You can usually begin HRT as soon as you start experiencing menopausal symptoms and will not usually need to have any tests first. However, a blood test to measure your hormone levels may be carried out if you're aged 40 to 45.
An endocrinologist, gynecologist, or fertility specialist is a good choice. Typically, these doctors prescribe HRT to women in the 50s or 60s when menopause symptoms start to become more intense.
There is no specific age cut-off for starting HRT.
By supplementing your body's natural hormone levels, HRT can help you maintain a more youthful body composition. While this effect is particularly evident in men, research suggests that women can also benefit. HRT is also known to help women maintain softer, smoother skin, resulting in a younger look.
In addition to increasing longevity, hormone replacement therapy can help to address many of the changes we experience as we grow older. Estrogen therapy is associated with healthier and younger-looking skin in women.
Hormone replacement therapy (HRT) has been shown to increase epidermal hydration, skin elasticity, skin thickness (Sator et al 2001), and also reduces skin wrinkles (Phillips et al 2001). Furthermore, the content and quality of collagen and the level of vascularization is enhanced (Brincat et al 1987).
One of the common treatment options for menopausal symptoms is hormone replacement therapy (HRT), supplementing your hormone levels to rebalance your system. However, you may prefer to move through menopause without using hormone treatments. And, women with previous hormone-dependent cancer shouldn't use HRT.
Many women believe that taking HRT will make them put on weight, but there's no evidence to support this claim. You may gain some weight during the menopause, but this often happens regardless of whether you take HRT. Exercising regularly and eating a healthy diet should help you to lose any unwanted weight.
There's no limit on how long you can take HRT, but talk to a GP about how long they recommend you take the treatment. Most women stop taking it once their menopausal symptoms pass, which is usually after a few years.
A Fred Hutchinson Cancer Research Center study involving postmenopausal, overweight, and obese women who took 2,000 IUs of vitamin D daily for a year found that those whose vitamin D blood levels increased the most had the greatest reductions in blood estrogens, which are a known risk factor for breast cancer.
Nuts and Seeds, including almonds, flaxseeds, peanuts, sesame seeds, sunflower seeds. Soy and soy products, such as soybeans, tofu, miso soup, miso paste. Vegetables, particularly broccoli, Brussels sprouts, kale, onions, spinach, sprouts.
It usually takes a few weeks before you feel the benefits of HRT. It can take up to 3 months to feel the full effects. If you have not felt the benefit of HRT after 4 to 6 months, it may help to try a different type. It can take your body time to get used to HRT.
A recent study of postmenopausal women, ages 50 to 80, found that those who took hormones had significantly lower levels of belly fat than women who did not take hormones.
HRT does not cause weight gain. Side effects of HRT may feel like it but the reality is that bodies change in midlife. In fact, many women lose weight and feel considerably fitter on HRT.
Hormone Replacement Therapy Improves Body Composition
In fact, a recent study found that women who used HRT had one point lower on the BMI scale and also about three pounds less of body fat compared to women who didn't use hormone replacement therapy.
Skin health, sexual and bladder function will all be impacted by lack of estrogen. The skin will become drier and so will the lining of the vagina. The impaired blood supply in these tissues of the vagina, for example, impacts on cell repair, nutrition and sexual response.
And the continued low estrogen levels lead to more serious health concerns. The rate of bone loss speeds up, increasing your risk of low bone density, osteopenia and osteoporosis. You also have a higher chance of having a heart attack, stroke or other heart-related issues.
So in summary, the safest types of HRT are the oestrogen applied through the skin as a patch, gel or spray with body identical micronised progesterone. Many women also benefit from testosterone, which may help if you're forgetful or having trouble concentrating at work.
The first changes you will probably notice are that your skin will become a bit drier and thinner. Your pores will become smaller and there will be less oil production. You may become more prone to bruising or cuts and in the first few weeks you'll notice that the odors of your sweat and urine will change.
Does HRT really work? Many men and women enjoy life-changing results with hormone replacement therapy, with some of the most compelling improvements being better energy levels, enhanced sexual performance and pleasure, and the ability to once again lose and maintain weight.
HRT appears to boast dermal collagen levels and thereby improves skin health. This has been the subject of several trials,14 in which all but one demonstrated an improvement in collagen levels.