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HRT: Balancing Risks & Benefits


  • Symptom control.
  • Quality of life.
  • Osteoporotic fracture.
  • Large bowel cancer.


  • VTE (blood clots) - only with tablet HRT.
  • Breast cancer.
  • Stroke.
  • Gall bladder disease.
  • AGE UNDER 50
  • AGE 50-60 AND
  • AGE 60 +
  • AGE OVER 70

The risk/benefit balance of HRT varies between women and for each woman, from year to year depending on presence or not of symptoms, other medical history and number of years that HRT has been taken.

Generally though, if you become menopausal early (before age 45) or prematurely (before age 40), the benefits of taking HRT up to at least age 50 far outweigh the risks. If you are under 60 and having menopausal symptoms, or have risk for osteoporosis, the benefits also outweigh the risks.

There are no arbitrary limits as to how long HRT can be taken, it is up to each woman to balance the risks against the benefits for her. Some women may not need HRT at all, or may take it for a few years only, while others continue to take HRT for many years since it continues to provide significant benefits for them.

Every woman should be supported to make an informed choice about their use of HRT.

For your information...

Menopause + Premature Menopause + Menopause Symptoms + Bleeding Problems + Vaginal Problems + Bladder Matters Menopause and HRT after Hysterectomy Treatments + Diet, Lifestyle & Exercise + Menopause at Work Hormone Replacement Therapy + Estrogens Progestogens Route Benefits Risks Balancing Risks & Benefits Contra - indications Side Effects When to be referred Review when taking HRT Duration of HRT Stopping HRT HRT Preparations + Prescribable non-HRT Testosterone Alternative Therapies + Alternative Techniques Decision Tree Contraception + Osteoporosis + Heart Disease + A to Z of menopause and medical conditions Magazine Shop More +