Hormone Replacement Therapy (HRT) is one of the most debated treatments for menopause symptoms.
Despite its proven benefits, misinformation often deters women from seeking the relief they deserve. In this blog, we separate myths from facts, providing clear, evidence-based insights to help you make informed decisions about HRT.
Understanding HRT
HRT involves supplementing the body with oestrogen and sometimes progesterone to counteract the decline in hormone levels during perimenopause and menopause. It can be administered in various forms, including tablets, patches, and gels. The primary aim is to alleviate menopause symptoms such as hot flushes, night sweats, mood swings, and vaginal dryness.
Myth 1: Hrt Increases The Risk Of Breast Cancer
Fact: The Link Is More Complex Than It Seems
One of the most common concerns about HRT is its association with breast cancer. While some studies suggest a slight increase in risk, particularly with long-term use of combined HRT (oestrogen and progesterone), the overall risk is relatively low. Additionally, lifestyle factors such as obesity and alcohol consumption can contribute more significantly to breast cancer risk than HRT alone. Oestrogen-only HRT, often prescribed to women who have had a hysterectomy, does not carry the same level of risk.
Myth 2: Hrt Causes Weight Gain
Fact: Menopause, Not Hrt, Is The Main Culprit
Many women experience weight gain during menopause, but Hormone Replacement Therapy is not the cause. Instead, hormonal fluctuations, a slowing metabolism, and lifestyle factors contribute to weight changes. In some cases, HRT can help maintain muscle mass and reduce fat accumulation by stabilising hormone levels.
Myth 3: Hrt Is Only For Severe Menopause Symptoms
Fact: Hrt Benefits A Wide Range Of Women
While HRT is effective for severe symptoms, it is also beneficial for women experiencing mild to moderate menopause-related issues. It can improve sleep quality, support bone health, and reduce the risk of osteoporosis and cardiovascular disease, making it a valuable option for many women, not just those with severe symptoms.
Myth 4: Natural Remedies Are Just As Effective As Hrt
Fact: Natural Treatments Have Limitations
Although lifestyle changes, herbal supplements, and alternative therapies can provide some relief, they are not as effective as HRT in managing menopause symptoms. Phytoestrogens (found in soy products) and black cohosh may help with mild symptoms, but they lack the robust scientific support that Hormone Replacement Therapy has for managing menopause comprehensively.
Myth 5: Hrt Increases The Risk Of Heart Disease
Fact: Hrt Can Have Cardiovascular Benefits
Contrary to outdated beliefs, recent research suggests that HRT may offer heart-protective benefits when started early in menopause (before the age of 60 or within ten years of menopause onset). HRT can help maintain blood vessel flexibility and reduce bad cholesterol levels, supporting overall cardiovascular health.
Myth 6: Once You Start Hrt, You Can Never Stop
Fact: Hrt Can Be Tailored To Individual Needs
Hormone Replacement Therapy is not a lifelong commitment. Treatment plans are personalised, with doctors and practitioners regularly reviewing a woman’s needs. Some women use HRT for a few years to manage symptoms, while others may continue longer under medical supervision. Gradually reducing HRT under guidance can help minimise withdrawal effects.
Conclusion: Making an Informed Decision
HRT is a safe and effective treatment for menopause when used appropriately and under the guidance of trained specialists. Separating myths from facts is crucial to ensuring women make informed decisions about their health. If you are considering HRT, consult the experts at The Menopause Clinic in Heywood to discuss your symptoms, medical history, and the best approach for you.