HRT, Menopause Advice, Managing Symptoms, Perimenopause, Post Menopause
A clear guide to understanding your menopause treatment choices hormonal and non-hormonal
Hormone Replacement Therapy (HRT) is often one of the first things women hear about when navigating perimenopause or menopause. But with headlines, health scares, and hormone confusion still lingering from years past, it’s no wonder many feel unsure:
Do I really need HRT? Is it safe? Are there alternatives that actually work?
At Bristol Menopause Clinic, we believe in empowering women with balanced, evidence-based information so you can make the choice that feels right for you.
Let’s break it all down clearly, safely, and simply.
What is HRT?
HRT stands for Hormone Replacement Therapy. It replaces the hormones primarily oestrogen, and sometimes progesterone and testosterone that naturally decline during perimenopause and menopause.
The goal? To reduce symptoms, support long-term health, and help you feel more like yourself again.
Common Symptoms HRT May Help With:
Hot flushes and night sweats
Sleep disruption
Low mood or anxiety
Brain fog and forgetfulness
Joint aches and muscle pain
Vaginal dryness or painful sex
Loss of libido
Recurrent urinary tract infections
For many women, these symptoms are more than just annoying they affect daily life, work, relationships, and self-esteem. HRT can offer effective relief.
What Types of HRT Are Available?
1. Oestrogen-Only HRT Used if you’ve had a hysterectomy. Available as patches, gels, sprays, tablets, or vaginal preparations.
2. Combined HRT (Oestrogen + Progesterone) If you still have your womb, you’ll need a progestogen to protect the lining of the uterus. This can be delivered in combined patches, oral tablets, or through the Mirena coil.
3. Body-Identical (Micronised) HRT These are regulated, pharmaceutical-grade hormones that are molecularly identical to those your body makes. They are considered the gold standard by many menopause specialists.
4. Testosterone Offered to some women who continue to experience low libido, energy, or cognitive symptoms despite other HRT.
Is HRT Safe?
This is one of the most important and misunderstood questions.
The short answer: for most women, yes.
Modern HRT is far safer than older forms. The British Menopause Society, NICE, and International Menopause Society agree: for most women under 60 and within 10 years of menopause, the benefits outweigh the risks.
HRT may even help reduce the long-term risk of:
Osteoporosis
Heart disease (if started early)
Type 2 diabetes
Cognitive decline
Of course, HRT is not suitable for everyone. If you’ve had certain cancers, clotting disorders, or liver conditions, alternative options are available and should be discussed with a specialist.
What If I Don’t Want HRT?
That’s okay too. There’s no one-size-fits-all approach. If HRT isn’t right for you by choice or medical reasons—there are other tools that can help you feel better:
Non-Hormonal Options
CBT (Cognitive Behavioural Therapy) – evidence-based support for hot flushes, anxiety, and low mood
Prescribed non-hormonal medications (such as SSRIs or clonidine) for hot flushes and night sweats
Vaginal moisturisers and lubricants to ease dryness and discomfort
Nutritional support and supplements (under expert guidance)
Lifestyle Changes That Make a Big Impact
Regular exercise to support mood, bones, and cardiovascular health
Balanced nutrition with plenty of calcium, protein, and healthy fats
Prioritising sleep and stress management
Limiting alcohol and caffeine
Staying socially connected
Your Next Step
If you’re wondering whether HRT is right for you, the best place to start is a personalised consultation with a menopause specialist. At Bristol Menopause Clinic, we take time to understand your symptoms, health history, preferences, and goals then offer tailored treatment options that work for you.