Hrt

HRT, otherwise called hormonal replacement therapy, helps to balance estrogen and progesterone during menopause. During this stage, a woman has mood changes, sleep problems, vaginal dryness, bone thinning, and urinary problems. HRT helps to manage these symptoms. It helps to improve muscle function, reduces the risk of developing heart failure, and prevents skin aging in menopausal women. In some cases, HRT can cause some side effects such as acne, bloating, indigestion, headache, and migraine.

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I developed insomnia as a post-menopausal symptom. Can you please help?

Query: Hi doctor,I am a 45-year-old woman who has had perimenopause for many years. The main symptom is insomnia. My GP agreed to start me on HRT but recommended estrogen-only with Mirena coil. He said this is the safest HRT. But when I read online, it said that this is only recommended for women who have ...  Read Full »


Dr. Rajesh Jain

Answer: Hello, Welcome to icliniq.com. I can understand your concern. Do not worry. Mirena coil (hormonal intrauterine device) is not recommended after menopause, as its main use is to reduce vaginal bleeding. My recommendations are: 1. Continue oral estrogen. 2. Do meditation regularly before sleep. 3...  Read Full »

How long can I take HRT, and will it cause any trouble when taken for a long time?

Query: Hello doctor, I have just received my blood results of thyroid and hormone blood test, and I require your help, please. I am 54 years old woman, who is 5.6 feet tall and weigh 13.10 stone. I have suffered from ill health for many years and cannot remember the last time I felt well. I had a complete...  Read Full »


Dr. Deep Dutta

Answer: Hi, Welcome to icliniq.com. I am sorry you have had to go through a lot. I really appreciate your writing all your problems in such a detailed way, which makes me easy to understand all your symptoms fully. Most importantly it is high time you stop your hormone replacement therapy. HRT should not...  Read Full »

Can a higher level of FSH indicate early menopause at the age of 30 years?

Query: Hi doctor, My 30 year old sister recently tested her FSH levels, and the test result showed that she is going through early menopause. So, the doctor gave her Progyluton. Please give us your opinion.  Read Full »


Dr. R Balakrishnan Menon

Answer: Hi, Welcome to icliniq.com. How are you doing? The following history will be helpful to give a proper opinion: What is her FSH (follicle stimulating hormone) level? Is she trying to conceive? Is she having any menopausal symptoms? Progyluton is just the combination of estrogen and prog...  Read Full »

Is it fine to abruptly stop HRT when desired breast growth has occurred in a transgender woman?

Query: Hi doctor, I am a transgender woman. I want to stop taking my HRT cause I feel that I have had the breast growth I wanted, and the changes coming lately (loss of erections, gaining weight, emotionality) have been very unpleasant for me. So the question is, how do I stop them? Do I stop it abruptly ...  Read Full »


Dr. Poonguzhali Liston

Answer: Hello, Welcome to icliniq.com. I understand your concern. Hormones taken during HRT (hormone replacement therapy) are steroids, and it is never a good idea to suddenly stop steroids as it will cause adverse side effects. Hence my advice would be to slowly lower the HRT dose and get it to a level w...  Read Full »

I gained weight and feel bloated after ovaries removal. Is it due to menopause?

Query: Hello doctor, I am 32 years old. Last year, I had a cyst on my ovary and I had to undergo an operation to remove it. The doctors ended up removing both my ovaries. I was told to take Microgynon to balance my hormones. I have been very forgetful with my intake of the tablet for the whole year and h...  Read Full »


Dr. Jimesh H. Mavani

Answer: Hi, Welcome to icliniq.com. Yes, it is right. You can have these symptoms if you are going through a menopause. As both your ovaries are removed, you are going to end up in menopause. This is called surgical menopause. To decrease the symptoms of menopause your doctor prescribed you Microgynon ...  Read Full »

Is it good to avoid oral contraceptive pills after 40 years?

Query: Hello doctor, I have a question. Estrogen shows cardioprotective effect before menopause. But, it increases the risk of CVS diseases if taken in oral contraceptive pills. And, they say that oral contraceptive pills should be avoided after 40 years because of CVS complications. I am not getting it....  Read Full »


Dr. Rishu

Answer: Hi, Welcome to icliniq.com. Natural estrogen is cardioprotective as it increases the level of HDL (high-density lipoprotein) and decreases the level of LDL (low-density lipoprotein). Oxidation of LDL cholesterol is believed to be the initiator of atherosclerosis. Estradiol and other estrogens are...  Read Full »

I need some advice to start HRT for male to female transition.

Query: Hi doctor, I am a 28 year old transwoman. I am looking forward to start HRT. I need some advice from you to start on HRT for male to female transition. Thank you.  Read Full »


Dr. Divakara P

Answer: Hi, Welcome to icliniq.com. Do you need to know what medications to be taken for HRT (hormone replacement therapy)? Do you like to know about the fitness or investigations before starting HRT? Or are you asking for the safety? Do let me know what you want to know exactly. Revert back with the answe...  Read Full »

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