Hormone replacement therapy (HRT) involves taking estrogen, progesterone, or both to treat symptoms caused by low hormone levels. HRT can provide relief from symptoms like hot flashes, vaginal dryness, and sleep disturbances for those going through perimenopause or menopause.
However, HRT is not suitable for every individual. There are certain health risks and side effects associated with HRT that need to be considered before starting treatment. Some of the key factors that determine if someone is a good candidate for HRT include:
- Age - HRT is generally only recommended for women under the age of 60 or within 10 years of menopause onset. The risks tend to outweigh the benefits for older women.
- Menopause status - HRT is most beneficial for perimenopausal and early menopausal women dealing with hormonal imbalance. Those who are many years postmenopausal may not have the same results.
- Risk factors - Women with a history or higher risk of blood clots, heart disease, stroke, breast cancer, and endometrial cancer are often advised to avoid HRT, or at least use it very cautiously under supervision. The extra estrogen can further elevate risks.
At Renew Hormone Center, our experienced physicians conduct thorough assessments to determine if hormones are appropriate for your unique health profile and lifestyle. We offer customized bioidentical HRT plans to restore optimal hormone balance with minimal risks.
Some key considerations in assessing suitability for HRT:
Symptom severity
- Mild symptoms - Lifestyle changes may provide adequate relief without medication
- Moderate to severe symptoms - HRT may be warranted after risk assessment
Health history
- Previous hormone-sensitive cancers - contraindication for traditional HRT
- Blood clot risks - increased with addition of estrogen
Age and time since menopause
- HRT not recommended for women >60 years old or >10 years postmenopause due to increased health risks
Options for relief
- Non-hormonal medications and therapies
- Bioidentical hormones - customized to match natural hormones more closely
Goals and expected benefits
- Relief of acute menopause symptoms
- Protect long-term health (bone, brain, heart health)
Ongoing health monitoring
- Physical exam, blood work to ensure safety and adjust treatment as needed
In summary, while HRT can be incredibly beneficial for many women dealing with perimenopause and menopause, it does carry risks. *A comprehensive evaluation of your health, risk factors, and treatment goals is vital to determine if HRT is right for you as an individual. Non-hormonal approaches may also be effective options in many cases. If hormones are appropriate, working with an experienced clinician for proper dosing, forms of hormones, and ongoing monitoring can help optimize your experience and safety.
