Research published in the British Medical Journal in January 2019 revealed that HRT absorbed through the skin (in patches and gels) is safer than HRT swallowed in a tablet or capsule. Oral HRT products can increase the risk of blood clots in the legs, depending on the hormones used and the dose, but non-oral products don’t increase this risk.
In the Summer 2019 issue of The Menopause Exchange newsletter, Dr Kathryn Clement, consultant in Newcastle upon Tyne, discusses whether this study means that all women should be using non-oral HRT. She looks at the pros and cons of transdermal (through the skin) products – and whether these offer a safer approach for most women, rather than taking oral HRT (tablets and capsules).
“Women with risk factors for blood clots may be advised to use non-oral HRT,” says Norma Goldman. “But the question is whether all women should be offered patches and gels as a first-line choice. Every woman is different and many factors need to be taken into account – sometimes, oral HRT will be more suitable. HRT prescribing is a very individual decision-making process.”
The Menopause Exchange, which was established in 1999, is completely independent and is not sponsored by any companies. It provides impartial, easily understood information to women and healthcare professionals. The Menopause Exchange quarterly newsletter contains articles written by top medical experts, such as gynaecologists, GPs, consultants, specialist menopause nurses, complementary practitioners, pharmacists, dietitians etc.
Articles in the Summer 2019 issue of The Menopause Exchange quarterly newsletter include the menopause in different cultures, libido at the menopause and vitamins at the menopause, as well as news and Ask the Experts Q&As.
The Menopause Exchange has a number of members who are happy to talk to journalists about their menopause experiences. The members are based in different parts of the UK, which may be of interest to regional publications as well as national ones. Many of the case studies are willing to provide a name and photograph, if required.
The Menopause Exchange quarterly newsletter is available via email for free. Sign up on the website, www.menopause-exchange.co.uk.