What is HRT for women?

Hormone replacement therapy (HRT) is a treatment modality for women approaching or experiencing menopause. Menopause is a natural, biological process in a woman’s life which marks the end of her reproductive years between the ages of 45 and 55, but it could happen earlier or later.

As a woman transitions through her menopause, she may experience a wide range of symptoms due to reduced hormone levels. While some women experience very mild symptoms, others may experience rather unpleasant symptoms that may affect their daily routine. HRT supplements these women with hormones that are lost during this phase to help ease them into the next stage of their lives.

What are the types of HRT?

• Oestrogen-only HRT: Oestrogen-only HRT is usually recommended for women who have had their uterus (wombs) removed.It is available as a pill, patch, cream or spray.
• Combined oestrogen-progesterone: This option is usually recommended for menopausal women with a uterus for relief of menopausal symptoms. Progestogens are added to reduce the risk of uterine cancer. Combined HRT comes in several variations. It is available as combination tablets, separate oestrogen and progestogen tablets, patches, and oestrogen therapy with an intrauterine progestin.

What are the signs that you need hormone replacement?

If you are experiencing bothersome menopause symptoms, consider discussing hormone replacement therapy (HRT) with your doctor. Symptoms of menopause include hot flashes, night sweats, sleep disturbance, weight gain, reduced interest or pain during intercourse, and urinary incontinence.

You have the choice to decide whether to start HRT and when to initiate treatment, regardless of the severity of your symptoms or the cessation of your periods.

Your doctor will provide information about HRT’s advantages and potential risks and assist you in making an informed decision.

For individuals undergoing early or premature menopause (before 40 or 45 years old, respectively), it is particularly crucial to consider either HRT or the combined pill. These treatments elevate estrogen levels, which can help safeguard against conditions like osteoporosis.

Typically, you will be encouraged to continue HRT until at least the age of 51.

What are the benefits of taking HRT?

Patients approaching or experiencing menopause face various issues due to the reduced levels of hormones in their bloodstream. HRT helps mitigate these effects by acting as an external source of these hormones.

Menopausal symptoms such as hot flashes and night sweats can be mentally and physically draining for some, if not most. HRT has been shown to relieve these symptoms, thus improving the quality of life of the women affected.

What are the side effects of taking HRT?

The side effects of HRT vary from patient to patient, ranging from no or mild effects to severe side effects. The side effects also depend on the type of HRT being used.

Common side effects associated with HRT are:

• Headache
• Breast pain
• Vaginal spotting/bleeding
• Mood changes
• Fluid retention

Who should avoid HRT?

HRT is contraindicated in women with past or current history of:

• Breast or endometrial cancer
• Blood clots (especially in the lungs, eyes, deep veins)
• Heart attack
• Stroke
• Liver disease
• Pregnancy

Make an appointment at Pantai Hospitals

A dedicated and expert team of obstetricians and gynaecologists at Pantai Hospital is available for consultation to provide the best care and assistance. Get in touch with us to book an appointment today if you have any concerns or questions regarding your reproductive health.

Please contact the Health Screening Centre at your nearest Pantai Hospital for health screening appointments.

Pantai Hospital has been accredited by the Malaysian Society for Quality in Health (MSQH) for its commitment to patient safety and service quality.