What are the real benefits of HRT – and is it right for everyone?

Hormone replacement therapy (HRT) remains the most effective treatment for relieving the often life-disrupting symptoms of menopause such as hot flushes, night sweats, brain fog, low mood, joint aches and poor sleep.

These symptoms arise from the natural drop in oestrogen and other sex hormones during perimenopause and menopause.

Modern HRT works by gently restoring hormone levels, either through tablets, patches, gels, or sprays.

For most healthy women under the age of 60 or within 10 years of menopause, the benefits of HRT significantly outweigh the risks. When started at the right time and tailored to the individual, HRT can offer symptom relief while also supporting long-term health.

Today’s evidence-based approach to HRT means we now have more refined options such as body-identical oestrogen and progesterone, delivered via skin (transdermal) routes, which are associated with a lower risk profile compared to older formulations.

These newer treatments more closely mimic the body’s natural hormones and are better tolerated by many women.

However, HRT is not a one-size-fits-all solution. Women with a history of hormone-sensitive cancers or certain medical conditions may not be suitable candidates.

In these cases, a consultation with an expert gynaecologist like Miss Gemma Mizon or Miss Mahnaz Akunjee is vital, to explore alternative approaches and ensure personalised, safe care.

 

Beyond symptom relief: how HRT supports your long-term health

While symptom control is the primary reason many women seek menopause treatment, the benefits of HRT extend far beyond managing hot flushes or brain fog.

  • Bone health: Oestrogen plays a key role in maintaining bone density. HRT reduces the risk of osteoporosis and fractures, particularly in women who enter menopause early or have other risk factors for bone loss.
  • Mood and brain function: Oestrogen supports neurotransmitters like serotonin, which influence mood, memory, and sleep. Many women report significant improvements in mental clarity, energy and emotional wellbeing after starting HRT.
  • Heart health: When started around the time of menopause, HRT may reduce the risk of cardiovascular disease in some women.
  • Sexual wellbeing: HRT can improve vaginal dryness, libido, and comfort during intimacy, issues often underreported but have a big impact on quality of life.

These benefits are enhanced when combined with lifestyle measures. Regular exercise, a balanced Mediterranean-style diet rich in calcium and vitamin D, good sleep hygiene, and stress management are essential foundations for healthy ageing, whether or not you choose to take HRT.


Safer options and new treatments 

Despite decades of research and reassurance from bodies such as the British Menopause Society and NICE, myths and fears about HRT still persist.

Many women worry HRT will increase their cancer risk or that they must "put up" with menopause symptoms.

For the vast majority of women the benefits of HRT outweigh any small risks particularly when prescribed appropriately and monitored by a specialist.

Excitingly, there are now more choices than ever before. Alongside body-identical HRT options, the past year has seen further advances in non-hormonal treatments.

One example is Fezolinetant (Veozah), a newly-licensed medication that reduces hot flushes by acting on specific brain receptors, ideal for those who cannot take hormones.

There is growing interest in the role of testosterone replacement, which can help with libido and energy levels in selected women, and in the use of vaginal oestrogen, which is extremely low dose and safe for many - even years after menopause.

Ultimately, menopause care should never be about one quick prescription or a blanket approach. Whether you choose HRT, non-hormonal therapies, or a combination, it should be a conversation rooted in evidence, guided by your preferences, and reviewed regularly to adapt to your changing needs.

 

Personalising your treatment

Menopausal symptoms vary enormously from woman to woman. Some struggle with hot flushes and sleep disturbance, while others are more affected by low mood, joint pain, or vaginal dryness. Because no two experiences are alike, treatment must be personalised.

The key is a collaborative approach between patient and clinician. Taking into account your symptoms, preferences, medical history, and lifestyle, we can build a treatment plan that suits you.

For many women, this includes choosing the right type, dose, and route of HRT; for others, non-hormonal alternatives such as lifestyle adjustments, CBT or specific medications can be just as effective.

Personalised menopause care also means adjusting treatment over time, monitoring how you feel, and making changes as your needs evolve. The British Menopause Society and NICE emphasise the importance of shared decision-making to ensure women are fully informed and actively involved in their care journey.

Personalisation empowers you to take control of your health whether you choose HRT or not.

 

Private care for menopause support

Many women tell us they’ve felt dismissed or rushed during their menopause journey. Appointments can be brief and wait times long, especially for more complex or persistent symptoms. This is where private menopause care can make a real difference.

At Wells Health, we offer longer appointments with menopause-focused gynaecologists who have the time to listen carefully to your story.

You can usually be seen within days, and we can provide a comprehensive service, offering blood tests, pelvic ultrasound scans, and tailored treatment options, all under one roof.

Private care may also be especially helpful if:

  • You’ve been told HRT isn’t safe for you but want a second opinion
  • You’ve tried HRT but it hasn’t helped or has caused side effects
  • You’re navigating early menopause, surgical menopause, or complex health needs
  • You’d prefer a holistic approach that includes both medical and lifestyle support

With newer, evidence-based options emerging all the time, private menopause care gives you rapid access to specialists who stay at the forefront of research ensuring your treatment is as up to date, safe, and effective as possible.

This year has seen advances in non-hormonal treatments…new medication reduces hot flushes...ideal for those who cannot take hormones.

 

Speak to an expert about HRT

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