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What types of HRT are available to me?
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There are many different types of HRT and all of them affect your hormones in different ways. It is critical that you have an understanding of each variant so that you can make a decision based on what is best for you. Our menopause expert Eileen Durward is on hand to guide you through the types of HRT available, giving you the knowledge to make an informed decision.
This is the type of HRT that imitates the natural menstrual cycle and it does so by causing regular menstrual bleeding every month, similar to a light period.
Both oestrogen and progesterone are taken, although at different stages throughout the month.
HRT of this type does not trigger natural ovulation and cannot restore fertility, so these are not real periods, nor do they mean the start of your regular menstrual cycle. Instead, the hormones trigger a reaction which causes the lining of the uterus to build up and then shed. If the woman’s natural period has become irregular then the treatment can also be taken so that the bleeding occurs once every three months.
Most types of HRT involve the use of both oestrogen and progesterone, where the benefit of the therapy is from the intake of oestrogen. Progesterone is only taken to protect the lining of the womb.
If the woman has had a hysterectomy, where the womb is removed, there is no need to take progesterone. Oestrogen-only HRT can only be taken if all of the uterine tissue has been removed.
Most women start by using Cyclical HRT and then move onto Continuous Combined Therapy (CCT) once they are postmenstrual. Both oestrogen and progesterone are taken every day, balanced so that the monthly bleed does not occur.
This type of HRT comes in the form of creams, gels or vaginal rings.
Oestrogen is absorbed through the tissue to treat vaginal or urinary symptoms such as dryness, irritation or infection. The use of local oestrogen minimises the absorption of oestrogen into the rest of the body and its attendant side effects.
Progesterone can also be taken locally to help protect the lining of the womb.
Tibolone is a man-made hormone of the class of medicine known as a steroid. It is taken in tablet form and mimics the effects of oestrogen, progesterone and to a lesser extent androgen, which is a male hormone.
The benefits of tibolone are similar to Continuous Combined Therapy (CCT). No bleeding occurs as the lining of the uterus is not stimulated to build with each cycle and shed.
A.Vogel Menopause Support tablets with Soy Isoflavones, Magnesium and Hibiscus for all stages of menopause
Menopause Support can be used to help you through all stages of the menopause.
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Pauline — 14.10.2018 09:18
In menopause, hoping for the best natural support to help. Tried hrt & it made me feel sick & could not eat & headache strong from it.
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Eileen — 16.10.2018 09:33
Hi Pauline
You may find the Menopause Support helpful, why not sign up for the 7 Days to a Better Menopause Plan, you receive a free 7 day pack of the tablets. www.avogel.co.uk/join
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Brenda — 08.07.2017 13:38
OK. I think things are beginning to work. My period stopped and the hot flashes are just starting to ease!! Many thanks for that one. I saw the doctor but they are unwilling to give HRT as I suffer with migraines. I have a review next month to keep a watch on how I go. Normally I would appear to be a candidate for HRT but it seems this could cause stokes with migraine. What are the risks and benefits in my case.
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Eileen — 11.07.2017 11:52
Hello Brenda, Side effects associated with HRT are different depending on the type of HRT that you are being offered. The doctor can advise you on specific ones related to you and advise on any short term or long term benefits. Here at A Vogel we tend to advocate a more natural approach with our Menopause support tablets, this is a plant based option. Although we understand every women is individual and stress, health and lifestyle can play a role. If I can be of further assistance let me know.
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Brenda — 04.07.2017 10:53
So here I am suffering again. I've brought my sage and vitamin B, please tell me how long it takes to work. I've also just got my period and it's really heavy. Right from the start I am using night towels and 1 per hour at that. I am sorry to keep bothering you but need your help again
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eileen — 04.07.2017 14:11
Hi Brenda,
No problem, you are welcome to contact me! Sage usually takes between several days to a few weeks to kick in and the same with the B Vits.
If your periods are really heavy or you are flooding it is really important to check this with your doctor, this can make you low in iron very quickly which can then lead to other health issues. Your doctor can test your iron level and offer a supplement if necessary.
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