Hormone Therapy and Stopping

“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…”.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)

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 (National Health Service) 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 Options?

Your Country may have Links similar to:

Links

This Links List to third party websites is neither comprehensive nor exhaustive. Inclusion on this Links List does not imply endorsement or recommendation. Non-inclusion on this Links List does not imply non-endorsement or non-recommendation. Third party websites are not under the control of Meno Martha International Menopause Directory. Third party websites may contain explicit medical images and/or sexual references. Please read Meno Martha International Menopause Directory’s Links Policy before proceeding to a Link. Please contact Webmaster if you experience a problem with a Link.

  1. 2016 IMS Recommendations on Women’s Midlife Health and Menopause Hormone Therapy
  2. 9 Myths and Misunderstandings About Menopausal Hormone Therapy (MHT): 6. Myth – Complementary Medicines and Therapies Are As Effective As MHT and Safer
  3. 9 Myths and Misunderstandings About Menopausal Hormone Therapy (MHT): 7. Myth – Compounded Bioidentical Hormone Therapy Is Safer Than Conventional MHT
  4. Bioidentical Custom Compounded Hormone Therapy
  5. Bioidentical Hormone Therapy
  6. Bioidentical Hormones Explained – A British Menopause Society Video
  7. Bioidentical Hormones – Ask Dr Jean
  8. Bioidentical Hormones: Are They Safer?
  9. Cognitive Behaviour Therapy (CBT) for Menopausal Symptoms
  10. Hormone Therapy and Stopping Combined Menopausal Hormone Therapy (MHT)
  11. Complementary Medicine Options for Menopausal Symptoms
  12. Complementary and Alternative Therapies Explained – A British Menopause Society 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. Hormone Help Desk: ET, EPT, and More
  18. Hormone Replacement Therapy
  19. Hormone Replacement Therapy (HRT)
  20. Hormone Replacement Therapy (HRT) Explained – A British Menopause Society Video
  21. Hormone Replacement Therapy (HRT): Types
  22. Hormone Therapy: Is It Right for You?
  23. Hot Flash Relief Without Hormones
  24. Hot Flashes: Manage Without Medication?
  25. Hot Flashes: What Can I Do?
  26. Hot Stuff: What’s New About Hot Flashes?
  27. How Long Does Menopause Last? – Ask Dr Jean
  28. Information About Menopause [Multiply Languages] [Videos]
  29. Lifestyle and Behaviour Changes for Menopausal Symptoms
  30. Lifestyle and Behavioural Modifications for Menopausal Symptoms
  31. Menopause
  32. Menopause
  33. Menopause
  34. Menopause & Herbs
  35. Menopause & Hormones: Common Questions
  36. Menopause FAQs: Hormone Therapy for Menopause Symptoms
  37. Menopause FAQs: Hot Flashes – Q. How long will I have hot flashes?
  38. Menopause Hormone Therapy: Who Shouldn’t Take It?
  39. Menopause Management: Menopausal Hormone Therapy (MHT)
  40. Menopause Management: Menopausal Hormone Therapy (MHT) – Possible Side Effects of HRT
  41. Menopause Management: Menopausal Hormone Therapy (MHT) – Ways To Take HRT
  42. Menopause Matters
  43. Menopause Symptoms and Relief
  44. Menopause Treatment
  45. Menopause and Your Health
  46. Menopause – Is Menopausal Hormone Therapy (HRT) Safe? [Multiply Languages] [Video]
  47. Menopause – What Is Menopausal Hormone Therapy (HRT)? [Multiply Languages] [Video]
  48. Menopause: Diagnosis & Treatment – Treatment
  49. Menopause: Diagnosis and Management – Information for the Public: Starting and Stopping HRT [NICE Guideline]
  50. Menopause: Hormone Replacement Therapy (HRT) [Video Interview Stories]
  51. Menopause: Medicines To Help You
  52. Menopause: Menopause – Hormone Treatments
  53. NAMS 2017 Position Statement Updates Guidelines for Hormone Therapy Use
  54. National Center for Complementary and Integrative Health: Menopausal Symptoms: In Depth
  55. Non-Hormonal Treatment Options for Menopausal Symptoms
  56. NonHormonal Treatments for Menopausal Symptoms
  57. Oestrogen Only Menopausal Hormone Therapy
  58. Revised Global Consensus Statement on Menopausal Hormone Therapy
  59. Tipos de Hormonoterapia
  60. Types of Hormone Therapy
  61. Vaginal Dryness
  62. Vaginal Dryness
  63. Video Series-2020 – How To Talk To Your Primary Care Clinician About Your Overall Health
  64. Video Series-2020 – TSECs—A New Treatment for Hot Flashes and Night Sweats
  65. Video Series-2020 – What You Need To Know About Bioidentical Hormone Therapy
  66. What Is Menopausal Hormone Therapy (MHT) and Is It Safe?
  67. Women’s Wellness: Hot Flashes and Night Sweats Happen After Menopause
  68. Women’s Wellness: Painful Sex After Menopause

Sources

Where may I find the Sources quoted?

You may find the Sources quoted at:

Sources

  1. 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: 16 July 2020
  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: 16 July 2020
  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: 16 July 2020
  4. Hormone Replacement Therapy (HRT): Overview – Stopping HRT. Page Last Reviewed: 09 September 2019. NHS (National Health Service) https://www.nhs.uk/conditions/hormone-replacement-therapy-hrt/#stopping-hrt Accessed: 16 July 2020
  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: 16 July 2020
  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: 16 July 2020

Topic Last Updated: 23 August 2020 – Topic Last Reviewed: 16 July 2020
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