After menopause, hormone replacement therapy (HRT) is often prescribed to resupply the body with the hormones it no longer produces. Discuss this with your doctor. As with any medication, there are risks and benefits, and each woman should decide if HRT is the right choice for her.
If you’ve been on hormone replacement therapy (HRT) for a while to relieve menopause symptoms, you may be wondering, what now? Should you stop taking it? If so, when? And how do you go about it?
If you are healthy, most experts agree that HRT is safe to use at the lowest dose that helps for the shortest time needed. If you're 59 or older, or have been on hormones for 5 years, you should talk to your doctor about quitting.
Estrogen alone can increase the risk of endometrial or uterine cancer -- since it stimulates cell growth -- but progestin counteracts that risk. However, progestin and estrogen both have negative side effects like irregular bleeding, headaches, bloating, and breast swelling and pain. You may even develop an artificial monthly period, depending on the dosage you're on.
Estrogen may be used alone in women who have had a hysterectomy.
Recently, research on HRT through the Women's Health Initiative turned up some controversial findings: Heart attacks, strokes, blood clots, and breast cancer occurred more often in women taking combination HRT. Taking estrogen alone slightly increased the risk of stroke and blood clots and didn't appear to increase or decrease the risk of heart disease. No increased risk of breast cancer was found for those women on estrogen-only therapy.
Combination and estrogen-only HRT are still effective therapies for helping to prevent osteoporosis as well as for relieving menopausal symptoms such as hot flashes. While not appropriate for everyone, these treatments may still have their place for some women facing menopause or menopause-related issues.
Alternative Treatments for Menopause
As an alternative treatment for menopause symptoms of the vagina, your doctor may prescribe a vaginal estrogen cream to help stop the thinning of vaginal tissues and improve lubrication.
Your diet can also help you get through menopause:
Eat foods high in plant estrogens -- such as soy beans and soy milk. Some research suggests soy may ease symptoms such as hot flashes. Other research shows it is not beneficial. Nuts and seeds, fennel, celery, parsley, and flaxseed oil may also help.