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Why should I take HRT?
Although the menopause is a natural life change, the symptoms can be debilitating. Dr Lesley Hickin looks at the benefits of hormone replacement therapy Some women view the onset of menopause as a blessed relief from periods and a new start in life, while others mourn the loss of their fertility. Whatever your point of view, there are symptoms associated with 'the change' that vary from slightly inconvenient to very troublesome emotional and physical problems. Some of these symptoms occur during the time leading up to periods stopping (the perimenopause), and some gradually appear as time goes on.
Oestrogen replacement in the form of pills, patches, implants, vaginal creams and pessaries can alleviate these immediate symptoms and delay the onset of others. If you have not had a hysterectomy to remove your uterus, you also need to take progestogen, another hormone. This is to prevent abnormal thickening of the lining of the uterus (endometrium) that can in turn lead to the development of cancer of the endometrium. The risk in the general population is 1 in 1,000 per year; if you take oestrogen alone your risk increases by fivefold. Taking progesterone as well prevents the increased risk.
Know the risks HRT can cause side effects and has been linked to an increased risk of other diseases, so you should carefully weigh up the risks and benefits of HRT with your health care professional (GP, gynaecologist or menopause clinic staff) before deciding to take it. There are many HRT preparations available now, so you should be prepared to try several before you find the one that suits you best.
How will it help me feel better? These are the most common symptoms of the menopause: Hot flushes and night sweats
Fatigue and mood swings
Vaginal dryness and reduced lubrication
Loss of libido (sex drive)
Thinning of the lining of the vagina causing discomfort during sex and bladder irritability Energy and self-confidence abounds! This is an excellent day to take on a mentally difficult project, broach a subject with someone you were too shy about before, ask for help or volunteer to help someone. Good luck! If you are working on a project in your home today, you could make some real progress through the afternoon. This could be anything from new flower beds to repairs on the roof. Spring cleaning and preparing for the summer seems to be the activities scheduled for the day. You enjoy decorating and creating good smells throughout your living area. You add a touch of class to wherever you are most days. Love is in full bloom this evening--it's a good time to fully demonstrate the depth of affections to loved ones.
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