The role of hormone replacement therapy in the treatment of menopause

Menopause is a natural stage of life that involves significant hormonal changes. Although these changes are organic, the symptoms can significantly affect the quality of life of many women. Hormone replacement therapy (HRT) is one of the most effective treatments for relieving unpleasant symptoms. In our article, we will review in detail what you should know about this therapeutic option.

What do you need to know about hormone replacement therapy?

The essence of HRT is to replace the decreased levels of estrogen and progesterone in the body. According to the 2022 North American Menopause Society recommendations, the main goals of treatment are to relieve bothersome symptoms and prevent long-term complications. The most favorable results are achieved if therapy is started within 10 years after the last menstruation and before the age of 60.

Benefits of HRT:

• Significantly reduces the frequency and intensity of hot flashes.
• It has a beneficial effect on vaginal dryness and sexual problems.
• It helps in treating sleep disorders.
• Protects bones against osteoporosis (bone thinning).
• Reduces the risk of urogenital infections.

Contact us with confidence and book an appointment for our menopause specialist!

 These absolute risks are minimal when treatment is started during early menopause.

Hormone replacement therapy can be used in several forms:

• Tablet
• Patch
• gel
• Vaginal ring
• Sprays

The method of administration and dosage should always be determined individually, taking into account symptoms, risk factors and personal preferences.

The role of testosterone

During menopause, it's not just estrogen and progesterone levels that change. Testosterone levels also affect a woman's sexual desire and general well-being. Testosterone replacement is not part of the standard HRT protocol.

Non-hormonal alternatives

 For those who are contraindicated or do not wish to use HRT, there are several non-hormonal options available:

• SSRI/SNRI antidepressants
• Gabapentin
• Fezolinetant (NK3R antagonist)
• Clonidine – for mild hot flashes
• Oxybutynin

In addition, lifestyle changes can also help, which we wrote about in more detail earlier. in our article.

• Regular exercise
• Stress management
• Adequate sleep quality
• Balanced diet

Hormone replacement therapy is an effective treatment for the symptoms of menopause, but it requires careful medical consultation before use. Treatment should always be individualized, taking into account the benefits and risks. Non-hormonal alternatives and lifestyle changes can also play an important role in managing symptoms.

If you are also interested in the possibility of hormone replacement therapy, please contact the specialist at Körúti Medical Center, who will help you find the most suitable treatment method for you.

Would you like to know more about this topic? 

Subscribe to our newsletter to be the first to learn about menopause!