09/01/2026
HRT pros vs cons part 1. What does the evidence actually say?
HRT stands for hormone replacement therapy. It replaces oestrogen, or a combination of oestrogen and progesterone, and can be given as tablets, patches, gels, or vaginal treatments, depending on what suits you best.
Around 80 percent of women experience menopausal symptoms. These can include hot flushes, night sweats, low mood, poor sleep, vaginal dryness, joint aches, and overwhelming fatigue. For most women, HRT is highly effective and can significantly improve these symptoms, helping you feel more like yourself again.
HRT also supports bone health and helps prevent osteoporosis when taken for symptom relief. It improves vaginal and bladder symptoms and is associated with a reduced risk of bowel cancer, although this alone would not be a reason to start treatment.
For women who experience early or surgical menopause, HRT is strongly recommended by experts until at least the average age of natural menopause, around 50, to protect long term health.
Importantly, this does not mean HRT must be stopped at age 50. Many women continue HRT beyond this age, and current evidence supports ongoing use where the benefits outweigh the risks.
How long someone stays on HRT should always be based on an individual balance of risks and benefits, taking into account symptoms, health history, and personal preference. This is an important conversation to have regularly with the healthcare professional prescribing your HRT.
HRT is not about becoming superwoman. It is about feeling well, supported, and able to live your life fully again.
Disclaimer:
This content is for general education and wellbeing awareness only and is not intended as individual medical advice. Please speak to your GP or a qualified healthcare professional for personalised advice.