Why might I use Hormone Replacement Therapy (HRT)?

Most women who use hormone replacement therapy, particularly estrogen replacement, do so as a way to reduce or eliminate symptoms of menopause, including hot flashes and night sweats which can affect mood, mental function and other aspects of your quality of life.

A woman with no or minimal menopausal symptoms usually does not seek HRT.

What are the symptoms of menopause?

The absence of estrogen in the body affects women differently. Some women have no symptoms. Most women have one or more of several symptoms:

• Hot flashes
• Night sweats
• Vaginal dryness
• Mood swings
• Depression
• Decreased libido
• Skin dryness
• Arthritis-like symptoms
• Mental dysfunction

What does HRT mean, anyway?

HRT can mean single or multiple hormones being replaced to relieve menopausal symptoms. HRT can be given orally, transdermally or by subcutaneous implant. These can be commercial FDA-approved prescriptions or compounded formulas. Modern medical science led to production of estrogen for human consumption and had an enormous impact on quality of life for many women.Progesterone, testosterone and other minor metabolites of these hormones are also available now. 

“FDA-approved HRT” means that a pharmaceutical company has gone through a rigorous process of proving safety and effectiveness. They are available by prescription and are covered to some extent by insurance.

Compounded preparations are not overseen by the FDA and cannot make claims of proven safety and effectiveness. However, scientific knowledge about how these hormones work is known and should not deter a woman from seeking compounded products when the benefit outweighs the risk. This is a decision made between doctor and patient, and Dr. Moore and the team at the Advanced Women’s Health Institute will discuss all options with you before proceeding with your treatment plan.

What should I know about oral HRT?

Generic oral E-HRT can cost as little as $5 per month. The risk compared to transdermal HRT is relatively minimal. Oral progesterone-like meds are also inexpensive. Oral progesterone is available. Because of intestinal metabolism some women report drowsiness and better sleep when they take it in the evening.

Are there any hormone replacement therapy side-effects? 

Although many women have taken HRT with complete success, there remain a few risk factors as with any medication or procedure. Estrogen replacement (E-HRT) combined with progesterone replacement (P-HRT) can sometimes increase someone’s risk of uterine or breast cancer. Blood clots, weight gain, and sometimes spotting (bleeding outside your usual cycle) can also occur as a result of HRT.

Every patient has individual needs, and our team will work closely with you to develop a treatment plan that minimizes risk and helps you achieve your goals.