Myths Surrounding Hormone Replacement Therapy (HRT) and the Truth You Need to Know
Myths Surrounding Hormone Replacement Therapy (HRT) and the Truth You Need to Know
Navigating perimenopause and menopause can be overwhelming, especially with the amount of conflicting information about hormone replacement therapy (HRT). Many women experience symptoms like hot flushes, mood swings, and sleep problems but are hesitant about HRT due to common myths. Let’s debunk some of these misconceptions.
Myth 1: You Can’t Start HRT Until Your Periods Stop
One common myth is that HRT can only be started once you’ve reached menopause (12 consecutive months without periods). This is false. HRT can be started during perimenopause—the time leading up to menopause—when hormone fluctuations often cause symptoms like mood swings and night sweats. Starting HRT at a lower dose during perimenopause can provide significant relief, and there's no need to wait for your periods to stop before seeking treatment.
Myth 2: HRT Causes Weight Gain
Many women fear that HRT will cause weight gain. This misconception stems from misunderstanding how hormones work. In fact, when HRT is prescribed correctly, it helps balance hormones and can support weight management. Sometimes, improper dosages (e.g., too much oestrogen) can lead to fluid retention, but adjusting the dose resolves this. Weight gain during menopause is often due to age-related factors, muscle loss, and lifestyle—not HRT itself.
Myth 3: HRT Increases the Risk of Breast Cancer
One of the most persistent myths about HRT is that it significantly increases breast cancer risk. This fear largely comes from the 2002 Women’s Health Initiative (WHI) study, which has since been criticised for its flaws. The study involved older women (average age of 63) and used synthetic hormones. Modern body-identical HRT, which uses hormones identical to those your body produces, is safer. Research shows that HRT’s breast cancer risk is minimal compared to lifestyle factors like being overweight, smoking, or not exercising. In fact, being overweight is a much greater risk factor for breast cancer than HRT.
Myth 4: HRT Isn’t Safe Due to Old Research
Outdated research, like the WHI study, has left many women cautious about HRT. However, modern bioidentical HRT, made from plant sources and closely mimicking natural hormones, is much safer and better tolerated. Today’s HRT has a significantly improved safety profile compared to older synthetic versions.
Myth 5: HRT is the Same for Everyone
HRT is not a "one-size-fits-all" treatment. It is highly individualised based on a woman’s unique symptoms, health history, and lifestyle. A thorough consultation with a healthcare professional ensures the right type, dose, and combination of hormones for you. Dosages may need to be adjusted as your body changes, and ongoing discussions with your healthcare provider are key to getting the best results.
Myth 6: HRT Can Only Be Taken for a Short Time
Some believe HRT should only be used for a few years, fearing long-term risks. However, there is no arbitrary time limit for taking HRT. Women can safely continue HRT as long as the benefits outweigh the risks. Many women find that HRT is a long-term solution for improving their quality of life, and regular check-ups with your doctor will ensure you're on the right plan.
Conclusion: Busting the Myths
HRT is a safe, effective treatment for perimenopausal and menopausal symptoms. Unfortunately, myths and outdated information often scare women away from the relief they need. When prescribed properly, HRT can help manage weight, alleviate symptoms, and even lower the risk of certain health issues. Don’t let misinformation stop you from exploring the benefits.
At Temple Clinic, we provide expert consultations and tailored treatment plans to help you navigate menopause with confidence. Speak to a healthcare professional who can guide you through the process based on your individual needs and risks.
References:
- British Menopause Society (2023). Menopause and HRT Guidelines.
- Harvard Health Publishing (2022). The Truth About HRT.
- Mayo Clinic (2021). Modern HRT and its Benefits.
- National Cancer Institute (2022). Understanding Breast Cancer Risks.
- The Lancet (2019). Breast Cancer and Obesity: A Review.
- European Menopause and Andropause Society (2022). Bioidentical Hormones: Current Trends.
- NICE Guidelines (2020). Menopause: Diagnosis and Management.
