hormone therapy (MHT), is a medicine containing the hormones that a woman's body ceases
manufacturing after menopause. HRT is used to treat menopausal symptoms. The various types of
hormone replacement therapy include Tablets, skin patches, implants, estrogen gel, vaginal estrogen,
testosterone and combinations of these. Hormone Replacement Therapy is primarily used in post
menopausal women but may be used in pre menopausal women. Contents Introduction Menopause is
the time when the ovaries stop producing eggs and are no longer producing estrogen. Estrogen is a
hormone that regulates many functions of the body and is also very essential to prevent osteoporosis.
This is an irreversible change and the woman's body undergoes a transition into the postmenopausal
stage. Menopause occurs at about age 50 and may occur at age 45 also if the woman has had her
ovaries removed due to cancer. The menopause is accompanied by a number of physical changes that
include hot flashes, insomnia, and mood changes. It is recommended that HRT be started between the
ages of 40 to 45 and continued for five to ten years. In the first five to six years it may be necessary to
give two to three tablets a day. In the later years it may be necessary to give one tablet once a day. The
benefits of HRT can vary from person to person and what is needed at one time may not be needed at
another. An individualised approach is needed for best treatment of symptoms. When to take HRT?
When should one take HRT? It is recommended that HRT be started between the ages of 40 to 45 and
continued for five to ten years. Hormone replacement therapy is not a cure for the menopause and
cannot prevent menopause or treat the many problems that result from it. If you are planning to have
children in the future, you should avoid HRT in the years before you conceive because it can cause fetal
abnormalities. It can also reduce a woman's chances of becoming pregnant after the menopause. It is
suggested that when a woman wants to delay menopause or can't use HT due to certain health
conditions, she may be better off with a selective estrogen receptor modulator (SERM) for a few years.
Women with a uterus should not take HRT when they are pregnant. When women are pregnant, the
benefits of HT may be outweighed by the possibility of possible risks to the baby. In post-menopausal
women who have had a hysterectomy the risks of side effects to the uterus can be low. However, HRT
should not be started until the ovaries have stopped producing the hormone estrogen. How does it
work? The hormone replacement therapy mimics the actions of the female sex hormones and helps
regulate the function of organs. During menopause, when the hormone production is reduced or
abnormal, the function of the reproductive organs is altered and there is also an increased incidence of
the development of certain diseases and conditions. How does HRT work? The effects of HRT are not
immediate and can take up to several months to become effective
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