Hormone Replacement Therapy

What is Hormone Replacement Therapy?

Hormone Replacement Therapy (HRT) is a treatment for women experiencing symptoms due to a decline in oestrogen and progesterone levels during menopause. HRT helps relieve symptoms such as hot flushes, mood swings, and osteoporosis by replenishing these hormones.

Can I Get HRT Online?

Yes, The Online Clinic provides HRT prescriptions online following a short medical consultation. Our qualified doctors assess your suitability, and if appropriate, we can prescribe treatment with next-day delivery available.

Understanding Menopause

What is Menopause?

Menopause, often called the ‘change of life,’ usually occurs between the ages of 45 and 55. The average age of menopause in the UK is 51. It marks the end of a woman's reproductive years as oestrogen and progesterone levels decline.

Symptoms of Menopause

Symptom	Short-Term Effects	Long-Term Effects
Hot flushes & night sweats	Common for 2-5 years	May persist if untreated
Mood swings, anxiety & depression	Increased irritability & stress	Risk of long-term mental health issues
Vaginal dryness	Discomfort during intercourse	Increased risk of infections
Sleep disturbances & fatigue	Insomnia & daytime tiredness	Chronic sleep disorders
Osteoporosis	Bone thinning begins	Higher fracture risk

How is Menopause Diagnosed?

Doctors diagnose menopause based on symptoms, but if a woman is under 50 or has had a hysterectomy, a blood test measuring hormone levels may be required.

HRT for Menopause Relief

How Does HRT Work?

HRT replaces the hormones lost during menopause to help reduce symptoms and maintain bone density. It is available in different forms, including:

• Tablets – Simple to take daily
• Patches – Convenient and avoids liver metabolism
• Implants – Long-lasting and requires fewer doses
• Vaginal Creams, Pessaries & Rings – Targeted treatment for dryness
• Sprays & Gels – Applied directly to the skin for absorption

Types of HRT

Type of HRT	Suitable For
Oestrogen-only HRT	Women who have had a hysterectomy
Cyclical (Sequential) HRT	Women still experiencing periods
Continuous Combined HRT	Postmenopausal women

Important: The lowest effective dose is usually prescribed first, with adjustments as needed. Long-term use (over 5 years) is generally not recommended due to associated risks.

Who Can Take HRT?

HRT is recommended for women experiencing moderate to severe menopausal symptoms, especially hot flushes and osteoporosis risk. However, it may not be suitable for those with:

• History of breast, ovarian, or uterine cancer
• Uncontrolled high blood pressure
• Blood clotting disorders or past strokes
• Liver disease
• Pregnancy

HRT Side Effects

Common Side Effects

• Breast tenderness or swelling
• Bloating & fluid retention
• Headaches or nausea
• Mood swings

Potential Risks

Risk	Potential Impact
Breast & uterine cancer	Slightly increased risk with long-term use
Blood clots (DVT, pulmonary embolism)	Higher risk in women with clotting disorders
Stroke & heart disease	Risk varies based on type of HRT and patient history

Women taking HRT should have annual health check-ups, including mammograms, to monitor any potential risks.

When to See a Doctor

If menopausal symptoms impact your quality of life, consulting a doctor is advised. If you're already taking HRT, regular check-ups ensure safe and effective use.

Get HRT Online

The Online Clinic provides HRT prescriptions online with next-day delivery. Consult with a UK-registered doctor and receive personalised treatment.