Let’s dive deeper into HRT. I have no doubt you have questions. Lots of them. So here are some answers. If there are any questions you’d like answered, please, please, please let me know - send me an email (lornaorourke1@gmail.com) and I’ll add it to the list.
All of the following answers are based on current research and data. BUT remember, I’m not here to advise either way. You need to decide what’s best for you. I have so many amazing resources to recommend if you want to do some research for yourself…there’s a list at the end :)
Can I balance my hormones naturally?
As your hormones start to fluctuate during perimenopause, there are many lifestyle choices that can help minimise symptoms — such as improving sleep, reducing stress, eating well, and exercising regularly. However, as oestrogen, progesterone and testosterone decline, no natural method can replace them. This is where HRT (Hormone Replacement Therapy) comes in, as it restores these hormones to relieve symptoms and protect long-term health.
When should I start taking it
There’s no one size fits all approach. However recent research suggests that the earlier the better. So taking it when symptoms start to appear (even if you’re still having periods) can be beneficial. BUT there is no longer an upper age limit to taking it.
Is there a time limit to how long I can take it?
Not any more. You can continue as long as the benefits outweigh the risks. It’s important to be monitored regularly by a GP or medical professional but many women stay on it for decades.
I don’t have many symptoms. Is it still worth taking?
HRT can help symptoms but it’s also been shown to give you long term health protection. It reduces the risk of osteoporosis, heart disease, type 2 diabetes, dementia and many more chronic diseases.
What happens if I decide to stop taking it
Your body will simply return to the hormone levels it would have naturally been at for that stage of life. This may mean that symptoms return and protective benefits that the hormones gave you will stop.
Do I need to see a GP before starting HRT?
Yes. HRT is only available on prescription. To make sure you get the right care, I suggest keeping a track of symptoms over a couple of months and be prepared with medical history, medications and family history.
How long does it take to work?
Most people see improvement in around 16 weeks. However it can take a little while to get the dose correct and the balance of hormones right. It’s why it’s so important to find a health practitioner who understands menopause. It’s a journey you’ll both need to go on and support is everything. Regular appointments and tracking is essential. If improvements aren’t noticeable, the GP will be able to tweak your dose and work with you until it’s right. There is no one size fits all and you’ll be started on the lowest possible dose first.
Does HRT delay menopause?
No. HRT helps treat the symptoms but doesn’t delay the timing of the transition itself. If you take HRT during perimenopause, menopause will still happen at the time it would have done without it.
Is HRT safe?
It always comes down to the question: ‘do the benefits outweigh the risks?’ For most people, the answer is yes. For most people HRT will ease symptoms AND protect future health. BUT risk will depend on you as an individual. It’s why finding a GP you like and trust is so important.
Can I take HRT if I’ve had breast cancer?
It depends on several factors including the type of breast cancer you’ve had. This is a decision to be made in close consultation with your oncologist and menopause specialist.
How do I find a GP that specialises in menopause?
Ask! Most GP’s list their areas of expertise on their website but you can also phone and ask a clinic if you aren’t sure. You can also see if there are any local GP’s listed on the Australasian Menopause Society directory. I’m going to try and build up a network of local practitioners so feel free to ask me as well.
Great sources of information if you want to continue your own research:
Doctor Louise Newson - a UK based physician, hormone specialist and author. Her podcast covers a range of subjects
Davina McCall / Dr Naomi Potter - UK celebrity who has been recognised for her work with bringing menopause into the spotlight. Check out her book - ‘Menopausing: the positive roadmap to your second spring’ and her documentary
Zoe: Science and Nutrition Podcast - covers a range of health topics but several on menopause
