At what age might I need this?
Patients most commonly experience menopause symptoms from the age of about 45. Some women experience an early menopause (40-45y) or Premature Ovarian Insufficiency (under 40y).
Are there any side effects?
There can be effects of having too much or too little HRT. Sometimes it isn’t possible to resolve all symptoms with HRT alone but with the addition of lifestyle changes and good diet, an overall improvement is usually seen. Improvements to lifestyle are strongly advocated by the clinic.
Adverse reaction may include bloating, breakthrough bleeding, breast swelling and
tenderness, fluid retention, nausea, headaches, leg cramps, dyspepsia.
May cause sedation, in view of this it is recommended to coordinate dosing with sleep cycle. Adverse reactions may include bloating, migraine, breakthrough bleeding, missed menstruation, breast swelling and tenderness, fluid retention, sedation and depression.
Side effects can include acne, hair growth on face and body but reduced on the scalp, change in libido, clitoris enlargement, voice changes and water retention.
If using gels or creams then irritation to the skin where it is applied can occur.
The consultation process includes assessment regarding the risks and benefits of hormone replacement for you as an individual in relation to your medical history as a whole. The decision to use HRT has to be made on a person to person basis, taking into account any baseline risk factors for breast cancer that may include non-modifiable genetic predispositions and modifiable lifestyle factors.
Further onward referral can be made if the decision to use HRT is more complex, for example in those who have a history of breast cancer and who have decided that they would like to go ahead with HRT.
Dr Davis is able to provide counselling and support regarding the options available for your unique experience of the menopause transition.