Please note that, at present, our pharmacy only provides treatment on a renewal basis to women already taking HRT under the supervision of their doctor, who have not had a period for at least 12 months. The primary aim of HRT is to help restore fallen levels of oestrogen to reduce symptoms, so artificial versions of this hormone are present in all of the above products. However, combined versions also contain progesterone, for the purposes of providing hormonal balance.
If oestrogen levels rise unopposed in persons who have not had part of their womb surgically removed during a hysterectomy, an increased risk of endometrial cancer may develop.
Progesterone reduces the risk of this by stopping oestrogen levels from spiralling out of the control. Oestrogen-only versions are more typically used by those who have had their uterus removed, and do therefore not present a risk of developing endometrial cancer. More common side effects of HRT include breast tenderness and irregular menstrual bleeding. It is important to check those associated with your individual product before use, as they may vary between different forms of treatment.
Hormone replacement therapy may cause interactions with treatments for epilepsy, antivirals, and various other drugs. Check the relevant product pages for more information. They are mostly provided in tablet form, apart from Evorel, which is a transdermal patch. Some are single-hormone, while others are combined treatments; and of these, some are sequential doses and others are continuous.
Selected products are also available in a low dose form. Those who have not received menopause treatment before should see their doctor initially.
They will be able to help determine which is the best course of treatment for you. You should also have regular reviews with your doctor to ensure the treatment you are on is still safe and effective. The treatment they issue will usually depend on how far along in the menopause you are, and if you have had an operative procedure to remove part of the womb.
If you have, then an oestrogen-only course, such as Elleste Solo, may be suggested. Those who have not undergone surgery and who have not had bleeding for around six months may be prescribed sequential combined pills, such as Clinorette. Evorel Conti or Nuvelle Continuous may be prescribed to those who have not had a bleed for at least 12 months. The side effects for these products do not vary substantially, but you should still consult the information provided before purchase.
Renewing your regular HRT pill online is simple. Take our short questionnaire today, and your answers will be screened by one of our qualified physicians. If approved, your order will be dispensed by our UK-based pharmacy and shipped to your door by secure courier.
We promise to keep your details secure and private. We will never sell your information or share it with third parties. Whatever treatment you buy online from us, we will send in plain, unmarked packaging via our secure courier service. Delivery on all items is included in the price. It looks like you're trying to access this site from the USA. The NHS website contains information on the symptoms of blood clots , breast cancer , endometrial cancer and stroke as well as information on the risks of HRT.
A number of non-HRT medicines can be prescribed for menopausal symptoms. A class of medicines called SSRIs are typically used as antidepressants but are sometimes prescribed to help hot flushes and night sweats.
Vaginal moisturisers are commonly prescribed to improve symptoms of vaginal dryness and itching. One example of a product used is ReplensMD. Most women will experience some symptoms around the time of the menopause. Symptoms can begin months and years before periods stop because of the gradual hormonal decline that leads up to the menopause. The earliest symptom many women notice is changes to their periods.
They may become more or less frequent and not as regular as previously. They may also become unusually light or heavy. Symptoms can resolve in years but for some people they can continue longer. We have listed a number of symptoms below:.
The most commonly reported symptoms are hot flushes and night sweats. Other symptoms can affect the bladder and the vagina but, in general, tend to occur later and sometimes years after the final period:. The menopause occurs when a woman permanently stops having her period. Around this time hormone levels of oestrogen and progesterone decrease and can cause menopausal symptoms such as changes to periods, hot flushes, night sweats, mood changes and vaginal dryness.
Menopausal symptoms can begin months or years before the final period and symptoms can persist for years afterwards. For most women, the menopause begins between the ages of 45 and The mean age of the natural menopause in the UK is If the menopause begins before the age of 45, it is classed as early menopause.
HRT can have rare, serious side effects such as increasing the risk of certain cancers. Further information can be found here. Research has shown that women can gain weight during the menopause. However, the manufacturers of some HRT products do list weight gain as a side effect of treatment. This can be a common side effect of some products and an uncommon side effect of others. The full effects of HRT can take up to three months to show but some women may notice benefits within a few weeks of starting therapy.
The physical symptoms like hot flushes and night sweats can cause psychological distress. Other symptoms can occur such as low mood, anxiety, and irritability. The menopause matters website offers information and support for women affected by the menopause.
The type of HRT a patient should take depends on a number of factors, and the best HRT for one patient may not be the best for another patient.
You should have a discussion with your doctor to decide whether HRT is suitable for you and which type of HRT is best to take. Some of the common side effects of HRT like nausea, headaches and breast pain should improve within the first 3 months of treatment.
If these side effects are severe or persist after 3 months you should stop HRT and discuss with your doctor. Register If your GP is enrolled in the NHS electronic repeat prescription service, you can register to order your prescription online. Order Your Medicines Once registered, let us know which medicines you need, and we will order these via your GP on your behalf. How it Works. Online Assessment Complete the online assessment. Select Treatment Choose the treatment you need.
Checkout Checkout, and our doctor will review your order. Compare Prices. HRT treatment options Please select a size from below to proceed. Safer believes this hesitance is less a matter of malice than it is a matter of ignorance. Fifty percent said they had to teach their doctor about appropriate care—one reason some people may feel confident enough to manage their own transition.
A provision in the Affordable Care Act outlaws discrimination against patients on the basis of gender, a rule that Lambda Legal—an LGBT civil-rights organization that regularly takes up cases of discrimination—has argued extends to transgender individuals, since HRT is typically covered for women going through menopause. Some states, like New York and Massachusetts , have begun initiatives to close these gaps.
But for now, questionable pharmacies are filling the void left open by the health care system. Taking advantage of dense international shipping and drug laws, these sites sell hormones and many other medications not listed as controlled substances by the Drug Enforcement Administration—though, as The Washington Post has reported , Deep Web traffickers can help you with that, too.
Earlier this year, the Center for Safe Internet Pharmacies surveyed 30, online drug-sellers, and found that 96 percent existed outside of regulations or licenses typically enforced by the Food and Drug Administration, the National Association of Boards of Pharmacies, and the DEA. Even if the drugs patients do obtain are legitimate and not counterfeit, many of these pharmacies and manufacturers do not have the same safety standards as the FDA and the U.
Hormones manufactured and distributed from abroad might be contaminated, or kept out of cold storage, which is necessary to keep them from degrading. Simply taking hormones poses health risks, too. Safer, the Boston University professor, notes that estrogen contributes to blood clots and can increase one's chances of stroke or heart disease, as well as put extra strain on the liver.
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