“The type of HRT most suited to a woman will depend on a variety of factors, including her stage in the menopausal process, and whether or not she has had a…”.1

Umbrella
What may the Hormone Therapy Types Umbrella include?

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

  • Combined/Combination HT/HRT
  • Continuous HT
  • Continuous Oestrogen and Progestogen Combinations
  • Cyclical/Sequential HT/HRT
  • Estrogen Therapy (ET)
  • Estrogen-Progestogen Therapy (EPT)
  • Hormone Replacement Therapy (HRT)
  • Hormone Therapy (HT)
  • Menopausal Hormone Therapy (MHT)
  • Oestrogen Only HT/HRT/Therapy
  • Oestrogen and Progestogen Combination HRT
  • Progestin/Progestogen

Different Differences

Is hormone therapy (HT) one-size-fits all?

No. In HRT: Which HRT? the (British) Women’s Health Concern explain:

“The type of HRT most suited to a woman will depend on a variety of factors, including her stage in the menopausal process, and whether or not she has had a hysterectomy. Most forms of HRT combine different amounts of the hormones oestrogen and progesterone (manufactured progesterone is called progestogen in the UK and progestin in the US). There are over 50 different combinations of HRT currently available. Most women will make their choice over whether to take HRT, and which form, with the help of their GP”.2

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.

Uterus or No UterusHormone Therapy Types

Is the type of HT prescribed for women with a uterus different from the type of HT prescribed for women without a uterus?

Yes. On page one in Deciding About Hormone Therapy Use the North American Menopause Society (NAMS) elaborate on:

“Hormone therapy involves taking estrogen in doses high enough to raise the level of estrogen in your blood in order to treat hot flashes and other symptoms. Because estrogen stimulates the lining of the uterus, women with a uterus need to take an additional hormone, progestogen, to protect the uterus. Women without a uterus just take estrogen. If you are bothered only by vaginal dryness, you can use very low doses of estrogen placed directly into the vagina”.3

Uterus

What type of HT may be prescribed for women who have a uterus?

In Hormone Help Desk: ET, EPT, and More – Estrogen-Progestogen Therapy (EPT) the NAMS explain:

Hormone Therapy Types“Women with a uterus who wish to use estrogen for symptom relief should combine it with a progestogen to protect the lining of the uterus (endometrium). Estrogen stimulates the uterine lining and causes it to thicken, increasing risk for endometrial cancer (cancer of the lining of the uterus). Progestogen is used to decrease the risk caused from ET, but does not protect against the type of uterine cancer that that is unrelated to estrogen. EPT is associated with side effects similar to ET and should be used at the lowest effective dose consistent with treatment goals. The risk of breast cancer appears to be higher with EPT, especially when used long-term (more than 5 yrs)”.4

No Uterus

What type of HT may be prescribed for women who do not have a uterus?

In Hormone Help Desk: ET, EPT, and More – Estrogen Therapy (ET) the NAMS elaborate on:

Hormone Therapy Types“Therapy with estrogen alone is generally appropriate only for women who have had a hysterectomy and do not need any uterine protection in the form of progestogens (either as natural progesterone or synthetic progestin) to prevent uterine cancer”.5

Health Care Provider

How do I find out what type of HT to use?

If you would like to find out what type of HT to use, it may be in your best interest to talk to your health care provider about this.

One of the points of consensus about menopausal hormone therapy (MHT) in the Revised Global Consensus Statement on Menopausal Hormone Therapy: Section B: General Principles Governing the Use of MHT – endorsed by seven menopause-related organizations – published online 20 June 2016, is:

  • “The option of MHT is an individual decision in terms of quality of life and health priorities as well as personal risk factors such as age, time since menopause and the risk of VTE, stroke, ischemic heart disease and breast cancer. MHT should not be recommended without a clear indication for its use”.6

What is VTE?

VTE can be an abbreviation for Venous Thromboembolism.

Health Topics A-Z

Where may I find Health Topics related to Hormone Therapy Types?

In Health Topics A-Z you may find:

Health Topics A-Z

Links

Where may I find Links related to Hormone Therapy Types?

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 Hormones Explained – A British Menopause Society Video
  5. Bioidentical Hormones: Are They Safer?
  6. Combined Menopausal Hormone Therapy (MHT)
  7. Deciding About Hormone Therapy
  8. Deciding About Hormone Therapy Use
  9. Decidir Sobre La Hormonoterapia
  10. Estrogen & Hormones: Estrogen & Heart Disease
  11. Fact Sheets and Downloads: Additional Downloadable Resources – Vaginal Estrogen Therapy
  12. HRT and Bleeding Explained – A British Menopause Society Video
  13. HRT and Breast Cancer: Overall Risks and Benefits Explained – A British Menopause Society Video
  14. HRT and the Risk of Breast Cancer Explained – A British Menopause Society Video
  15. Hormone Help Desk: ET, EPT, and More
  16. Hormone Replacement Therapy
  17. Hormone Replacement Therapy (HRT)
  18. Hormone Replacement Therapy (HRT) Explained – A British Menopause Society Video
  19. Hormone Replacement Therapy (HRT): Alternatives
  20. Hormone Replacement Therapy (HRT): Types
  21. Hormone Therapy: Is It Right for You?
  22. Hot Flash Relief Without Hormones
  23. Hot Flashes: Manage Without Medication?
  24. Hot Flashes: What Can I Do?
  25. Index To Drug-Specific Information [United States]
  26. Information About Menopause [Multiply Languages] [Videos]
  27. MHT and Breast Cancer Risk
  28. Making Sense of Menopausal Hormone Therapy Means Understanding the Benefits As Well As the Risks
  29. Mayo Clinic Q and A: Estrogen Replacement Therapy After Ovary Removal
  30. Menopause
  31. Menopause
  32. Menopause FAQs: Hormone Therapy for Menopause Symptoms
  33. Menopause Matters
  34. Menopause Symptoms and Relief
  35. Menopause Treatment
  36. Menopause – Is Menopausal Hormone Therapy (HRT) Safe? [Multiply Languages] [Video]
  37. Menopause: Diagnosis & Treatment
  38. Menopause: Diagnosis and Management – Information for the Public: Questions To Ask About Menopause [NICE Guideline]
  39. Menopause: Hormone Replacement Therapy (HRT) [Video Interview Stories]
  40. Menopause: Medicines To Help You
  41. Menopause: Menopause – Hormone Treatments
  42. Menopause: Non-HRT and Lifestyle Options [Video Interview Stories]
  43. Menopause: Non-Hormonal Treatment & Relief for Hot Flashes
  44. Menopause: Symptoms & Causes
  45. NAMS 2017 Position Statement Updates Guidelines for Hormone Therapy Use
  46. National Center for Complementary and Integrative Health: How Safe Is This Product or Practice?
  47. National Center for Complementary and Integrative Health: Know the Science: How Medications and Supplements Can Interact
  48. National Center for Complementary and Integrative Health: Menopausal Symptoms: In Depth
  49. Oestrogen Only Menopausal Hormone Therapy
  50. Practical Prescribing Explained – A British Menopause Society Video
  51. Recent Review Confirms Safety of Low Dose Vaginal Estrogen: July 2019
  52. Revised Global Consensus Statement on Menopausal Hormone Therapy
  53. Risks and Benefits of MHT/HRT
  54. The North American Menopause Society Statement on Continuing Use of Systemic Hormone Therapy After Age 65
  55. Tipos de Hormonoterapia
  56. Types of Hormone Therapy
  57. Urogenital Problems
  58. Vaginal Dryness
  59. Vaginal Dryness
  60. Video Series-2018 – Moisturizers, Lubricants, and Prasterone
  61. Video Series-2018 – Tailoring Estrogen Therapy for Maximum Cardiovascular Health
  62. Video Series-2019 – What Is New In Hormone Therapy?
  63. Video Series-2020 – TSECs—A New Treatment Option for Hot Flashes and Night Sweats
  64. Hormone Therapy TypesVideo Series-2019 – Treatment Options for Vaginal Dryness In Survivors of Breast Cancer and In Those With A High Risk of Breast Cancer
  65. What Is Menopausal Hormone Therapy (MHT) and Is It Safe?
  66. Women Can Breathe Sigh of Relief When Using Vaginal Estrogen To Treat Menopause Symptoms
  67. Women’s Wellness: Treating Hot Flashes and Night Sweats Without Hormones [+ Video]

Sources

Where may I find the Sources quoted?

You may find the Sources quoted at:

Sources

  1. HRT: Which HRT? Reviewed: December 2017. Women’s Health Concern https://www.womens-health-concern.org/help-and-advice/factsheets/hrt/ Accessed: 15 May 2020
  2. HRT: Which HRT? Reviewed: December 2017. Women’s Health Concern https://www.womens-health-concern.org/help-and-advice/factsheets/hrt/ Accessed: 15 May 2020
  3. Deciding About Hormone Therapy Use. 2017:1. North American Menopause Society https://www.menopause.org/docs/default-source/for-women/menonote-deciding-about-ht-2017.pdf Accessed: 15 May 2020
  4. Hormone Help Desk: ET, EPT, and More – Estrogen-Progestogen Therapy (EPT). North American Menopause Society https://www.menopause.org/for-women/menopauseflashes/menopause-symptoms-and-treatments/hormone-help-desk-et-ept-and-more Accessed: 15 May 2020
  5. Hormone Help Desk: ET, EPT, and More – Estrogen Therapy (ET). North American Menopause Society https://www.menopause.org/for-women/menopauseflashes/menopause-symptoms-and-treatments/hormone-help-desk-et-ept-and-more Accessed: 15 May 2020
  6. De Villiers, T. J., Hall, J. E., Pinkerton, J. V., Pérez, S. C., Rees, M., Yang, C. and Pierroz, D. D. Revised Global Consensus Statement on Menopausal Hormone Therapy: Section B: General Principles Governing the Use of MHT. Climacteric, 2016;19:4:314 https://www.imsociety.org/manage/images/pdf/ba6379e868044bec13015ac2b84f2753.pdf Accessed: 15 May 2020
Topic Last Updated: 21 May 2020 – Topic Last Reviewed: 15 May 2020
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