What About Hormone Replacement Therapy

These days you hear a lot about whether you should use hormones to help relieve some menopause symptoms. It’s hard to know what to do.

During perimenopause, some doctors suggest birth control pills to help with very heavy, frequent, or unpredictable menstrual periods. These pills might also help with symptoms like hot flashes, as well as prevent pregnancy.

As you get closer to menopause, you might be bothered more by symptoms like hot flashes, night sweats, or vaginal dryness. Your doctor might then suggest taking estrogen (as well as progesterone, if you still have a uterus). This is known as menopausal hormone therapy (MHT). Some people still call it hormone replacement therapy or HRT. Taking these hormones will probably help with menopause symptoms and prevent the bone loss that can happen at menopause. However, there is a chance your symptoms will come back when you stop MHT.

Also, menopausal hormone therapy has risks. That is why the U.S. Food and Drug Administration suggests that women who want to try MHT to manage their hot flashes or vaginal dryness use the lowest dose that works for the shortest time it’s needed. Right now, there is a lot that is unknown about taking hormones around menopause.

Do Phytoestrogens Help?

Phytoestrogens are estrogen-like substances found in some cereals, vegetables, legumes (beans), and herbs. They might work in the body like a weak form of estrogen. They might relieve some symptoms of menopause, but they could also carry risks like estrogen. We don’t know. Be sure to tell your doctor if you decide to try eating a lot more foods that contain phytoestrogens or to try using an herbal supplement. Any food or over-the-counter product that you use for its drug-like effects could change how other prescribed drugs work or cause an overdose.

How Do I Decide What to Do?

Talk to your health care provider for help deciding how to best manage menopause. You can see a gynecologist, geriatrician, general practitioner, or internist. Talk about your symptoms and whether they bother you. Make sure the doctor knows your medical history and your family medical history. This includes whether you are at risk for heart disease, osteoporosis, and breast cancer. Remember that your decision is never final. You can—and should—review it with your doctor during a checkup. Your needs may change, and so might what we know about menopause.

A hundred years ago life expectancy was a lot shorter. Reaching menopause then often meant that a woman’s life was nearing its end. Not so now. Women are living much longer. Today, a woman turning 50 can expect to live, on average, almost 32 more years. You have the time and freedom to make them active, busy years. Follow a healthy life- style and plan to make the most of those years ahead of you!

This is an excerpt provided by National Institutes of Health, NIA.

This information is provided for your information. It is not medical advice and should not be relied upon as a substitute for visiting your doctor. If you need medical care, or have any questions, please contact your obstetrician-gynecologist.