Opinions about the risks and benefits of taking HRT have remained controversial over the years, on the whole, the view remains that hormone replacement is justified where benefit is clear, risks understood and precautions followed. Much of the negative comment followed publication of data that was based on an older population with existing problems and with doses of hormones that we would consider excessive. In general for optimal benefit we favour you starting HRT early and we offer a choice of conventional and bio-identical hormones. We prefer to consider hormone supplementation after full screening and may additionally recommend thyroid and, where appropriate, androgenic support (with testosterone and DHEA). Once we have committed you to treatment we will ask you to let us monitor how you are doing periodically. As an alternative to HRT you may prefer topical oestrogens or other non-hormonal treatment for your menopausal symptoms.
Please consult with us to discuss your concerns and the treatment options there are for your better health. Christine is our Practice Manager and will be pleased to give you further information, and make you an appointment.’