Forms of Hormonal Therapy
Local therapy which includes creams, pessaries, and rings; systemic therapy in the form of oral drugs, transdermal patches, gels, and implants. Women who do not have womb take combined estrogen and progesterone hormones in the form of pills.
Effect of Menopause and How Hormone Replacement Therapy Helps
Menopause affects urogenital system causing atrophy of mucosal lining of urethra, vagina, and vulva leading to dryness and reduced vaginal secretions. It affects bones in which metabolism takes place causing progressive bone loss. It increases the risk of heart disease. By starting with hormone replacement therapy, most of the menopausal symptoms gets relieved like hot flushes, irregular menses, night sweats, mood swings, loss of libido, osteoporosis. It is believed that women who start hormone replacement therapy may develop cancer in future, but still, research is going on.
Who should go for it?
Guidelines for Menopausal Women Receiving Hormone Replacement Therapy
Can Hormone Replacement Therapy be given to Older Women?
Yes. Women who had menopause 10-15 years back can go for hormone replacement therapy, but the benefit is quite less compared to younger age group. Possible risk of heart disease and cancer should be kept in mind before prescribing it to older women.
Risk/Side-effects of Hormone Replacement Therapy
Combination hormone replacement therapy regime is given by using lower doses of estrogen and progestin.