Hormone Replacement Therapy (HRT)

Hormone replacement therapy (HRT) is a treatment used to relieve symptoms of menopause by replacing hormones that naturally decline with age. It helps manage symptoms such as hot flushes, mood changes, and osteoporosis. If you’ve been prescribed HRT, here’s what you need to know.

What is HRT?

HRT is a treatment that replaces oestrogen, progesterone, or both hormones to relieve menopausal symptoms and maintain bone health.

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How does HRT work?

HRT supplements declining hormone levels, helping to balance oestrogen and progesterone in the body. This reduces menopause symptoms and lowers the risk of osteoporosis.

What is HRT used to treat?

HRT is commonly prescribed for:

  • Menopause symptoms (such as hot flushes, night sweats, mood swings, and vaginal dryness)
  • Preventing osteoporosis (reducing bone loss after menopause)
  • Surgical menopause (after ovary removal)
  • Early menopause or primary ovarian insufficiency (to maintain hormone levels)

Who can take HRT?

HRT is suitable for most women going through menopause, as prescribed by a doctor.

Who might not be able to take HRT?

HRT may not be suitable if you:

  • Have a history of breast cancer or hormone-sensitive cancers
  • Have a history of blood clots (deep vein thrombosis or pulmonary embolism)
  • Have uncontrolled high blood pressure
  • Have liver disease

Can I take HRT if I’m pregnant or breastfeeding?

HRT is not suitable during pregnancy or breastfeeding, as it is specifically designed for menopause management.

What if I miss a dose?

If you forget a dose, take it as soon as you remember. If it’s close to your next dose, skip the missed one—do not take extra to make up for it.

How effective is HRT?

HRT is highly effective at relieving menopause symptoms and protecting bone health when taken as prescribed.

What should I do if I take too much?

Taking too much HRT may cause nausea, bloating, or irregular bleeding. If symptoms persist, seek medical advice.

What dose of HRT is usually taken?

  • For oestrogen-only HRT: Low to standard doses daily
  • For combined HRT (oestrogen and progesterone): Cyclic or continuous regimens depending on individual needs

Your doctor will determine the correct type and dose based on your symptoms and medical history.

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What are the side effects of HRT?

Common side effects include:

  • Breast tenderness
  • Bloating or nausea
  • Headache
  • Mood changes

Serious side effects, such as blood clots, severe headaches, or unusual bleeding, require urgent medical attention.

How should I take HRT?

HRT is available as tablets, patches, gels, vaginal creams, and implants. Follow your doctor’s instructions carefully.

When should HRT be taken?

HRT should be taken at the same time each day, depending on the prescribed method.

What are the brand names for HRT?

HRT is available as a generic treatment, but some branded versions include:

  • Elleste
  • Estradot
  • Evorel
  • Femoston

Final thoughts

HRT is an effective treatment for menopause symptoms and osteoporosis prevention, but it should be taken exactly as prescribed. Regular check-ups may be needed to monitor its effects. If side effects occur, speak to your doctor or pharmacist.

Always consult a medical professional
This article is for informational purposes only and is not a substitute for medical advice. Always consult a healthcare professional before starting, stopping or changing any medication. If you have concerns about your medication or experience side effects, speak to your doctor or pharmacist immediately.

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