HRT treatments either involve taking only oestrogen hormone HRT or oestrogen and progestogen both (Combined HRT). The common type amongst the two is the combined HRT. This reduces the chances of womb cancer.
There are different types of hormone replacement therapies. The one that is most suitable for you will be decided by a doctor. This will be based on the main symptoms you are dealing with and your current circumstances.
There are many ways of taking the HRT. However, each has its own benefits and side effects.
Tablet is the most common and the easiest way associated with hormone replacement therapy. Tablets for both oestrogen-only and combined HRT are available. The course is taken once daily. However, the chances of blood clot increase with tablets.
A skin patch is also another common method. You can stick the patch on your skin and replace them as recommended by the doctor. Patches for both oestrogen-only and combined HRT are available. If you find it difficult to take a tablet every day, patches could be a good replacement.
The gel is applied to the skin every day. However, with this gel, you would also need a supplement of progestogen assuming you still have your womb in place.
Small pellet-like implants are inserted under your skin around the stomach area. They release oestrogen with time. The implants can stay for several months. For people who do not wish to remember every day dose, this is a convenient option. But you would also need a supplement of progestogen assuming you still have your womb in place. However, this is not a very common way used.
Vaginal oestrogen is placed inside the vagina in different forms: cream, ring, or pessary. This also reduces the vaginal dryness caused due to HRT. Vaginal oestrogen can be taken without supplementing it with progestogen even if you have the womb in place.
There are different types of HRT treatments. A doctor can decide the best for you based on your symptoms of menopause. There can be sequential HRT or continuous HRT.
Sequential HRT is also known as cyclical HRT. This is usually recommended for women who are in their early stages of menopause. They have menopause symptoms but also have their periods. There are two types of cyclical HRT: Monthly HRT and Three-Monthly HRT.
Monthly HRT is recommended for women with regular periods. In this therapy, you take oestrogen every day including progestogen for the last 14 days of your menstrual cycle.
Three-Monthly HRT is recommended for women with irregular periods. In this therapy, you take oestrogen every day including progestogen for around 14 days every three months. This therapy helps to maintain regular periods. Hence, you can analyse menopause better.
Continuous HRT is usually recommended for women who are post-menopausal. This indicates those women who have not had their periods for about a year. In continuous HRT you have to take oestrogen and progestogen once daily without any breaks.
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