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Menopause treatments | HRT (Hormone Replacement Therapy) at Sthetix Liverpool

Menopause
Treatments

Menopause
Treatments

Retain your youthful glow and energy levels with Menopause treatments at Sthetix. We work with each patient individually to understand your particular needs so we can deliver fast and effective treatment, tailored to you.

Introduction to Menopause Treatments

The menopause is the stoppage of periods at the end of women's reproductive years. A woman cannot be sure that she has reached menopause until she has stopped having periods for twelve consecutive months

When does the menopause happen?

The average age of menopause is 51 years and doesn’t depend on race. However, the menopause may set in any time between the ages of 40 and 56 (rarely later). When it happens before 40 years of age, it is called premature menopause.eriods including hormonal imbalance, endometrial polyps, fibroids. In many cases no cause can be found.

Why does the menopause happen?

Menopause is a natural phase in a woman's life when ovulation stops because the ovaries run out of eggs. Each ovary has a limited number of eggs that will be used each month to produce an egg from the age periods start until the menopause. The developing eggs manufacture oestrogen which is released by the ovaries. As women approach the menopause, ovulation may not happen as regularly. As a result women may experience irregular periods during the years leading to the menopause.

What are the consequences of the menopause?

The most significant consequence of the menopause is the lack of oestrogen which has a widespread effect on different parts of the body including the following:

Immediate effects:

  • Hot flushes
  • Night sweats
  • Irritability and lack of concentration
  • Lack of energy
  • Reduced desire for sex
  • Intermediate effects (appearing 3-5 years into the menopause)
  • Thinning of the vaginal skin and vaginal dryness leading to difficulties in intercourse and vaginal bleeding
  • Thinning of the bladder lining leading to difficulties in controlling the waterworks
  • Skin wrinkles
  • Long term effects (after 5 years into the menopause)
  • Osteoporosis (thinning of the bone) leading to increased risk of fracture
  • Raised blood pressure and increased risk of heart attack and stroke

Long term effects (after 5 years into the menopause):

  • Osteoporosis (thinning of the bone) leading to increased risk of fracture
  • Raised blood pressure and increased risk of heart attack and stroke

All these changes are progressive with the exception of hot flushes and night sweats which generally ease off with the passage of years.

How long will it take for the hot flushes to resolve?

Hot flushes will naturally resolve within two years in 50% of women. However 25% of women will continue to experience hot flushes 5 years after the onset of the menopause.

How can I cope with menopause?

There are several strategies:

 

  • Understanding the menopause will empower you to make the right decision about how to best address the issues associated with it.
  • Lifestyle changes to keep your heart healthy and protect your bones.
  • Hormone replacement therapy (HRT): the most up to date information indicate that the best time to start HRT is with the onset of the menopause.
  • Herbal treatment: may help with some of the symptoms but does offer natural oestrogen.

 

 

How long will it take before HRT works?

You will notice improvements in you symptoms after six weeks of treatment but the full effect of HRT will be achieved after three months

How can HRT help me?

  • Ease off the troublesome hot flushes
  • Reverse other symptoms that interfere with your professional life such as lack of energy and forgetfulness
  • Maintains youthful skin
  • Enhances  libido
  • Reduces the risk of osteoporosis-related fractures.

Is HRT risky?

In the last 10 years the results of one large American study (Women Health Initiative study, WHI) and another British study (the Million Women Study) revealed increased risk of breast cancer, blood clotting and heart attack which caused great alarm. Further analysis of the WHI results concluded that the risks of using HRT was more in relation to overweight women and those naturally at increased risk of developing blood clotting or breast cancer. Women who start HRT very late after the menopause and those who continued the treatment at very old age are also at greater risk of developing these complications.

The WHI also revealed that taking HRT reduced risks of developing cancer of the colon and bone fracture by one third.

How can HRT be made safer?

 

  • Careful initial patient assessment to identify factors that are associated with increased risk of treatment's unwanted effects
  • Start treatment as early as possible after the menopause
  • Use the right preparation for each menopausal problem
  • Use the smallest possible dose for the shortest possible time
  • Periodic review of the treatment

 

 

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