Hormone replacement therapy has been a bit controversial – and understandably so: early studies suggested a link between HRT and cancer, causing women to have many fears around menopause treatment. We address those fears and alternatives to consider.
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The conversation around hormone replacement therapy (HRT) for menopausal women can be confusing and scary. Concerns around safety, especially regarding breast cancer risk, influence the way women approach treatment. However, experts say understanding the latest research can help women make more informed decisions.
Why HRT still plays an important role
Much of the fears about HRT stem from the early 2000s, when findings from the Women’s Health Initiative suggested a link between HRT and raised risk of breast cancer. However, since then, the data has been reassessed and experts say that the risks were widely misunderstood.
‘HRT remains the most effective treatment for many menopause symptoms, including hot flushes, night sweats and vaginal dryness,’ explains menopause specialist Louise Newson. HRT replaces declining hormones and can significantly improve quality of life for those who have severe symptoms.
Modern evidence shows that for most healthy women under 60, or within 10 years of menopause, the benefits of HRT often outweigh the risks.
Different options are available
What every woman needs to understand is that HRT is not a one-size-fits-all treatment. There are many forms available: tablets, skin patches, gels and sprays can all deliver hormones. The key is tailoring your treatment to your unique medical history and symptoms.
This flexibility reduces certain risks and side effects, and your treatment is then personalised, which is important to know.
Alternatives to consider
Of course, it’s every woman’s right to not use hormones. Some are even advised not to. For these women, there are options that can ease symptoms.
- Lifestyle adjustments can make a huge difference. Regular exercise, particularly strength training and yoga, can support bone health, sleep and mood. To help with hot flushes, reduce alcohol and caffeine.
- Medical alternatives that can lessen hot flushes include some low-dose antidepressants and blood pressure medication. Cognitive Behavioural Therapy (CBT) is recommended to treat sleep disruption and anxiety linked to menopause.
- Herbal remedies options include black cohosh and soy isoflavones, although evidence varies. It’s best to consult a health care provider.
The bottom line
The fears around HRT are understandable. So take a proactive approach: read articles about menopause treatments as information regularly gets updated. Speak to a healthcare professional who can help you weigh up the risks and benefits so you can find a treatment that works for you. You can still – and should – have quality of life in midlife.
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Featured image: Freepik
