Menopause and Hormone Replacement Therapy: Separating Fact from Fiction
Hormone replacement therapy (HRT) is one of the most discussed (and most misunderstood) topics in women’s health. For many women navigating menopause, it can be genuinely life-changing. Yet misconceptions continue to prevent women from accessing treatment that may significantly improve their quality of life.
What Is Menopause?
Menopause is defined as 12 consecutive months without a menstrual period, typically occurring between the ages of 45 and 55. The transition leading up to this (perimenopause) can begin years earlier and is often when symptoms are most disruptive. Common symptoms include hot flushes, night sweats, sleep disturbance, mood changes, vaginal dryness, and brain fog.
What Is HRT?
HRT replaces the oestrogen (and in some cases progesterone) that the body produces in decreasing amounts during menopause. It is the most effective treatment available for menopausal symptoms and also offers protective benefits for bone density.
Is HRT Safe?
This is where the confusion often lies. Earlier studies raised concerns about breast cancer risk, which led to widespread avoidance of HRT. However, subsequent research and updated guidelines have provided important clarity. For most healthy women under 60, or within 10 years of their last period, the benefits of HRT outweigh the risks. The type of HRT, the route of administration, and individual health history all influence the risk profile.
Is HRT Right for Me?
HRT is not appropriate for everyone, but many women who could benefit are not offered it or are discouraged from pursuing it. A thorough conversation with your gynaecologist: taking into account your symptoms, personal health history, and preferences, is the best way to make an informed decision.
To discuss menopause management with Dr. van der Griend, call (02) 9966 5500 or visit drvandergriend.com.au.
