Also referred to as Menopausal Hormonal Therapy (MHT), Hormone Replacement Therapy (HRT) aims to alleviate the symptoms of menopause caused by hormonal imbalances. HRT comes in various forms, and the choice of treatment will depend on individual preferences, medical history, and specific needs. Meaning, HRT isn’t a one-size-fits-all solution. For this reason, it is important to consult a qualified hormonal replacement therapy doctor who can recommend a personalized treatment plan.
The skilled hormonal replacement therapy doctors at Turó Park Clinics have years of experience in helping women deal with the challenges of menopause through personalized care. This makes us the best clinic for hormone replacement therapy in Barcelona.
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What Is Hormone Replacement Therapy For Menopause?
HRT involves using hormones to treat the symptoms of menopause.
Menopause is a natural process in a woman’s life when the menstrual period ceases. Menopause typically occurs around the age of 45 to 55. During menopause, the ovaries tend to produce lower-than-normal levels of hormones, such as estrogen, progesterone, and testosterone. This hormonal decline results in a wide array of symptoms, such as hot flashes, night sweats, mood swings, vaginal dryness, sleep disturbances, bone loss, etc.
HRT aims to restore hormone levels, thereby improving menopausal symptoms.
What Are The Types Of Hormone Replacement Therapy For Menopause?
There are several types of HRT for menopause, and finding the right one can be challenging. Talking to a gynecologist will help you understand the various types of HRT better and choose the ideal course of action.
- Combined HRT (Progesterone + Estrogen) – Administered to women who haven’t had a hysterectomy or their uterus/womb removed. Progesterone reduces the risk of endometrial cancer.
- Estrogen-Only HRT – Administered to women who have had a hysterectomy to get their womb removed. Since the uterus has been removed, there is no need to administer progesterone to protect against the risk of uterine cancer.
- Low-Dose Testosterone HRT – Administered to improve low libido, lack of energy, and fatigue.
HRT can be taken as:
- Oral tablets – Tibolone or Duavive
- Gels or patches (hormones get absorbed through the skin)
- Vaginal creams
- Hormonal intrauterine device (IUD)
HRT for menopause can be taken continuously or in cycles. In the latter, estrogen is continuously taken without a break, while progestogen is taken every few weeks.
What Are The Signs You Need Hormone Replacement Therapy?
Signs and symptoms of menopause are typically the primary indicators that you might need HRT. This includes:
- Hot flashes and night sweats
- Vaginal dryness and discomfort
- Mood swings and irritability
- Sleep disturbances
- Loss of bone density
It is worth remembering that every woman experiences different symptoms of menopause. In addition, not all women have to choose HRT for menopause. It is recommended to discuss your specific signs and symptoms with a gynecologist who will assess your medical history and provide personalized advice on the best course of action for you.
The Benefits Of Hormone Replacement Therapy
HRT generally helps alleviate the unpleasant symptoms of menopause. Additional benefits of HRT include:
- Improved sleep and sex drive
- Lower risk of urinary tract infections
- Reduced risk of cognitive decline
- Relief from joint aches
What Are The Contraindications To Hormonal Replacement Therapy?
While HRT offers relief from menopausal symptoms, it might not be suitable for you if you have/ have had:
- A history of coronary heart disease
- Blood clots
- Untreated high blood pressure
- Undiagnosed vaginal bleeding
- Liver diseases
- Breast cancer or other types of cancers, such as ovarian or endometrial cancer
In these cases, it is advised to speak to a gynecologist, who will then recommend alternatives to HRT.
What Are The Alternatives To Hormone Replacement Therapy?
Ways to control your menopausal symptoms without resorting to HRT include:
- Making Lifestyle Changes – Exercising regularly, maintaining a healthy diet, reducing caffeine, spicy food, and sugary snacks, stopping alcohol consumption, etc.
- Antidepressants – Certain antidepressants can help cope with night sweats and hot flashes. However, they might cause unpleasant side effects such as dizziness and agitation.
- Bioidentical Hormone Replacement Therapy (BHRT) – uses plant-derived hormones to help alleviate menopausal symptoms. However, these aren’t often recommended due to the lack of clarity on their safety and effectiveness.
How To Get Started On HRT At Turó Park Medical Clinic?
HRT can be started as soon as you begin experiencing symptoms of menopause. While there is no need for any initial tests, a blood test to determine your hormone levels might be carried out. Additional tests might be prescribed if premature menopause is suspected.
If you are interested in HRT, the first step is to speak to an expert gynecologist, which we have no shortage of at Turó Park Medical Clinic.
During the initial consultation, we will explain the various types of available HRT and thoroughly evaluate your symptoms, medical history, and lifestyle factors to determine a tailored HRT plan that aligns with your unique needs.
Generally, you will start with a low dose, which might be increased gradually. It takes at least a few weeks for the treatment to be effective. Our experts will walk with you throughout the time to see how you cope with HRT. They might also suggest changing your dose or the type of HRT so you can reap the best benefits.
Book a consultation with us to discuss your symptoms, goals, and treatment options today!
We care for Women.
Our specialists offer obstetrics and gynecologic care for women through all phases of life, from your pre-teen years to post-menopausal years.