During menopause, levels of the hormones estrogen and progesterone decrease in a woman’s body. In some women, these hormonal changes can lead to symptoms that affect everyday quality of life.
One of the options that can be used to manage symptoms such as hot flashes, night sweats, sleep problems and vaginal dryness is a treatment known as hormone replacement therapy (HRT). Hormone therapy is not necessary for every woman, and the decision to treat should be made after an individual evaluation.
Op. Dr. Pınar Erkan, Obstetrician and Gynecologist at İzmir Özel Can Hastanesi, shared important information about hormone therapy in menopause.
What Is Hormone Therapy (HRT)?
Hormone replacement therapy is a treatment approach that aims, in certain situations, to replace the hormones that decline with menopause.
Treatment may use
- estrogen,
- progesterone,
- or combinations of these hormones
depending on the case.
The method of administration may vary according to the person’s health status. Tablets, skin patches, gels, creams or vaginal preparations may be used.
For Which Menopausal Symptoms Can Hormone Therapy Be Considered?
Hormone therapy may be considered especially for menopausal symptoms that affect quality of life.
These symptoms may include:
- frequent and severe hot flashes,
- night sweats,
- sleep problems,
- vaginal dryness,
- discomfort during sexual intercourse,
- mood changes,
- low energy
among others.
The severity of the symptoms and the person’s general health are important in treatment planning.
What Are the Possible Benefits of Hormone Therapy in Menopause?
In suitable patients, hormone therapy can help relieve certain menopausal symptoms.
In particular, studies have reported effects such as
- fewer hot flashes,
- milder night sweats,
- improved sleep quality,
- reduced symptoms of vaginal dryness,
- helping to reduce the risk of bone loss
and similar improvements.
However, these benefits may not be seen in the same way in every individual.
Does Hormone Therapy in Menopause Have Risks?
As with any medical treatment, hormone therapy also carries certain risks.
As with any medical treatment, hormone therapy also carries certain risks.
The risks may vary depending on many factors, such as
- the person’s age,
- the time elapsed since menopause,
- existing health problems,
- family history,
- the type of treatment used
and others.
In some people,
- blood clotting problems,
- stroke risk,
- changes in the risks associated with certain types of cancer
may need to be considered. For this reason, the decision to treat must always be made by a specialist.
Who Can Be Considered for Hormone Therapy in Menopause?
Hormone therapy may not be suitable for every woman in menopause.
In particular, a doctor may carry out an evaluation for
- women with moderate or severe menopausal symptoms,
- women diagnosed with early menopause,
- in some cases, women at risk in terms of bone health
to determine whether treatment is appropriate.
Whether the treatment is suitable is determined according to the individual’s health status.
Why Is Evaluation Important Before Hormone Therapy?
Before treatment is planned, the person’s general health should be evaluated in detail.
This evaluation takes many elements into account, such as
- a gynecological examination,
- a breast health assessment,
- blood pressure measurement,
- metabolic risk factors,
- family history
and more.
Regular women’s health assessments and appropriate check-up programs can help ensure that treatment is carried out safely.
Is Hormone Therapy Used for the Same Length of Time in Every Woman?
No. The duration of treatment can vary from person to person.
Specialists generally aim to determine the lowest effective dose and an appropriate treatment duration for each person. Regular check-ups during treatment are important.
Frequently Asked Questions
Does hormone therapy completely eliminate menopausal symptoms?
The effect of treatment can vary from person to person. Some women may experience a marked reduction in symptoms.
Does hormone therapy in menopause cause weight gain?
Weight changes can be influenced by many factors. An individual evaluation should be made on this matter.
Does hormone therapy support bone health?
In some people, it may help reduce the risk of bone loss.
Is hormone therapy suitable for everyone?
No. The decision to treat should be made by evaluating the person’s medical history and current risk factors.
Which department should you see for hormone therapy?
Obstetrics and gynecology specialists can help evaluate the menopausal transition and determine suitable treatment options.
The information on our website is not intended to direct individuals to any treatment. Do not take any diagnostic or treatment steps without consulting your doctor. The content does not contain information about İzmir Can Hastanesi's therapeutic healthcare services.
