FAQs Archive - Page 5 of 9 - Chelvey Menopause

Q: What are the risks of HRT?

Please follow this link to our webpage on risks of HRT

Q: Does HRT cause breast cancer?

The current evidence suggests that 5 years of body identical HRT including oestrogen delivered through the skin does not increase your risk of breast cancer. After this time the risk of breast cancer increases very slightly (see link below). WHC Factsheet on breast cancer

Q: What should I do if I forget to take my HRT?

Do not take the doses you have missed, just continue to take the next dose when you remember.

Q: Why do I have tender breasts on my HRT?

This is a very common initial side effect that can be due to either the oestrogen or the progestogen component of your HRT. These symptoms should settle with time. We advised all women to have their regular mammograms and to be breast aware and self-examine regularly. Many women find Starflower Oil very helpful for breast tenderness symptoms, this is available over the counter.

Q: What happens if I start bleeding on HRT?

It is very common to experience some irregular and heavier bleeding when starting HRT or increasing your dose of HRT. This can take 3-6 months to settle. If symptoms persist or worsen after this time, we advise booking for a review appointment at Chelvey Menopause or with your own GP. Sometimes further investigations may be needed.

Q: When should I stop my HRT?

Current NICE guidelines state that there is no maximum or minimum time frame for a woman to continue taking HRT. Every case is unique, and length of treatment will need to be considered on an individual basis. Guidelines suggest an annual reassessment of HRT in order to provide safe prescribing and to discuss the risks and benefits of taking HRT for you personally.

Q: What are the side effects from HRT?

Some women experience mild side effects when treatment begins including, breast tenderness, nausea, bloating, skin irritation, irregular bleeding. These side effects will usually disappear within 6-8 weeks of starting HRT. If they do not improve then a change in your type or dose of HRT may be necessary. Your doctor will be able to offer advice regarding this.

Q: How long does HRT take to work?

It can take several months to see the full benefits of HRT; however, most women feel the initial benefits after just a few weeks.

Q: What is the difference between body identical/ regulated bioidentical and compounded bioidentical hormones?

Body identical HRT or regulated bioidentical HRT is the safest form of HRT, with the lowest risk of adverse effects. This is what we prescribe at Chelvey Menopause. These hormones are structurally identical to the natural hormones we produce in our bodies. The British Menopause Society and NHS do not recommend compounded bioidentical hormones. These hormones are not regulated and there is not enough medical evidence to support the safe use of this type of HRT.

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