HRT treatments

What to expect when you start HRT Treatments

As awareness of the menopause and symptoms has increased in recent years so has the number of women taking HRT treatments to mitigate their symptoms with the use of Hormone Replacement Therapy treatments.  According to National Institute for Health and Care (NICE) about a million women in the UK use treatment for symptoms of menopause.  The NHS confirm that the data shows that prescriptions of HRT has increased by 35% when comparing 2020/21 data to 2021/22 .    

These treatments can replace the diminishing levels of hormones responsible for the change, the hormones include estrogen, testosterone, progesterone, and DHEA. These hormones, available through Bodyline, provide a targeted action unlike standardised HRT prescriptions which offer the one-size-fits all approach.

What should I expect?

HRT (Hormone Replacement Therapy) can come in the form of creams, gels, lozenges, or capsules. HRT is most used to treat symptoms like hot flashes and night sweats, making menopausal women’s lives miserable, but it can also be used to treat other conditions like low testosterone levels, osteoporosis, endometriosis and more.

With the help of HRT, women suffering from hormone deficiencies through perimenopause and the menopause can be set free from the life altering symptoms! But when you’ve started an HRT treatment designed to target your personal symptoms, what should you expect?

Side Effects

Like many medications, HRT can see side effects in its users, depending on which hormone they are replacing. The side effects generally improve and become less noticeable over time, however if they persist it is important you let your Bodyline Specialist Menopause Nurse know, and your prescription can be altered and titrated to your specific needs.

Here are some of the side effects that you can expect when starting your HRT treatment.

If you are on a progesterone only HRT, you can expect to see:

  • Breast tenderness
  • Spotting
  • Missed periods
  • Any other premenstrual symptoms

For severe breast tenderness, we will advise you to stop taking the medication until these side effects subside, then gradually reintroduce them. 

If you are on a combined progesterone and estrogen HRT you can expect to see:

  • Bloating and fluid retention 
  • Breast tenderness
  • Spotting or an unexpected period
  • All other premenstrual syndrome symptoms

We will advise you to stop taking the medication until these side effects subside, then gradually reintroduce them

If you are taking testosterone HRT, you may see:

  • Acne
  • Greasy skin
  • In rare cases, hair loss

If you experience hair loss, we will advise you to stop taking the medication and inform your doctor. For the other symptoms we suggest you stop taking the medication and wait until symptoms have cleared before gradually restarting the medication.

Similarly, if your programme includes DHEA you may expect:

  • Acne
  • Irritable moods
  • In rare cases, hair loss

Again, if you experience hair loss, we advise you to stop taking the medication and inform your doctor. 

Risks

Although it is rare, using HRT treatments may increase your risk of getting breast cancer. If this is something you are concerned about, it is best to approach your doctor before beginning a medical wellness journey on HRT. 

Will I gain weight on HRT?

Menopause is one of the leading causes of weight gain in older women, coming as a side effect of the reduced estrogen levels. Therefore, HRT can be a way to pre-emptively avoid such weight gain when taken in the perimenopause stage. 

HRT will not cause weight gain, but if you are worried about your weight, you should know that Bodyline offers guaranteed weight loss success with our medical weight loss programmes. Read more here

About the author

Picture of Sally-Ann Turner

Sally-Ann Turner

I am the founder and Managing Director of Bodyline. I am passionate about providing tailored medical wellness treatments and industry leading clinical support that really make a positive difference to people’s lives. I am currently working across industry sectors to innovate women’s health solutions that deliver better patient outcomes in peri menopause and menopause.

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Related blog posts

In November 2024, the National Institute for Health and Care Excellence (Nice) released guidance that women with menopausal symptoms should be offered hormone replacement therapy (HRT) as the initial treatment as opposed to therapy.
The menopause is a natural phase in a woman's life that marks the end of reproductive functions. It is characterised by hormonal changes, including a decline in estrogen, progesterone and tesosterone levels. This transition can lead to various physical and emotional symptoms, ranging from hot flashes, night sweats, and mood swings to depression, memory loss, and osteoporosis. Many people seek hormone replacement therapy (HRT) to treat their menopausal symptoms, but when using generic HRT prescriptions, personal menopausal problems may not be targeted or treated in the most optimal way.
The menopause is a natural phase in a woman's life that marks the end of reproductive functions. It is characterized by hormonal changes, including a decline in estrogen, progesterone and testosterone levels. These hormones are usually produced in the ovaries, but as they decrease in numbers, the function of the ovaries deplete also, ceasing menstruation and ovulation. Due to reduced levels of estrogen in the blood stream as a result, this transition can lead to various physical and emotional symptoms, including hot flashes, night sweats, memory loss, and changes in metabolism.

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