Hormone replacement therapy (HRT) is an effective treatment for hot flushes, night sweats, vaginal symptoms, and bone protection. For many people starting around the time of menopause and under 60, the overall benefit-to-risk balance is favourable. Risks vary with the type of HRT, the dose, how it is taken, and your personal and family history.
HRT may not be advisable, or needs specialist input, for people with a history of certain hormone-sensitive cancers, blood clots, some liver conditions, or unexplained vaginal bleeding. Because the picture is individual, this is a decision to make with a clinician rather than from a general article.
Non-hormonal treatments and lifestyle measures are alternatives if HRT is not right for you. Book a consultation to review your symptoms, medical history, and preferences so you get advice tailored to you, and report any unexpected bleeding while on HRT.