). When it comes to MHT, many women still have questions and concerns. I hope the following information helps clarify some of those.
What is MHT ?
MHT stands for menopause hormone therapy - previously termed Hormone Replacement Therapy (HRT) is a treatment used to relieve symptoms of menopause by giving back hormones that naturally decline with age. It typically involves estrogen, with or without progesterone, depending on whether a woman has had a hysterectomy. It also includes testosterone if needed. HRT can be taken in various forms, including tablets, patches, gels, and sprays, and is tailored to individual needs and health history.
Common Facts About HRT
1. |
HRT is the most effective treatment for menopause symptoms. It helps with hot flushes, night sweats, vaginal dryness, mood changes, and sleep disturbances. |
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HRT can have additional health benefits. It can help maintain bone density, reducing the risk of osteoporosis and fractures. |
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There are different types of HRT. It can be estrogen-only or combined with progesterone, depending on a woman’s medical history. |
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HRT should be personalised. The dose, type, and duration should be tailored to each individual based on symptoms and health risks. |
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HRT is safe for most women. For women under 60 and within 10 years of menopause, the benefits often outweigh the risks when appropriately prescribed. |
Common Myths About HRT
1 |
Myth: HRT causes breast cancer. While some studies have suggested a small increased risk with certain types of HRT, the overall risk is low, especially when initiated under the right conditions and monitored appropriately. |
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Myth: HRT causes weight gain. HRT does not directly cause weight gain; menopause itself can lead to changes in body composition, but HRT may help with muscle maintenance and metabolism. |
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Myth: HRT is only for severe symptoms. Even women with mild symptoms or those seeking long-term health benefits, such as bone protection, may benefit from HRT. |
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Myth: HRT is unnatural. The body naturally produces estrogen and progesterone, and modern HRT formulations closely mimic these hormones. In fact we now use body identical estradiol (same structure as what the ovaries produce) and there is also body identical progesterone available as well. |
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Myth: Once you start HRT, you can’t stop. HRT can be adjusted or stopped at any time, depending on individual needs and medical advice. |
In conclusion, MHT is a well-researched and effective treatment option for many women facing the challenges of menopause. It provides relief and can significantly improve quality of life, whether you're managing hot flushes, mood swings, or concerns about bone health. Keep in mind that every woman’s experience of menopause is unique, and the decision to use MHT should be tailored to your individual needs and health. Having open conversations with your healthcare provider is key to making an informed choice that’s right for you. Above all, every woman deserves to feel supported and confident as she navigates this important stage of life.
While not every woman will need or choose MHT, every woman deserves to be informed about it so she can make the best decision for her hormonal health.
