Do HRT alternatives work for managing menopause symptoms?

Menopause is the term used to describe the end of your menstrual cycle. If you have not had a period for a year, you are menopausal. This happens because of a series of hormonal changes that affect the way that your body works. Although every woman has a unique experience, you may want help with preventing symptoms that worsen your physical and mental wellbeing.

Hormone replacement therapy (HRT) is a recommended treatment for managing symptoms like hot flushes, sleeplessness, sexual difficulties, as well as joint and muscle pain and weakness.

If you don’t want to use HRT or feel that it isn’t right for your needs, there are a range of ways that you can manage your menopause symptoms.

Your medical history and lifestyle will help your GP decide whether HRT is right for you. This is because some health conditions can increase your risk of developing side effects.

Your GP might not prescribe HRT for you if:

• You have a history of breast, ovarian or uterine cancer
• You have had a stroke or heart disease
• You have high blood pressure that isn’t under control or being managed
• You have liver disease
• You are pregnant

If you have a history of blood clots, your GP may recommend that you avoid HRT in tablet form. There may be other forms of the treatment that could work for you.

Many women can start HRT with the support and supervision of a GP.

HRT can help in reducing menopause symptoms, but like any other medication, it can cause side effects. You and GP may decide that it is not right for you if you consistently notice that it triggers:

• Vaginal bleeding
• Fluid retention and bloating
• Headaches
• Depression
• Indigestion
• Breast tenderness

Many of the side effects of HRT use go away on their own. But if you notice them more than 3 months after starting your treatment, your doctor may suggest trying an alternative.

Simple changes to your everyday routines can help reduce your menopause symptoms. You can try making changes to your:

• Diet and nutrition
• Exercise habits
• Clothing
• Stress management techniques
• Supplement use (vitamin D)
• Smoking and drinking habits

Yes. Talking to your GP can help you understand which treatment options might be right for you and your symptoms. They may prescribe antidepressants for you if you have noticed changes to your behaviour like mood swings or feelings of depression. They may also discuss prescribing a medication called clonidine with you. It is used to reduce and alleviate hot flushes and night sweats.