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Tell me a bit about menopause hormonal therapy Sometimes, symptoms become bothersome enough to need extra support. Menopause hormonal therapy (MHT, formerly HRT or hormone replacement therapy) can help. Here's an introduction:?*:*° ¢ MHT replaces oestrogen to help relieve common menopausal symptoms such as hot flushes, vaginal dryness and poor sleep. ¢ It's taken via different methods, including pill, patch, gel, vaginal cream and IUD. ¢ Identifying the right dosage and method is important; your doctor will help identify the correct combination for you. ¢ MHT can reduce the risk of some chronic conditions, depending on dose and duration. ° As with all medications, there are some risks; your doctor can manage different methods and dosages to reduce these. ¢ Current international recommendations show the benefits outweigh the risks and that MHT is safe and effective for symptom relief in healthy women. If your symptoms are disrupting your daily life or causing distress, talk to your doctor about whether MHT is right for you. Types of MHT Its not a one-size-fits-all situation. Oestrogen - this is the main hormone required for symptom relief. If you have had a hysterectomy, this could be sufficient. Oestrogen + progesterone - if you still have a uterus, progesterone must be taken in combination (this helps reduce the risk of endometrial cancer)* Testosterone — may be taken in small amounts to treat low sex drive. If MHT has been recommended for you, speak with your Pharmacist. They will help you understand how MHT works, and answer any questions you have about its role in your menopause journey. Sources: 2 https:/mwww.jeanhailes org auhealth2.2/menopause/menopause- managementiimenopausal-hormone-therapy-mht 3https/wwbetterhealth vic gov.au/health/conditionsandtreatments/hormone-replacement therapy-hrt-and-menopause 4¢https://awew.menopause.org.auimages/fectsheets/What is MHT_and is. it safe_V7,paf 5 https:/ww healthdirect govau/hormone-replacement-therapy 6 hitps://ywjeanhailes org auhealth-a-2/menopause/menopause-managementmenopausal-hormone-therapy-mht Real talk with Susan Lee Here’s why menopause can be such an emotional time While menopause is famously associated with hot flushes and other physical symptoms, not everyone is aware of (or prepared for) its emotional effects. The thing is, irritability, mood swings, brain fog, forgetfulness, trouble concentrating, reduced motivation and low self-confidence are all associated with menopause.’ Symptoms of depression and anxiety are also associated with perimenopause (the lead up to menopause) even if they weren't a challenge in previous years.’ Sometimes, these symptoms can come on quickly or may feel like a constant state of PMS (premenstrual syndrome). The truth is, mid-life is already an emotionally- charged time of life for many reasons, such as children leaving home, divorce, caring for elderly parents, financial pressures, ageing and other health concerns. Sometimes, the addition of menopause to these stressors can be an emotional challenge. These steps can help manage our menopause mental health 1. Know your phase of menopause and the possible symptoms (it's easier to deal with something we understand) 2. Ensure your doctor understands your mental health history so far 3. Identify the other areas of your life which cause stress, and share these with your doctor 4. Ask your doctor about an individualised treatment plan (this may include menopause hormone therapy, psychological therapies and lifestyle changes) 5. If work stress is impacting you, consider speaking with your manager about a plan 6. Continue to foster healthy lifestyle habits (quit smoking and get plenty of rest, movement, water and good nutrition) 7. Non-medical treatments (such as meditation, relaxation and cognitive behaviour therapy) can boost resilience and improve our reactions to stress? 8. Stay connected with your friends and turn to each other to vent, laugh or share experiences Scan formore on menopause‘: @ Lt d uy Susan Lee Pharmacist TerryWhite Chemmart = \ Valley Road Devonport, TAS Sources: ‘ https://wwwmenopause.org.au/images/stories/infosheets/docs/AMS_ Menopause_and_mental_health-consumers https://vaww jeanhailes.org.au/uploads/Fact_sheets/Menopause-and-mind-health- fact-sheet.pdf 2 https:/Awww.menopause.org.au/images/stories/infosheets/docs/AMS.Lifestyle_ ‘and_behavioral_modifications_for menopausal_symptoms.pdf
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