Hormone Therapy Types

“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

UterusHormone Therapy Types

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:

“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 UterusHormone Therapy Types

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:

“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. 9 Myths and Misunderstandings About Menopausal Hormone Therapy (MHT): 6. Myth – Complementary Medicines and Therapies Are As Effective As MHT and Safer
  2. 9 Myths and Misunderstandings About Menopausal Hormone Therapy (MHT): 7. Myth – Compounded Bioidentical Hormone Therapy Is Safer Than Conventional MHT
  3. Bioidentical Hormones Explained – A British Menopause Society Video
  4. Bioidentical Hormones: Are They Safer?
  5. Combined Menopausal Hormone Therapy (MHT)
  6. Deciding About Hormone Therapy
  7. Deciding About Hormone Therapy Use
  8. Decidir Sobre La Hormonoterapia
  9. Estrogen & Hormones: Estrogen & Heart Disease
  10. Fact Sheets and Downloads: Additional Downloadable Resources – Vaginal Estrogen Therapy
  11. HRT and Bleeding Explained – A British Menopause Society Video
  12. HRT and Breast Cancer: Overall Risks and Benefits Explained – A British Menopause Society Video
  13. HRT and the Risk of Breast Cancer Explained – A British Menopause Society Video
  14. Hormone Help Desk: ET, EPT, and More
  15. Hormone Replacement Therapy
  16. Hormone Replacement Therapy (HRT)
  17. Hormone Replacement Therapy (HRT) Explained – A British Menopause Society Video
  18. Hormone Replacement Therapy (HRT): Alternatives
  19. Hormone Replacement Therapy (HRT): Types
  20. Hormone Therapy: Is It Right for You?
  21. Hot Flash Relief Without Hormones
  22. Hot Flashes: Manage Without Medication?
  23. Hot Flashes: What Can I Do?
  24. Index To Drug-Specific Information [United States]
  25. Information About Menopause [Multiply Languages] [Videos]
  26. MHT and Breast Cancer Risk
  27. Making Sense of Menopausal Hormone Therapy Means Understanding the Benefits As Well As the Risks
  28. Mayo Clinic Q and A: Estrogen Replacement Therapy After Ovary Removal
  29. Menopause
  30. Menopause
  31. Menopause FAQs: Hormone Therapy for Menopause Symptoms
  32. Menopause Matters
  33. Menopause Symptoms and Relief
  34. Menopause Treatment
  35. Menopause – Is Menopausal Hormone Therapy (HRT) Safe? [Multiply Languages] [Video]
  36. Menopause: Diagnosis & Treatment
  37. Menopause: Diagnosis and Management – Information for the Public: Questions To Ask About Menopause [NICE Guideline]
  38. Menopause: Hormone Replacement Therapy (HRT) [Video Interview Stories]
  39. Menopause: Medicines To Help You
  40. Menopause: Menopause – Hormone Treatments
  41. Menopause: Non-HRT and Lifestyle Options [Video Interview Stories]
  42. Menopause: Non-Hormonal Treatment & Relief for Hot Flashes
  43. Menopause: Symptoms & Causes
  44. NAMS 2017 Position Statement Updates Guidelines for Hormone Therapy Use
  45. National Center for Complementary and Integrative Health: How Safe Is This Product or Practice?
  46. National Center for Complementary and Integrative Health: Know the Science: How Medications and Supplements Can Interact
  47. National Center for Complementary and Integrative Health: Menopausal Symptoms: In Depth
  48. Oestrogen Only Menopausal Hormone Therapy
  49. Practical Prescribing Explained – A British Menopause Society Video
  50. Recent Review Confirms Safety of Low Dose Vaginal Estrogen: July 2019
  51. Revised Global Consensus Statement on Menopausal Hormone Therapy
  52. Risks and Benefits of MHT/HRT
  53. The North American Menopause Society Statement on Continuing Use of Systemic Hormone Therapy After Age 65
  54. Tipos de Hormonoterapia
  55. Types of Hormone Therapy
  56. Urogenital Problems
  57. Vaginal Dryness
  58. Vaginal Dryness
  59. Video Series-2018 – Moisturizers, Lubricants, and Prasterone
  60. Video Series-2018 – Tailoring Estrogen Therapy for Maximum Cardiovascular Health
  61. Video Series-2019 – What Is New In Hormone Therapy?
  62. Video Series-2020 – TSECs—A New Treatment Option for Hot Flashes and Night Sweats
  63. What Is MHT and Is It Safe? Video Series-2019 – Treatment Options for Vaginal Dryness In Survivors of Breast Cancer and In Those With A High Risk of Breast Cancer
  64. What Is Menopausal Hormone Therapy (MHT) and Is It Safe?
  65. Women Can Breathe Sigh of Relief When Using Vaginal Estrogen To Treat Menopause Symptoms
  66. 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: 03 November 2020
  2. HRT: Which HRT? Reviewed: December 2017. Women’s Health Concern https://www.womens-health-concern.org/help-and-advice/factsheets/hrt/ Accessed:03 November 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: 03 November 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: 18 July 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: 03 November 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: 03 November 2020

Topic Last Updated: 03 November 2020  – Topic Last Reviewed: 03 November 2020
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