Hormone Therapy and Stopping

“Gradually decreasing your HRT dose is usually
recommended because it’s less likely to cause
your symptoms to come back in the short term”.1

Umbrella
What may the Hormone Therapy and Stopping Umbrella include?

Depending on the Source (DotS) this Umbrella may include:

  • Hormone Replacement Therapy (HRT)
  • Hormone Therapy (HT)
  • Menopausal Hormone Therapy (MHT)
  • Stopping Hormone Therapy

Right Time

Is there a right time to stop HT?

On page two in Deciding About Hormone Therapy Use: Stopping Hormone Therapy the North American Menopause Society (NAMS) note:

Hormone Therapy and Stopping

“There is no “right” time to stop HT. Many women try to stop HT after 4 to 5 years because of concerns about potential increased risk of breast cancer. Other women may lower doses or change to non-pill forms of HT. Hot flashes may or may not return after you stop HT”.2

Right Way

Is there a right way to stop HT?

The NAMS explain:

“Although not proven by studies, slowly decreasing your dose of estrogen over several months or even over several years may reduce the chance that your hot flashes will come back”.3

In Hormone Replacement Therapy (HRT): Overview – Stopping HRT the (United Kingdom) NHS elaborate on:

“When you decide to stop, you can choose to do so suddenly or gradually.

Gradually decreasing your HRT dose is usually recommended because it’s less likely to cause your symptoms to come back in the short term.

Contact a GP if you have symptoms that persist for several months after you stop HRT, or if you have particularly severe symptoms. You may need to start HRT again”.4

Who is a GP?

DotS and/or DotC (Depending on the Country) a GP may be a qualified and registered general practitioner, a medical practitioner, a medical doctor or a doctor.

Right Age

Is there a right age to stop HT?

On page one in the NAMS 2017 Position Statement Updates Guidelines for Hormone Therapy Use: Hormone Therapy Remains the Most Effective Treatment for Hot Flashes and Other Troublesome Menopause Symptoms, Regardless of a Woman’s Age published on 20 June 2017, the NAMS explain:

Hormone Therapy and Stopping

“Hormone therapy does not need to be routinely discontinued in women aged older than 60 or 65 years and can be considered for continuation beyond age 65 years for persistent hot flashes, quality-of-life issues, or prevention of osteoporosis after appropriate evaluation and counseling of benefits and risks”.5

Health Care Provider

What if I unsure about when and how to stop HT?

If you are unsure about when and how to stop HT, it may be in your best interest to choose to talk to your health care provider about this. The NAMS explain:

“You and your health care provider will work together to decide the best time to stop HT. If very bothersome hot flashes or night sweats return when you stop HT, you will need to reassess your individual risks and benefits to decide whether to continue HT. Because there may be greater risks with longer duration of use and as you age, you and your healthcare provider will work together to decide what is the best option for you”.6

Health Topics A-Z

Where may I find Health Topics related to Hormone Therapy and Stopping?

In Health Topics A-Z you may find:

Health Topics A-Z

Links

Where may I find Links related to Hormone Therapy and Stopping?

Your Country may have Links similar to:

Links

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  1. 9 Myths and Misunderstandings About Menopausal Hormone Therapy (MHT)
  2. BMS & WHC’s 2020 Recommendations on Hormone Replacement Therapy In Menopausal Women
  3. Bioidentical Custom Compounded Hormone Therapy
  4. Bioidentical Hormone Therapy
  5. Bioidentical Hormones Explained – A British Menopause Society Video
  6. Bioidentical Hormones – Ask Dr Jean
  7. Bioidentical Hormones: Are They Safer?
  8. Cognitive Behaviour Therapy (CBT) for Menopausal Symptoms
  9. Combined Menopausal Hormone Therapy (MHT)
  10. Complementary Medicine Options for Menopausal Symptoms
  11. Complementary and Alternative Therapies Explained – A British Menopause Society Video
  12. Compounded Bioidentical Hormone Therapy [Video]
  13. Deciding About Hormone Therapy
  14. Deciding About Hormone Therapy Use
  15. Decidir Sobre La Hormonoterapia
  16. Early Menopause: Experiences and Perspectives of Women and Health Practitioners – Women’s Profiles
  17. Fast Facts: HRT and Breast Cancer Risk
  18. Find A Menopause Practitioner [United States and Other]
  19. Find An AMS Doctor [Australasian Menopause Society i.e. Australia and New Zealand]
  20. Find Your Nearest BMS Menopause Specialist [British Menopause Society]
  21. HRT: Benefits and Risks
  22. HRT: Types, Doses and Regimens
  23. Hormone Help Desk: ET, EPT, and More
  24. Hormone Replacement Therapy
  25. Hormone Replacement Therapy (HRT)
  26. Hormone Replacement Therapy (HRT) Explained – A British Menopause Society Video
  27. Hormone Replacement Therapy (HRT): Types
  28. Hormone Therapy: Is It Right for You?
  29. Hot Flashes: Manage Without Medication?
  30. Hot Flashes: What Can I Do?
  31. How Long Does Menopause Last? – Ask Dr Jean
  32. Information About Menopause [Multiply Languages] [Videos]
  33. Lifestyle and Behaviour Changes for Menopausal Symptoms
  34. Lifestyle and Behavioural Modifications for Menopausal Symptoms
  35. Mayo Clinic Minute: Help With Hot Flashes Due To Menopause [+ Video]
  36. Mayo Clinic Minute: Lifestyle Changes To Manage Menopause Symptoms [+ Video]
  37. Menopause
  38. Menopause
  39. Menopause
  40. Menopause & Herbs
  41. Menopause & Hormones: Common Questions
  42. Menopause FAQs: Hormone Therapy for Menopause Symptoms
  43. Menopause FAQs: Hot Flashes – Q. How long will I have hot flashes?
  44. Menopause Hormone Therapy: Who Shouldn’t Take It?
  45. Menopause Management: Menopausal Hormone Therapy (MHT)
  46. Menopause Management: Menopausal Hormone Therapy (MHT) – Possible Side Effects of HRT
  47. Menopause Management: Menopausal Hormone Therapy (MHT) – Ways To Take HRT
  48. Menopause Matters
  49. Menopause Symptoms and Relief
  50. Menopause Treatment
  51. Menopause and Your Health
  52. Menopause: Diagnosis & Treatment – Treatment
  53. Menopause: Diagnosis and Management – Information for the Public: Starting and Stopping HRT [NICE Guideline]
  54. Menopause: Is Menopausal Hormone Therapy (HRT) Safe? [Multiply Languages] [Video]
  55. Menopause: Medicines To Help You
  56. Menopause: Menopause – Hormone Treatments
  57. Menopause: What Is Menopausal Hormone Therapy (HRT)? [Multiply Languages] [Video]
  58. NAMS 2017 Position Statement Updates Guidelines for Hormone Therapy Use
  59. National Center for Complementary and Integrative Health: Menopausal Symptoms: In Depth
  60. Non-Hormonal Treatment Options for Menopausal Symptoms
  61. NonHormonal Treatments for Menopausal Symptoms
  62. Oestrogen Only Menopausal Hormone Therapy
  63. Revised Global Consensus Statement on Menopausal Hormone Therapy
  64. Tipos de Hormonoterapia
  65. Types of Hormone Therapy
  66. Vaginal Dryness
  67. Video Series-2021: Treatment Options for Vaginal Dryness and Urinary Issues
  68. Video Series-2021: What Women Need to Know About Hormone Therapies
  69. Video Series-2022: Perimenopause, Signs, Symptom, and Solutions
  70. What Is Menopausal Hormone Therapy (MHT) and Is It Safe?
  71. Webinars: Previous – Breast Cancer
  72. Women’s Wellness: Hot Flashes and Night Sweats Happen After Menopause

Sources

Where may I find the Sources quoted?

You may find the Sources quoted at:

Sources

  1. Hormone Replacement Therapy (HRT): Overview – Stopping HRT. Page Last Reviewed: 09 September 2019. NHS https://www.nhs.uk/conditions/hormone-replacement-therapy-hrt/#stopping-hrt Accessed: 10 January 2022
  2. Deciding About Hormone Therapy Use: Stopping Hormone Therapy. 2017:2. North American Menopause Society https://www.menopause.org/docs/default-source/for-women/menonote-deciding-about-ht-2017.pdf Accessed: 10 January 2022
  3. Deciding About Hormone Therapy Use: Stopping Hormone Therapy. 2017:2. North American Menopause Society https://www.menopause.org/docs/default-source/for-women/menonote-deciding-about-ht-2017.pdf Accessed: 10 January 2022
  4. Hormone Replacement Therapy (HRT): Overview – Stopping HRT. Page Last Reviewed: 09 September 2019. NHS  https://www.nhs.uk/conditions/hormone-replacement-therapy-hrt/#stopping-hrt Accessed: 10 January 2022
  5. NAMS 2017 Position Statement Updates Guidelines for Hormone Therapy Use. 20 June 2017:1. North American Menopause Society https://www.menopause.org/docs/default-source/default-document-library/ht-press-release-061917.pdf Accessed: 10 January 2022
  6. Deciding About Hormone Therapy Use: Stopping Hormone Therapy. 2017:2. North American Menopause Society https://www.menopause.org/docs/default-source/for-women/menonote-deciding-about-ht-2017.pdf Accessed: 10 January 2022

Topic Last Updated: 10 January 2022 – Topic Last Reviewed: 10 January 2022
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