Women in general need to be educated on Hormone Replacement Therapy.
Indications for the use of Hormone Therapy include the following situations related to menopause:
– relief of vasomotor symptoms (hot flushes, sweating)
– relief of joint and muscle aches and pains+
– relief of sleeplessness and other sleep disturbances+
– relief of depressed mood
– relief of urogenital symptoms (vaginal dryness)
– relief of sexual dysfunction, such as decrease libido
– maintaining and improvement of quality of life.
(+ commonest complaints in Asian postmenopausal women)
– As a prevention for bone loss and fractures in postmenopausal women
Contraindications to Hormone Therapy include:
– history of breast cancer
– history of thromboembolism and stroke
– undiagnosed uterine bleeding
– significant cardiovascular disease
– hypersensitivity to oestrogen
Best start between 50-59 years or within 10 years of menopause
Lowest effective dose of estrogen with corresponding low dose of progestogen.
(Source: Clinical Practice Guidelines AMM, MOH + CO&GM)