HRT is the most effective way to treat symptoms of the perimenopause and menopause, as well as protecting your bones and reducing the risk of a number of health issues, including cardiovascular disease and osteoporosis. However, studies show that only around one in ten menopausal women who would benefit from HRT actually take it.
Myth: HRT causes breast cancer
Fact: HRT with oestrogen alone is associated with no or lower risk of breast cancer. If you take body-identical HRT, there is no increased risk of breast cancer for the first five years of taking it. Even then, the risk is so low that it is less than the risk associated with being overweight, drinking a couple of glasses of wine each night, or doing no exercise.
Myth: HRT increases the risk of heart attack and stroke
Fact: Taking HRT before the age of 60 actually reduces your risk of heart attack and stroke. Taking HRT in tablet form can slightly increase the risk of stroke and blot clots, but this risk is very low and can be avoided by taking HRT in patch, gel or spray form.
Myth: You should wait until your symptoms are unbearable before you start taking HRT
Fact: You can start taking HRT as soon as you begin experiencing symptoms, even if you’re still having periods. This not only means you won’t have to put up with symptoms for as long, it could also reduce your risk of cardiovascular disease and osteoporosis.
Myth: HRT carries the same risks as the contraceptive pill
Fact: Although HRT contains similar hormones, they are in much lower doses. All contraceptives pills contain synthetic hormones which actually have more risks than body identical hormones which are in many HRT preparations. Also, HRT is often delivered via a gel, patch or spray rather than a pill, so the effects are not the same.
Myth: You need blood tests and examinations before your doctor will prescribe HRT
Fact: If you’re over 45 and experiencing symptoms, you don’t usually need blood tests. Your doctor will want to check your blood pressure, but this can be done at home.
Myth: Natural remedies are safer than HRT
Fact: Just because a treatment is natural, that doesn’t mean it is safe. Unlike HRT, most natural remedies haven’t been thoroughly researched.
Myth: HRT causes weight gain
Fact: Women have a tendency to gain weight in midlife, but there’s no evidence that HRT is responsible for this.
Myth: HRT only delays the menopause
Fact: HRT simply treats the symptoms of the menopause. If you experience menopause symptoms when you stop taking it, this isn’t a result of taking hormones. You would still have been having the same symptoms even if you’d never taken HRT.
Myth: You can only take HRT for five years
Fact: HRT can be taken for as long as the benefits outweigh any risks, which usually means for ever.
Myth: If you’re taking HRT, you no longer need contraception
Fact: HRT isn’t a contraceptive, so you should continue to use contraception until the age of 55.