Not all menopausal women need hormone therapy
(HT). Only one in four experience symptoms so severe they need treatment.
Secondly, not all women are suitable candidates for HT.
You may be one of the women to benefit from HT if:
- Your menopause started recently, you are younger than
60 years and suffer severely from hot flushes and other menopausal
- Your menopause started recently, you are younger than 60
years and suffer severely from hot flushes and other menopausal symptoms, and
are at risk for hip fractures. You may benefit from HT combined with
- You suffer from premature menopause (before 45 years of
age). This should be treated to prevent the changes that occur due to the lack
of hormones happening too early. Studies show that this prolonged exposure to
hormones does not increase breast cancer risk or any other risks (besides
clots). Once the natural age of the menopause is reached, the risks are the
same as for any other woman.
Who should NOT take hormone therapy?
- A personal or family history of blood clots, stroke or
- older than 60 and who had never taken HT before.
- A family history of breast cancer or a personal history of
breast lump should not take combined oestrogen and progestin therapy.
- With a family or personal history of or increased risk for
heart disease, stroke, deep vein thrombosis or hypertension.
- elevated cholesterol or lipid levels. Talk to your doctor
about statins as studies show women are under-treated in this regard.
Causes of menopause
Symptoms of menopause
Reviewed and updated by Dr Dr Carol Thomas MBChB
(UCT) FCOG (SA) MMed (O&G) (UCT), Specialist Gynaecologist in private
practice, Cape Town, Secretary South African Menopause Society and Director of
the WomanSpace. March 2015.
reviewed by Dr Mike Davey, President of the South African Menopause Society,
and Prof B. Schaetzing MD, FCOG (SA), FRCOG, PhD. Part-time Consultant, Dept of
Obstetrics & Gynaecology, Faculty of Health Sciences, University of