All about hormone replacement therapy

Dr Elaine Tickle is a highly regarded, skilled, and qualified GP who specialises in hormone replacement therapy. She is on hand here in this article below to discuss exactly what it is, and to outline the associated benefits and risks.

What is hormone replacement therapy?

Hormone replacement therapy (HRT) is a medical treatment used to alleviate symptoms associated with hormonal imbalances, primarily in women undergoing menopause. It involves the administration of hormones such as oestrogen and progesterone to compensate for the decline in their natural levels. HRT can also be used in men experiencing low testosterone levels. Understanding the benefits, risks, and types of HRT can help individuals make informed decisions about their health.

What are the benefits of undergoing hormone replacement therapy?

The primary benefit of HRT is the relief of menopausal symptoms. These symptoms can be severe and significantly impact quality of life. Common symptoms include hot flashes, night sweats, mood swings, vaginal dryness, and decreased bone density. By restoring hormone levels, HRT can alleviate these symptoms and improve overall well-being.

1. Symptom relief: HRT is highly effective in reducing the frequency and severity of hot flashes and night sweats. This can lead to better sleep quality and improved daily functioning.
2. Bone health: Oestrogen plays a crucial role in maintaining bone density. Post-menopausal women are at a higher risk of osteoporosis due to declining oestrogen levels. HRT can help prevent bone loss and reduce the risk of fractures.
3. Heart health: Some studies suggest that HRT may have a protective effect on the heart when started early in the post-menopausal period. However, the relationship between HRT and cardiovascular health is complex and requires careful consideration.
4. Mood and mental health: HRT can help stabilise mood swings and reduce the risk of depression associated with menopause.

What are the different types of hormone replacement therapy?

There are different types of HRT tailored to individual needs:

1. Oestrogen-only HRT: Typically prescribed for women who have had a hysterectomy, as oestrogen alone can increase the risk of endometrial cancer in women with an intact uterus.
2. Combined HRT: Contains both oestrogen and progesterone, and is used for women who still have their uterus. Progesterone helps counteract the risk of endometrial cancer.
3. Bioidentical hormone replacement therapy (BHRT): Uses hormones that are chemically identical to those produced by the human body. BHRT is available in various forms, including pills, patches, gels, and creams.

What are the main associated risks?

While HRT offers numerous benefits, it is not without risks. Potential risks include an increased likelihood of blood clots, stroke, breast cancer, and heart disease. The decision to start HRT should be made in consultation with a healthcare provider, who can assess individual risks and benefits.

To discuss hormone replacement therapy further with Dr Elaine Tickle, visit her Top Doctors profile today to book an appointment with her.