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Senior Resources » Should I Get Hormone Replacement Therapy?

Should I Get Hormone Replacement Therapy?

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Going through menopause? It can feel like your body is going rogue, especially with those pesky hot flashes and down-there dryness. If you’re like many other women out there, then you may be considering hormone replacement therapy, or HRT for short. It’s a way to replace the estrogen your body stops making after menopause, and it’s a game-changer for some women tackling these uncomfortable symptoms head-on.

Now, no magic pill is perfect, and HRT is no exception. There can be risks, depending on the type, dose, and how long you take it. That’s why it’s important to chat with your doctor to see if it’s the right fit for you, and to keep those check-ups going to make sure the benefits outweigh the risks.

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Here are some basics about HRT that you should know:

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Hormone replacement therapy (HRT) is a treatment used to address symptoms experienced by women during menopause.

  • Menopause: This is the natural stage in a woman’s life when her periods stop and her fertility ends. It typically occurs between the ages of 45 and 55. During menopause, a woman’s ovaries produce less estrogen.
  • Symptoms of Menopause: Reduced estrogen levels can cause a variety of symptoms, including hot flashes, night sweats, vaginal dryness, mood swings, and difficulty sleeping.
  • How HRT Works: HRT aims to replace the missing estrogen and sometimes progesterone (another female hormone) to alleviate these symptoms.

There are two main types of HRT:

  • Estrogen-only therapy: This is prescribed for women who have had a hysterectomy.
  • Combination therapy: This combines estrogen and progesterone and is typically used for women who still have their uterus. Progesterone helps to protect against certain cancers associated with estrogen use.

If You’re Considering Hormone Replacement Therapy, First Consider These Points

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  • Effectiveness: HRT is generally considered the most effective treatment for menopausal symptoms.
  • Benefits: Beyond symptom relief, HRT may offer some additional benefits like reducing the risk of osteoporosis.
  • Risks: There are also some potential risks associated with HRT, such as an increased risk of blood clots, stroke, and certain cancers, depending on the type and duration of use.
  • Consultation: It’s important to discuss the potential benefits and risks of hormone replacement therapy with a qualified healthcare professional to determine if it’s the right choice for you.
  • There are also non-hormonal options available for managing menopausal symptoms, such as lifestyle changes and certain medications.
  • The effectiveness and safety of hormone replacement therapy can depend on your individual health history and specific needs.

5 Reasons Why Some Women Choose Hormone Replacement Therapy

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Reduce Menopausal Symptoms

This is the most common reason women seek HRT. Menopause, marked by a decline in estrogen production, can bring on a variety of uncomfortable symptoms like hot flashes, night sweats, vaginal dryness, and sleep disturbances. HRT can significantly alleviate these symptoms by replenishing estrogen levels.

Improve Mood and Cognitive Function

Fluctuations in hormones can affect mood and brain function. Some women experience irritability, anxiety, and difficulty concentrating during menopause. HRT can help stabilize hormone levels and improve mood, memory, and overall cognitive function.

Boost Energy and Libido

Decreased estrogen levels can lead to fatigue and a diminished sex drive. HRT can help restore energy levels and improve libido.

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Strengthen Bones and Reduce Bone Loss

Estrogen plays a crucial role in maintaining bone health. After menopause, women are at an increased risk of osteoporosis, a condition that weakens bones and increases fracture risk. HRT can help prevent bone loss and reduce the risk of osteoporosis.

Manage Weight

Menopause can sometimes lead to weight gain due to hormonal changes and metabolic shifts. While HRT isn’t a weight loss solution, it may help regulate metabolism and support maintaining a healthy weight.

5 Reasons Why Women Don’t Choose Hormone Replacement Therapy

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Health Risks

While HRT can be beneficial, there are potential health risks to consider. These include an increased risk of blood clots, stroke, and certain cancers, like breast and endometrial cancer. The risks can vary depending on the type and duration of HRT use, as well as individual health factors.

Side Effects

Although it helps many women, HRT can cause side effects such as breast tenderness, bloating, headaches, and mood swings. These side effects might outweigh the benefits for some women, making them hesitant to try HRT.

Personal Preference

Some women may simply prefer to manage menopausal symptoms naturally through lifestyle changes. This could include getting regular exercise, eating a healthy diet, managing stress, and using natural remedies like herbal supplements.

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Medical Conditions

HRT may not be suitable for everyone. Certain health conditions, like a history of blood clots, breast cancer, or undiagnosed vaginal bleeding, can make HRT inadvisable.

Delivery Method

HRT comes in various forms like pills, patches, creams, and gels. Some women may find these methods inconvenient or uncomfortable, leading them to seek alternative solutions.

Should I Get Hormone Replacement Therapy?

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Ultimately, the decision to pursue HRT is a personal one. A woman, in consultation with her doctor, should weigh the potential benefits, risks, and individual preferences to determine the best course of action for managing menopause and its symptoms.

Understanding Hormone Replacement Therapy, by the Living to 100 Club

This Living to 100 Club podcast introduces our audience to Hormone Replacement Therapy. We discuss the use of all-natural hormones that ease the degenerative side effects of aging. Our guest, Dr. Greg Brannon, is the Founder and Medical Director of Optimal Bio. This company specializes in Bioidentical Hormone Replacement Therapy (BHRT). We learn how BHRT is different from the usual therapy with synthetic hormone replacement. BHRT uses hormones that are identical to hormones made by our body. Our guest explains how BHRT combats fatigue, osteoporosis, and headaches as well as the toxins that we are exposed to in our everyday environment. Dr. Brannon maintains these changes are attributable to decreasing levels of hormones, not to aging itself. How is this treatment applied and how frequently is it needed? And, most importantly, why is it so effective in the face of reduced rates of testosterone and estrogen in contemporary society? Be sure to tune in to this insightful conversation with a medical authority in hormone replacement therapy. 

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Originally published April 17, 2024

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