“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”.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

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Links

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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: 10 May 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: 10 May 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: 10 May 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: 10 May 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: 10 May 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: 10 May 2020
Topic Last Updated: 10 May 2020 – Topic Last Reviewed: 10 May 2020
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