Menopause & HRT: What You Need to Know

With Dr Juliet Balfour

Menopause is a major milestone in a woman's life, bringing a mix of physical and emotional changes.

Understanding Menopause and Perimenopause

Menopause officially kicks in after a year without a period, usually around age 51 for Caucasian women. Perimenopause, the lead-up phase, can start as early as 10 years before. Symptoms can vary a lot. Some women breeze through it, while others face challenges. Common issues include:

• Emotional and Psychological: Anxiety, mood swings, and even panic attacks.

• Cognitive: Brain fog, which can feel like "your brain's full of cotton wool," affecting memory and focus.

• Physical: Hot flushes, night sweats, and changes in periods.

• Vaginal and Urinary: Dryness and increased trips to the bathroom.

"The emotional stuff often hits before the physical, which can be really confusing."

Hormone Replacement Therapy (HRT)

HRT is a go-to for many dealing with menopause symptoms. It involves adding oestrogen and sometimes progestogen to help manage symptoms.

"HRT isn't a magic bullet, but it can make a big difference for many women."

Debunking Myths

There's a lot of concern about HRT, especially regarding breast cancer. However, for most women, the benefits outweigh the risks, particularly in the first five years.

Exploring Non-Hormonal Options

For those who can't or don't want to use HRT, there are non-hormonal treatments available. These include medications that can help with hot flushes and sweats. Exciting new drugs are also in the pipeline.

Testosterone and Women's Health

Testosterone therapy is sometimes used to boost libido, but its effects on other health aspects are still being studied.

Lifestyle Matters

Lifestyle choices are crucial, whether or not you're on HRT. Regular exercise, a healthy diet, good sleep, and stress management are key.

Looking Ahead

Research is ongoing to better understand symptoms like brain fog and develop new treatments. Collaborations with institutions like UCL are expected to provide new insights.

Final Thoughts

Menopause is a unique journey for every woman. While treatments like HRT can offer relief, understanding the broader lifestyle and health impacts is essential. Women are encouraged to seek information, talk to healthcare professionals, and participate in surveys and research to help improve understanding of menopause.

"Get educated before you see your doctor, so you can advocate for yourself."