Many women find that their HRT may appear less effective after a few years of use. During perimenopause and early in postmenopause, the ovaries continue to do so. Last medically reviewed the. It's easy to get into bad habits when taking any regular medication; forgetting to take HRT tablets can cause persistent symptoms. Some people may find that their menopausal symptoms return after stopping HRT, but they usually go away within a few months.
HRT is used to treat a variety of conditions, such as menopause, erectile dysfunction, and gender dysphoria. Many women are determined to follow the “natural route” but end up with life-limiting symptoms and are faced with the possibility of having their primary doctor receive hormone replacement therapy. Otherwise, you may need to change the method of hormone therapy (from pills to gel, for example) or adjust the dosage in another way. If you have noticed a change in bowel function, consult your GP about this and discuss the requirements of HRT.
Finally, what led me to ask my GP for help was that I needed a review to get my next prescription for hormone therapy. This post made me think about trying to get my HRT checked: blood tests and to see where the hormones are. Keeping track of symptoms with a diary is a great way to find out if hormone therapy works or not. That HRT is still working, but that my body now produces less estrogen and may need a recharge.
It's important for people receiving hormone replacement therapy to have regular checkups to make sure their hormone levels are within the target range. Women who do well with synthetic hormone replacement therapy are clearly able to tolerate active estrogens and may well be producing enough of their own progesterone. This ensures that people enjoy all the benefits of hormone therapy during the menopausal transition. He told me that it's not uncommon that, after several years of treatment with hormone replacement therapy, symptoms may return.
It's interesting that when I started hormone replacement therapy, about seven years ago, my family doctor, who was then a male, told me that it was a great idea to continue with it, he prescribed gel and tablets, but added them when I left. This is often because the estrogens used in hormone replacement therapy are the most active form of estrogen and also represent a fairly high dose.