All 10 women who had regular cycles ovulated before HRT use. Six still ovulated during HRT use. Among women with irregular cycles, 4 of the 10 women ovulated before HRT use. These findings reveal that HRT with the higher dose Prempak-C does not suppress ovulation and that an elevated FSH does not always indicate the absence of ovulation. They also show that neither age nor regularity of menstrual cycles can be used to predict the need for contraception in perimenopausal women using HRT.
Some of the most commonly experienced symptoms include hot flashes perhaps the most well-known symptom , night sweats, difficulty sleeping, mood swings, and frequent urination.
These are just some of the changes you may begin to experience when perimenopause begins and you transition into menopause. Following menopause, many of the more acute symptoms stop.
For example, the hot flashes cease once hormone levels reach their new balance. Your sleep cycle should also return to a more manageable schedule. However, the end of menopause brings new concerns. For example, post-menopause health concerns can include vaginal dryness, lowered libido, painful intercourse, urinary incontinence, dry skin, and an increased risk for both osteoporosis and heart disease. Post-menopause health concerns are a different subject.
They are inevitable and need to be managed accordingly with healthy lifestyle choices, especially when it comes to osteoporosis and heart disease. Sexual symptoms can also be managed with a variety of treatments. The symptoms of menopause itself, though, may be managed by hormone replacement therapy.
Because the symptoms of menopause are directly related to hormone levels like estrogen being depleted, it stands to reason that hormone replacement therapy may be the right solution for you.
This is a personal decision you need to make. Hormone replacement therapy can greatly shorten the duration of symptoms like hot flashes which can last for years on their own. A GP can give you advice to help you choose which type is best for you. You may need to try more than 1 type before you find 1 that works best. Find out more about the different types of HRT.
There's no limit on how long you can take HRT, but talk to a GP about how long they recommend you take the treatment. Most women stop taking it once their menopausal symptoms pass, which is usually after a few years. The risk is linked to all types of HRT except vaginal oestrogen. The increased risk of breast cancer falls after you stop taking HRT, but some increased risk remains for more than 10 years compared to women who have never used HRT.
Gradually decreasing your HRT dose is usually recommended because it's less likely to cause your symptoms to come back in the short term. Contact a GP if you have symptoms that persist for several months after you stop HRT, or if you have particularly severe symptoms. You may need to start HRT again. As with any medicine, HRT can cause side effects.
But these will usually pass within 3 months of starting treatment.
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