Oestrogen-only and combined HRT patches are available. Skin patches may be a better option than tablets if you find it inconvenient to take a tablet every day. Using patches can also help avoid some side effects of HRT, such as indigestion, and unlike tablets, they do not increase your risk of blood clots.
Testosterone can improve mood, energy, stamina, motivation and also libido. It is usually given as a gel or cream and this is also body identical. 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.
Vaginal Cream or Suppository: A very safe option, vaginal estrogen can effectively treat the symptoms of genitourinary syndrome of menopause (GSM), which include vaginal dryness and inflammation, urinary frequency/urgency, urinary tract infections, lowered sexual arousal and difficulty reaching orgasm.
Forms of oestrogen
HRT works by replacing oestrogen and this has repeatedly been proven to be the most effective treatment for many menopause symptoms. You will need to use some kind of oestrogen as part of your HRT. Oestrogen can be supplied as a: Tablet.
Over the last 15 years, these studies, and others, have found little or no evidence that HRT reduces the risk of heart disease. In fact, they have found evidence for an increased risk of blood clots and stroke. They also found an increased risk of breast and ovarian cancer in women using HRT.
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.
Stopping HRT
Women who take HRT for more than 1 year have a higher risk of breast cancer than women who never use HRT. The risk is linked to all types of HRT except vaginal oestrogen.
Clonidine. Clonidine is a prescription medicine that can help reduce hot flushes and night sweats in some menopausal women. It's taken as tablets 2 or 3 times a day. It does not affect hormone levels, so unlike HRT it does not carry an increased risk of problems such as 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.
Oestrogen therapy is considered the gold standard treatment, effective in 90% of women with hot flushes. Low doses of oestrogen are sufficient to control even the severest of symptoms and are also effective in maintaining bone mass.
Combined HRT can be associated with a small increase in the risk of breast cancer. The increased risk is related to how long you take HRT, and it falls after you stop taking it. Because of the risk of breast cancer, it's especially important to attend all your breast cancer screening appointments if you're taking HRT.
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.
Alcohol like bourbon, wine, and beer contain phytoestrogens (estrogen-mimicking substances), which can raise your estrogen levels, worsening PCOS, endometriosis, and fibroid symptoms.
Some of the vitamins linked to better estrogen balance include vitamin D, the B complex, and vitamin C. Minerals such as calcium and boron may help protect against the effects of low estrogen, while some herbal supplements, including dong quai and black cohosh, are also known for their hormone-balancing effects.
Therefore, we conclude that postmenopausal women with coronary disease should be discouraged from using both HRT and high doses of vitamins C and E.
There is no specific age cut-off for starting HRT.
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.
When to stop taking HRT. Most women are able to stop taking HRT after their menopausal symptoms finish, which is usually two to five years after they start (but in some cases this can be longer). Gradually decreasing your HRT dose is usually recommended, rather than stopping suddenly.
Answer. Hormone therapy can be extremely beneficial for bone health purposes for women up to the age of 60 years, and in some circumstances women may continue hormone therapy after this age, depending on their general health, family history and bone density / history of fracture.