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Hormone Replacement Therapy - Who Is It Not Recommended For?

Written and reviewed by
Dr. Sagar Bumb 91% (38 ratings)
Gynaecologist, Pune  •  24 years experience
Hormone Replacement Therapy - Who Is It Not Recommended For?

HRT (otherwise called Hormone Replacement Therapy, menopausal hormone treatment, and estrogen substitution treatment) utilizes female hormones - estrogen and progesterone - to treat basic side effects of menopause and ageing. Specialists can prescribe it during or after menopause.

After your periods stop, your hormone levels falls, bringing on uncomfortable symptoms like hot flashes and vaginal dryness, and now and again conditions like osteoporosis. HRT replaces hormones in your body when it does not make them anymore. It is the best treatment for menopausal side effects. If you begin HRT when you are still having periods, or have recently completed periods, you will regularly be encouraged to utilize a 'repeating joined HRT' readiness.

The treatment is as follows:

  • You take estrogen consistently yet progestogen is included for fourteen days of every twenty-eight-day treatment cycle.
  • This causes consistent bleeding at regular intervals, like a light period. (They are not dangerous periods, as HRT does not bring about ovulation or reestablish ripeness.)
  • The progestogen causes the covering of your womb (uterus) to develop.
  • This is then shed as withdrawal bleeding starts like clockwork when the progestogen is stopped.
  • Monthly patterned HRT is typically recommended for women who have menopausal symptoms however are as yet having general periods.

You may change to a ceaseless consolidated HRT if:

  • You have been taking patterned consolidated HRT for no less than one year; or
  • It has been no less than one year since your last menstrual period.

Some of the risks of taking Hormone Replacement Therapy are as follows:
As of late, a few reviews demonstrated that women ‘going out on a limb’ and getting HRT have a higher danger of breast cancer, coronary illness, stroke, and blood clots. The review found that women who took the mix treatment had an expanded danger of coronary illness. The general dangers of long-term use exceeded the advantages according to the review.

However, from that time point onward, a modest bunch of studies in view of WHI (Women's Health Initiative) have concentrated on the sort of treatment, the way it is taken, and when treatment began. Those components can create diverse outcomes. One late review by the Fred Hutchinson Cancer Research Center uncovers that antidepressants offer advantage like low-dosage estrogen without the dangers.

HRT has certain symptoms. Call your specialist in case that you have any of these:

  1. Bloating
  2. Breast swelling or delicacy
  3. Headaches
  4. Mood swings
  5. Sickness
  6. Vaginal bleeding

There are certain types of people for whom this surgery is not recommended. These are people who have the following:

  1. Those suffering from blood clots
  2. Cancer (for example, bosom, uterine, or endometrial)
  3. Heart or liver sickness
  4. Heart attack
  5. Known or suspected pregnancy
  6. Stroke
  7. Cholesterol problems
  8. Low blood sugar
  9. Diabetes
  10. Tumors or suspected lumps

In case you have a concern or query you can always consult an expert & get answers to your questions!

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