Who is not suitable for hrt?

Hormone therapy helps treat the annoying symptoms of menopause, but it's not for everyone. See if hormone therapy might work for you. Tibolone acts as a combination hormone therapy, with some effects such as estrogen, progesterone, and testosterone. It is a synthetic steroid that is taken in tablet form.

Tibolone can help with hot flashes and prevent bone loss after menopause. It can also help improve sexual function. It is not suitable for women who have had breast cancer. Estrogen plus the SERM is a newer treatment for menopause.

It is a combination therapy that contains estrogen with a SERM (selective estrogen receptor modulator) called bazedoxifene. It is taken in tablet form and can improve menopausal symptoms, such as hot flashes and night sweats, and prevent osteoporosis. It is less effective than the combination of estrogen and progestogen (MHT), but it has fewer side effects of breast tenderness and vaginal bleeding. Only suitable for women with uterus.