Menopause affects every woman a bit differently, but few escape without a few bothersome symptoms and some suffer debilitating symptoms. For all women, the reduction of estradiol produced by the ovaries during reproductive years can significantly increase the risk of some serious, life-altering (sometimes life-ending) conditions such as heart attack, stroke, osteoporosis, depression, diabetes, and dementia. Much has been said about the use of MHT for symptom relief and to reduce long term poor health outcomes. But, is it right for you?
As with most things medical, you should talk with your doctor and make a plan that’s right for your situation. But there is some consensus from the evidence and professional associations:
Estrogen (with or without a progestogen, depending on if you have a uterus or not), can help with hot flashes, night sweats, vaginal dryness and itching, low mood, and low libido.
MHT is not indicated for prevention of dementia or prevention of cardiovascular disease.
MHT is not recommended for people with a history of breast cancer. There are other options and, as a last resort, your doctor can coordinate with your oncologist to make an informed decision about your specific risk.
MHT can be used to prevent osteoporosis if you are at risk, but not everyone is at increased risk. Ask your doctor.
If women have only vaginal dryness or discomfort with intercourse, the preferred treatments are low doses of vaginal estrogen, not MHT.
MHT significantly reduces risk of new onset Type 2 diabetes. Talk to your doctor about whether you have other risk factors.
And patient beware of any doctor who has a miracle/secret/cure/treatment that no one else knows about…pay attention to the major medical organizations and evidence-based research. If it seems too good to be true, it probably is!
Disclaimer - Information on this website is provided for informational purposes only. The information is a result of years of practical experience and formal training by the author. This information is not intended as a substitute for the advice provided by your physician or other healthcare professional or any information contained in any product label or packaging. Do not use the information on this website for diagnosing or treating a health problem or disease, or prescribing medication, or other treatment. Always speak with your physician or other health care professional before taking any medication or nutritional, herbal, or homeopathic supplement, or using any treatment for a health problem. If you have or suspect that you have a medical problem, contact your healthcare provider promptly. Do not disregard professional medical advice or delay in seeking professional advice because of something you have read on this website. Information provided on this website and the use of any products or services mentioned on this website by you do not create a doctor-patient relationship between you and any of the physicians affiliated with this website. Information and statements regarding dietary supplements have not been evaluated by the Food and Drug Administration and are not intended to diagnose, treat, cure, or prevent any disease.