Hormone Replacement Therapy (HRT) has long been a topic of debate and confusion, especially for menopausal women exploring their treatment options. Despite its potential to offer significant relief from menopausal symptoms and more, several myths persist, often deterring women from seeking the benefits it can provide. With 27 years of experience as a naturopathic doctor who prescribes HRT, I’ve witnessed substantial advancements in our understanding of this important treatment. Let’s clarify these common misconceptions.
Myth 1: HRT Causes Cancer
One of the most pervasive myths about HRT is its association with cancer, particularly breast cancer. This concern primarily stems from findings of the Women’s Health Initiative (WHI) study in 2002, which reported a slight increased risk of breast cancer in women using combined estrogen-progestin therapy. However, subsequent analyses and studies have shown that the risk is more nuanced. The study used outdated forms of HRT, such as horse estrogen and synthetic progesterone. Now we use bioidentical hormones, which have been shown to be much safer. Also, the study participants had an average age of 65 when they started HRT. Now, we know that the safest window for starting HRT is withing 10 years of a woman’s menopause or before age 60. A family history of breast cancer is not a contraindication.
Myth 2: HRT is Only for Severe Symptoms
Another common misconception is that HRT is only necessary for women with severe menopausal symptoms. While it is true that HRT can provide substantial relief for those experiencing significant symptoms like hot flashes, night sweats, vaginal dryness and mood swings and insomnia, it can also benefit women with mild to moderate symptoms. Additionally, HRT has been shown to offer long-term health benefits, such as reducing the risk of osteoporosis and age related cognitive decline, if started early.
Myth 3: HRT Will Make You Gain Weight
A widespread concern among menopausal women is that HRT will lead to significant weight gain. However, research does not support this claim. While menopause itself is associated with changes in body composition and fat distribution, HRT has not been definitively linked to weight gain. In fact, some studies suggest that HRT may help mitigate the abdominal fat accumulation often seen during menopause.
Myth 4: HRT is Risky for Women with a History of Blood Clots
Many women with a history of blood clots or a family history of clotting disorders believe they cannot safely use estrogen therapy. While it is true that traditional oral estrogen HRT can increase the risk of blood clots, there are alternative delivery methods that pose less risk. Transdermal estrogen, which is delivered through the skin via patches, gels, or creams, has been shown to have a lower risk of blood clots compared to oral formulations. As always, it is crucial for women to discuss their medical history and individual risk factors with their healthcare provider to determine the safest and most effective form of HRT for their needs.
While myths and misconceptions about HRT persist, it is important for women to seek accurate information and consult with their healthcare providers. HRT can be a valuable tool in managing menopausal symptoms and improving quality of life in the long term. By dispelling these myths, we can empower women to make informed decisions about their health during menopause.
Dr. Deidre Macdonald is a naturopathic physician practicing in downtown Courtenay. www.getwellhere.com 250 897-0235
