Should women be starting HRT earlier?

London Hormone Clinic

Should women be starting HRT earlier?

Age should not be the decisive factor in the prescribing of HRT, says Dr Amalia Annaradnam from The London Hormone Clinic.

When a woman experiences declining hormone levels, hormone replacement can be beneficial, as it lowers the risk of cardiovascular disease. However, it is vitally important that each woman’s symptoms are considered individually.

While there is a case for some being prescribed HRT earlier in some cases, not all women will benefit.

Embarking on standardised HRT too early can result in unpleasant side effects for someone already producing plenty of natural oestrogen. Symptoms include sore and tender breasts, heavy bleeding and often severe PMT.

Too much oestrogen can suppress the pituitary gland and ovaries, so they no longer produce hormones naturally. Early menopause is the end result.

For most women approaching menopause, it is a drop in progesterone that causes many of the unwanted symptoms. Supplementing with a progesterone replacement, such as Utrogestan, can have an immediately positive effect.

But it is essential this be done after proper assessment, with the appropriate hormones replaced.

Any woman, of any age, concerned about hormonal levels, should visit a GP or medical professional and explain her symptoms, honestly and openly.

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