Hormone therapy at menopause can come in the form of pills; skin patches; vaginal gels, tablets, pessaries or rings; implants; or injections.
PILLS In general pills are the first-line hormone treatment for women at and after menopause. This form of HRT is usually cheaper than the alternatives, and the available research evidence about risks and benefits is more comprehensive for them. It also has the attraction of familiarity for women experienced with the Pill. A range of oestrogens and progestogens are available in tablet form. Reasons for choosing one rather than another will depend on your menopausal symptoms, your medical or family history, side effects experienced if and when you used the Pill, and your doctor’s preference.
An increasing number of hormone varieties are produced in a micronised form that consists of tiny particles easily absorbed by the stomach and intestines. The constituents of the hormone pills then pass through the liver before reaching target tissues like the uterus, vagina and bones.
Advantages of the pill format include the ability to change the dosage or variety of hormone quickly, putting a rapid stop to side effects. This form of hormone therapy also tends to be less expensive than alternatives.
Disadvantages include the potential for gastro-intestinal problems such as nausea and the liver side effects discussed earlier. Those women still prescribed synthetic oestrogen may be at increased risk of high blood pressure and blood clot formation. Taking pills each day may also prove inconvenient if your life tends to be unpredictable and you are one of those people who find pill-taking hard to remember. It may help to put your pills in a place you can’t overlook – in the tea caddy, for instance, if you always start the day with a cuppa, or next to the toothpaste.
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