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The use of HRT during the menopause can be controversial. Before a decision is made, many women seek information on what else they can use. Here, our menopause expert Eileen Durward explores the alternatives to HRT, helping you reach an informed decision on the type of treatment that is right for you.
There are many drugs prescribed or recommended by your doctor which can be used to relieve the symptoms of menopause. For example:
Soy has similar properties to oestrogen, although the effects on the body are not as strong. Soy has been seen to decrease the frequency and intensity of hot flushes, lower cholesterol, slightly increase bone density and benefit blood vessels in the same way as oestrogen.
For women who start the menopause after the age of 45, or women who are not affected by the symptoms of the menopause, HRT is not necessary. However, whether taking HRT or not, it is important to stay healthy. This includes:
Many women look for natural remedies as an alternative to HRT. Such remedies include:
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Caitriona — 19.09.2018 12:25
Hi Eileen, I have just been prescribed Vagifem as a last-resort-before-surgery for weak pelvic floors. I have been trying to avoid medication/HRT but am desperate. Doc told me it is very localised oestrogen injection and may sort out my problem. Will the Oestrogen enter my bloodstream do you think? Is there an alternative for Vagifem that you think might work? I don't get hot flushes anymore and suffer a bit of insomnia but not too bad. Am 50 next month and haven't had a period for over 2 years. Advice would be very welcome. Many Thanks
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Eileen — 20.09.2018 11:12
Hi Caitriona
These kinds of HRT are known to only work in a localised area so are deemed much safer than pills or patches. I am not sure about whether it would get into your blood stream, sorry. I would ask your pharmacist, they should be able to help with this.
Unfortunately, I don't know of any similar natural remedy. Most natural ones are very mild acting so may not be strong enough to make the difference you need just now - sometimes going down this route is the best option!
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Ann Hyde — 12.08.2017 14:34
I need something to stop the hot flushes, I am not allowed HRT from doctors so need something herbal maybe, any suggestions please
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eileen — 14.08.2017 10:29
Hi Ann
You could try the sage tablets, these are specifically for hot flushes but are not known to contain any oestrogen like HRT.
https://www.avogel.co.uk/herbal-remedies/sage-tablets-menoforce/index.php
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Ann — 01.08.2017 07:34
Hello. I'm 48 and pretty sure l'm perimenopause. Experiencing irregular heavy periods and hot flushes. With this can you also suffer from pains around the groin area and embarrasing occurances of flatulance or is this non related.
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eileen — 02.08.2017 07:53
Hi Ann
Groin pain can be caused by a number of factors such as weakening of the pelvic floor muscles but it is best to get this checked out by your doctor first.
Falling oestrogen can often affect the digestion resulting in wind or cramping or constipation. You may find cutting carbohydrate foods down (these are the worst culprits!) and drinking lots of water can help. Some women find taking a course of probiotics can improve things, you can get these from healthfood shops.
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