Alternatives to HRT

What alternatives are there to HRT?

The use of HRT during the menopause can be controversial. Before a decision is made, many women seek information on what else they can use. Here, our menopause expert Eileen Durward explores the alternatives to HRT, helping you reach an informed decision on the type of treatment that is right for you.

Symptom-relieving drugs

There are many drugs prescribed or recommended by your doctor which can be used to relieve the symptoms of menopause. For example:

Non-hormonal drugs which reduce the symptom of hot flushes brought about from menopause are available.
Moisturisers and non-oestrogen lubricants can be used against vaginal dryness.
There are also drugs to protect against diseases such as osteoporosis, heart disease and to lower cholesterol, which are more likely to be contracted once the production levels of oestrogen have dropped.

Soy Products

Soy has similar properties to oestrogen, although the effects on the body are not as strong. Soy has been seen to decrease the frequency and intensity of hot flushes, lower cholesterol, slightly increase bone density and benefit blood vessels in the same way as oestrogen.

Maintaining a healthy lifestyle and managing stress

For women who start the menopause after the age of 45, or women who are not affected by the symptoms of the menopause, HRT is not necessary. However, whether taking HRT or not, it is important to stay healthy. This includes:

Maintaining a healthy lifestyle through regular exercise, a balanced diet rich in fresh fruit and vegetables with a limited alcohol intake and no smoking. Other strategies may be implemented to reduce the risk of for example, osteoporosis and heart disease.
Managing stress is vital for staying healthy. Managing stress can also help relieve the symptoms of the menopause. Techniques such as yoga, acupuncture and meditation are beneficial in the management of stress.

Natural remedies

Many women look for natural remedies as an alternative to HRT. Such remedies include:

Sage – a member of the Lamiaceae family native to the Mediterranean region. It is used to control the effects of menopause and is used to regulate mood.
Black Cohosh - a member of the buttercup family, native to North America. It is widely used to treat the symptoms of the menopause.

Alternative therapies

Acupuncture – this is an ancient form of Chinese medicine which involves stimulating certain points on the body to correct any imbalances. It has been shown to relieve the symptoms of the menopause, particularly hot flushes.
Tai Chi – this is a Japanese martial art which has become recognised as an effective way of controlling the symptoms of menopause, relieving muscle tension and reducing the onset of osteoporosis.
Yoga – this is a Hindu discipline which involves breathing exercises and controlled body positions to relax the body and mind. Many women who have employed Yoga techniques have experienced the benefits. It strengthens the body so it is able to cope with the symptoms of menopause and it elevates mood.

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Mancubus0cal — 16.10.2024 10:20
vibration reduction
Vibration Reduction with Balanset

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Reply
Caitriona — 19.09.2018 12:25
Hi Eileen, I have just been prescribed Vagifem as a last-resort-before-surgery for weak pelvic floors. I have been trying to avoid medication/HRT but am desperate. Doc told me it is very localised oestrogen injection and may sort out my problem. Will the Oestrogen enter my bloodstream do you think? Is there an alternative for Vagifem that you think might work? I don't get hot flushes anymore and suffer a bit of insomnia but not too bad. Am 50 next month and haven't had a period for over 2 years. Advice would be very welcome. Many Thanks
Reply

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- Eileen — 20.09.2018 11:12
  Hi Caitriona These kinds of HRT are known to only work in a localised area so are deemed much safer than pills or patches. I am not sure about whether it would get into your blood stream, sorry. I would ask your pharmacist, they should be able to help with this. Unfortunately, I don't know of any similar natural remedy. Most natural ones are very mild acting so may not be strong enough to make the difference you need just now - sometimes going down this route is the best option!
  Reply
Ann Hyde — 12.08.2017 14:34
I need something to stop the hot flushes, I am not allowed HRT from doctors so need something herbal maybe, any suggestions please
Reply

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- eileen — 14.08.2017 10:29
  Hi Ann You could try the sage tablets, these are specifically for hot flushes but are not known to contain any oestrogen like HRT. https://www.avogel.co.uk/herbal-remedies/sage-tablets-menoforce/index.php
  Reply

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