Women's Health

HRT

HRT Portsmouth Heathcare

About this treatment

Hormone Replacement Therapy (HRT) is a treatment used to supplement the body with hormones, typically oestrogen and progesterone, to alleviate symptoms associated with hormonal changes, particularly during menopause. At Prema Health, we understand the importance of personalised care when considering HRT, ensuring you receive tailored treatment based on your individual needs and health history.

HRT is commonly prescribed to manage symptoms of menopause, including hot flashes, night sweats, vaginal dryness, mood swings, and sleep disturbances. It may also be recommended for women like you who have undergone surgical removal of the ovaries or experience early menopause due to medical treatments or conditions.

Appointment Time:

20-30 Minutes

Treatment Frequency:

As Advised

Waiting List:

Price:

In More Detail

Before initiating HRT, our friendly doctors conduct a thorough screening process at Prema Health. This includes a comprehensive medical history review, physical examination, and discussion of symptoms. Blood tests may also be performed to assess hormone levels and ensure HRT is suitable and safe for you as an individual. Factors such as family medical history, personal health goals, and lifestyle are taken into account to tailor a treatment plan that optimises benefits while minimising risks.

There are two main types of HRT: oestrogen-only therapy (ET) and combined oestrogen-progestogen therapy (EPT). ET is typically prescribed if you have had a hysterectomy (surgical removal of the uterus), as you do not need progesterone to protect the uterus lining. EPT includes both oestrogen and progesterone and is recommended if your uterus is intact to prevent the risk of endometrial cancer. HRT can be administered in various forms, including pills, patches, creams, gels, and vaginal rings, allowing flexibility to accommodate individual preferences and needs.

HRT offers significant benefits beyond symptom relief. It can help prevent osteoporosis by maintaining bone density, reducing the risk of fractures. Oestrogen also supports heart health by improving cholesterol levels and reducing the risk of cardiovascular disease. Additionally, HRT can enhance vaginal and urinary tract health by alleviating dryness and discomfort associated with menopause, improving overall quality of life and sexual well-being.

At Prema Health, our approach to HRT emphasises informed decision-making and ongoing monitoring to ensure optimal outcomes. We prioritise patient education, empowering women to understand the benefits and potential risks of HRT and make confident choices about their health. Our dedicated team is committed to providing compassionate care that addresses individual needs, promoting overall health and well-being through comprehensive hormone management.

Frequently Asked Questions

1. What is Hormone Replacement Therapy (HRT), and who might benefit from it?

Hormone Replacement Therapy (HRT) involves supplementing oestrogen, progesterone, or both to alleviate symptoms of menopause or to address hormonal deficiencies due to other medical conditions. Women experiencing bothersome symptoms like hot flashes, night sweats, vaginal dryness, or mood changes during menopause often find relief with HRT. It can also benefit women who have undergone surgical menopause (removal of ovaries) or those at risk of osteoporosis due to low oestrogen levels.

2. What are the different types of HRT available, and how are they administered?

HRT comes in various forms, including pills, patches, creams, gels, and vaginal rings. Oestrogen-only therapy (ET) is prescribed for women who have had a hysterectomy, while combined oestrogen-progestogen therapy (EPT) is used for women with an intact uterus to prevent endometrial cancer. The method of administration and type of HRT chosen depend on individual health needs, preferences, and lifestyle factors.

3. Are there risks associated with taking HRT?

Yes, HRT is associated with some risks and potential side effects. These can include an increased risk of blood clots, stroke, heart disease, and breast cancer, particularly when used long-term or in higher doses. However, the risks vary depending on factors such as age, underlying health conditions, and the type of HRT prescribed. It’s essential for women considering HRT to discuss these potential risks and benefits with their healthcare provider to make an informed decision.

4. How long should I take HRT?

The duration of HRT varies for each woman and depends on individual symptoms, health status, and treatment goals. For many women, HRT is used short-term (up to five years) to manage menopausal symptoms effectively. However, some women may need longer-term treatment, especially if they experience persistent symptoms or have additional health benefits from HRT, such as bone health protection. Regular monitoring and discussions with your healthcare provider are crucial to assess ongoing benefits and risks and adjust treatment as needed.

5. Can HRT be used to treat conditions other than menopause symptoms?

Yes, HRT can be used to manage other conditions related to hormone deficiencies, such as primary ovarian insufficiency (early menopause before age 40) or hormone-related symptoms following surgical removal of the ovaries. In some cases, HRT may also be prescribed to manage symptoms of certain cancers, such as prostate cancer in men. However, the use of HRT for non-menopausal conditions requires careful consideration and monitoring by a healthcare provider to ensure safety and effectiveness.

Our Women's Health Team

Meet the specialists who will likely be seeing you for your consultation or treatment.

Dr Perminder Sethi

A seasoned GP since 2005, he has honed his expertise extensively in urgent care settings.

Conditions Treated

Hormone Replacement Therapy (HRT) is primarily used to manage symptoms associated with hormonal deficiencies, particularly during menopause. The conditions that can be effectively managed through HRT include:

Menopausal symptoms – HRT is most commonly prescribed to rebalance hormones and alleviate hot flashes, night sweats, mood swings, vaginal dryness, and sleep disturbances that occur during menopause.

Osteoporosis – HRT can help prevent and manage osteoporosis by maintaining bone density, especially in postmenopausal women who are at higher risk.

Genitourinary symptoms – vaginal dryness, itching, and discomfort during intercourse are common genitourinary symptoms of menopause, effectively alleviating these symptoms by restoring
moisture and elasticity to the vaginal tissues.

Cardiovascular health – oestrogen has cardio-protective effects that can improve cholesterol levels and reduce the risk of heart disease in younger women within a few years of menopause onset.

Cognitive function – some studies suggest that oestrogen therapy may have a beneficial effect on cognitive function, including memory and cognitive decline associated with ageing. However, more research is needed to fully understand the impact of HRT on cognitive health.

Overall, HRT is a versatile treatment option that can address a range of symptoms and conditions related to hormonal imbalances, promoting overall health and well-being in women experiencing menopause or other hormone-related issues.

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