Menopause marks a natural stage in a woman’s life when the body’s hormone levels, particularly oestrogen, begin to decline. This change can cause a range of symptoms, including hot flushes, sleep changes, mood fluctuations, and dryness.
Menopausal Hormone Therapy, or MHT, sometimes referred to as Hormone Replacement Therapy (HRT), is a medical treatment used to help manage these symptoms. It works by restoring hormone levels to help the body adjust to changes during menopause.
Before starting MHT, it’s important to have a consultation with your doctor. They can determine whether this therapy is suitable for you and explain the potential benefits, risks, and alternatives.
Types of MHT
There are several types of MHT available, and the best option depends on your health history, age, and whether you have had a hysterectomy. Common forms include:
Oestrogen-only therapy – Suitable for women who have had a hysterectomy.
Combined oestrogen and progestogen therapy – Recommended for women who still have their uterus.
Vaginal oestrogen therapy – Focused on relieving local symptoms such as dryness.
Tibolone – A tablet that has oestrogen, progesterone, and testosterone-like effects.
Oestrogen with a SERM (Selective Oestrogen Receptor Modulator) – A newer option that provides targeted hormone activity in different body tissues.
Each therapy type has different uses and safety considerations. Your doctor will recommend the most appropriate one based on your symptoms and medical history.
Safety and Effectiveness
For most healthy women in their 50s or within 10 years of menopause, MHT is considered safe when prescribed and monitored by a qualified healthcare professional.
Potential side effects and risks vary depending on the type and dose of hormones used, and your personal health factors. Commonly discussed risks include blood clots, stroke, and breast cancer, though these are generally low in healthy women using MHT under medical supervision.
Patches and gels may carry a lower risk of blood clots than oral tablets. Your doctor can help minimise potential risks by choosing the most appropriate form and dose.
When MHT May Help
MHT may be recommended if you are experiencing:
Persistent hot flushes or night sweats
Vaginal dryness or discomfort
Sleep disturbances
Changes in mood or concentration
Bone density loss
Your doctor may also discuss non-hormonal options, lifestyle adjustments, or complementary therapies if MHT is not suitable.
Key Points
MHT is the most effective medical treatment for menopausal symptoms.
It should be started only under medical supervision.
Different types of MHT suit different health needs.
Most women can use MHT safely in their 50s or early post-menopause years.
The risks are generally small and can be reduced with the right formulation.
Next Steps
If you are struggling with menopausal symptoms, schedule an appointment with your healthcare provider. They can assess your situation, discuss all treatment options, and guide you through what’s safe and suitable for you.
Hamilton Skin Clinic provides consultations to help women better understand their options for maintaining skin health and confidence through all life stages.
