Hormone replacement therapy in Menopause
Is it right for you?

Although 70 to 80 % of menopausal women experience symptoms, only 25% seek help. ⁣
⁣Late perimenopausal and recently menopausal women can experience: ⁣

  • Decreased sleep quality ⁣
  • Difficulty concentrating ⁣
  • Irritability ⁣
  • Reduced quality of life ⁣
  • Bone loss ⁣
  • Increased risk of CVD and cognitive changes ⁣
  • Vaginal dryness ⁣
  • Urinary urgency and frequency ⁣


Options for treatment: ⁣

  • Oral and transdermal estrogens ⁣
  • If patient has intact uterus progesterone should be used with estrogen ⁣
  • Ultra-low doses have been approved for prevention of osteoporosis ⁣
  • Transdermal administration (patch) is preferable for women with obesity, elevated triglycerides or low libido. ⁣

Duration of treatment: ⁣

  • There are conflicting recommendations depending on the medical society but in general: ⁣Discontinue in patients age 65 or older ⁣
  • If use long term reduce dose ⁣
  • Shortest duration for treatment goals ⁣


Candidates for treatment: ⁣

  • Age <60 ⁣
  • Within 10 years of menopause ⁣
  • Symptomatic ⁣


Contraindications: ⁣

  • History of stroke (personal) ⁣
  • History of Heart attack (personal) ⁣
  • High risk of breast cancer (self or first degree relative) ⁣

⁣If you are experiencing bothersome menopausal symptoms discuss with your physician, you should have your options discussed. ⁣