In addition to the possible interaction between HRT and existing medical conditions, there may be a range of unwanted symptoms caused by HRT itself. You may be bothered by one or other of the following.
BREAST TENDERNESS, FLUID RETENTION AND NAUSEA
These symptoms are more likely in women who start on HRT some years after menopause. If nausea persists with the therapy in pill form, a different route should be considered, such as skin patches or implants. Breast tenderness often settles after a few months of HRT. If it persists, consideration should be given to a reduced dose of oestrogen, to a different way of administering it, and to complementary naturopathic remedies such as evening primrose oil tablets.
IRRITABILITY AND MOODINESS A common short-term side effect of the progestogen component of HRT is irritability and moodiness reminiscent of the symptoms of premenstrual syndrome. Sometimes these side effects last longer, and very occasionally they persist despite trying various progestogens. If you are affected in this way, you may elect to stop HRT, or take oestrogen alone – accepting that hysteroscopy and biopsy will be necessary every six to twelve months.
VAGINAL DISCHARGE Women can expect their normal vaginal lubrication to return while on HRT. Some women think they have developed a vaginal infection when it is simply a return of the natural mucus, which should make intercourse more comfortable.
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