Welcome to MedCare Health Clinic, where your journey to understanding and managing Menopause and HRT treatment begins with personalised care and guidance.
Menopause and its preceding phase, perimenopause, are natural parts of the ageing process for women. As oestrogen levels decline, women stop having menstrual periods and can no longer conceive naturally. This shift can lead to a range of symptoms that can significantly affect daily life.
Understanding Menopause and Perimenopause
• Menopause: A time when a woman’s menstrual periods cease, and she can’t conceive naturally. Defined after 12 months without a menstrual period.
• Perimenopause: The transitional period leading up to menopause where symptoms begin due to fluctuating hormone levels.
Symptoms
Symptoms can include:
• Hot flushes
• Night sweats
• Mood changes
• Memory or concentration issues
• Reduced libido
• Vaginal dryness
Hormone Replacement Therapy (HRT) Overview
HRT offers relief by replenishing the body’s declining hormones. It’s available in various forms:
1. Oestrogen-only HRT: Primarily for women who have undergone a hysterectomy and therefore don’t require progestogen.
2. Combined HRT: Combines oestrogen and progestogen. Can be:
• Continuous (daily intake without breaks)
• Sequential (varying hormone combinations over the month)
Considering HRT
If you are between 45-65, have missed periods for a year, or believe you are perimenopausal, HRT may benefit you. To determine your eligibility:
1. Online Menopause Test: Order a home test kit to ascertain your menopausal status. It’s simple: take a pin-prick blood sample and send it to our lab. However, avoid this test if on hormonal contraception or already on HRT.
2. Consultation: Discuss your symptoms and concerns with your GP or a specialist to decide on the best HRT treatment.
HRT Treatment Forms
1. Tablets: Daily pills offering relief from menopausal symptoms and potential long-term benefits like reduced osteoporosis risk.
2. Patches: Applied below the waist weekly or bi-weekly.
3. Local HRT (Vaginal oestrogen): Creams, tablets, rings, or pessaries that target specific symptoms like vaginal dryness. They don’t carry the same risks as other HRT forms.
Is HRT Suitable For You?
HRT has shown efficacy in treating menopausal symptoms and improving life quality. However, its association with certain health risks requires consideration. HRT might not be suitable if you:
• Have certain cancers (breast, ovarian, womb)
• Have a history of blood clots or untreated high blood pressure
• Have liver diseases
• Are pregnant
For those who can’t or choose not to use HRT, alternatives include:
• Lifestyle modifications
• Herbal remedies (effectiveness and safety not clearly established)
HRT Side Effects and Risks
While many women benefit from HRT, side effects are possible, including:
• Headaches
• Nausea
• Breast tenderness
• Indigestion
• Increased risk of certain cancers and blood clots
Always consult with healthcare professionals about potential risks and benefits.
Understanding Menopause Further
• Causes: Menopause arises when the ovaries no longer release monthly eggs, leading to decreased oestrogen levels.
• Age of Onset: Menopause typically starts around 51 in the UK. However, perimenopausal symptoms can commence earlier.
• Duration: Symptoms usually persist for around 4 years post the last period, though this can vary.
Final Thoughts: Menopause is a significant phase in a woman’s life. Whether you opt for HRT or other methods, the key is to find what helps you best manage this transition, ensuring your well-being and quality of life.
[Note: Always consult with healthcare professionals for individual advice and treatment options.]