Part 2 of a two-part series

In our practice, we see how reassuring it can be for women to understand the changes they are experiencing—and discover what can help. Yet many still feel poorly informed. A 2022 study led by Professor Petra Stute found that only around one in five women with a diagnosed menopausal disorder received hormone replacement therapy (HRT). Half of the women surveyed felt they did not have enough information about treatment options. For us, good menopause care starts with listening, clear information, and time for your questions.

Hormone therapy: What we know today

Many women worry about HRT because of headlines following the Women’s Health Initiative study in 2002. Its combined-hormone trial was stopped early because certain health risks increased. However, participants were, on average, 63 years old, and the hormone preparations differed from those commonly prescribed today. The findings therefore did not answer every question about treatment for younger women experiencing menopausal symptoms.

Today, licensed body-identical, also called bioidentical, hormones include oestradiol and micronised progesterone. These have the same molecular structure as hormones naturally produced by the body. Oestrogen patches or gels have a lower blood-clot risk than tablets. Women who still have their womb also need progesterone or a similar hormone to protect its lining.

HRT is the most effective treatment for hot flushes and night sweats. It can improve sleep disturbed by these symptoms and helps protect against bone loss and fractures while taken. For many healthy women with troublesome symptoms who are under 60 or within ten years of menopause, the benefits outweigh the risks, provided there are no medical reasons to avoid treatment. Starting later, or having a history of breast cancer, blood clots, or stroke, requires particular care and sometimes specialist advice. Your body, your informed choice

There is no single right choice for every woman. Our aim is to find the most suitable approach for your health, symptoms, and preferences - whether that includes HRT or another treatment.

We encourage you to learn about your options, ask questions, and discuss the benefits and risks with us. We want you to feel informed, comfortable, and confident in your decision.

Small steps that support your health

Alongside medical treatment, we focus on nourishing food with enough protein, fibre, and healthy fats; nutrient supplements where needed; regular strength training; and enjoyable movement such as walking.

Sleep and recovery matter too. Persistent sleep problems deserve attention, while yoga, mindfulness, or gentle breathing may help you unwind. In addition supplements, herbal remedies and so called adaptogens can be effective tools to re-establish balance in your brain and body.

Making room for yourself

Menopause can also be a time to pause and ask: What gives me energy? What do I need more of? What would I like to change? Alongside the challenges, there may be opportunities to set clearer boundaries, rediscover interests, and give your own wellbeing more attention.

You do not have to work everything out alone. Bring your questions to your next appointment, and we can explore what would help you most.