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💭 Menopause at 44 – Is Hormone Therapy Safe?

This is a common question I get asked, and here’s what I want to address:

1️⃣ The word "safe" - nothing in life is 100% safe, even hormone therapy. Our decisions—big or small—are always about balancing risks and benefits. Not taking hormones is a choice too, and it comes with its own set of pros and cons.

2️⃣ Early Menopause (40-45) - Research shows that for women who don’t have any contraindications, hormone therapy often has more benefits than risks. However, it’s important to remember that each woman is different, and hormone therapy needs to be personalized based on individual needs.

3️⃣ Understanding Hormone Therapy - As gynecologists, we only get a chapter on menopause during our MD exams, and hormone therapy is just a small part of it. That’s why it’s important to consult with specialists who have dedicated time…

What's the difference between MHT HRT?

MHT and HRT are essentially different names for the same thing

• HRT = Hormone Replacement Therapy

• MHT = Menopausal Hormone Therapy

The term HRT has recently been replaced in certain parts of the world with MHT

The main idea behind hormone replacement therapy is to restore hormone levels that were once present in the body, similar to how someone with a thyroid deficiency receives thyroid hormone to maintain normal levels. However, the goal with hormone therapy at menopause is different. Unlike thyroid hormone replacement, menopause-related hormone therapy is primarily used to manage symptoms like hot flashes and to prevent conditions like osteoporosis. These effects are achieved with hormone levels that are much lower than what we had before menopause. I hope this helps clarify the confusion.

HINGLISH TRANSLATION:

Mujhe 42 saal hain aur main perimenopause ke kai symptoms experience kar rahi hoon. Main nutrition ka khayal rakh rahi hoon aur pichle kuch saalon se strength training bhi kar rahi hoon. Main samajh sakti hoon ki aap kya mehsoos kar rahe hain.

Lekin menopause ki reality yeh hai: aap sab kuch sahi kar rahe ho sakte hain, lekin hormonal fluctuations aap par asar kar sakte hain, chahe aap kitna bhi kyu na kyu kyu kyu. Isliye, khud ko blame karna band kijiye aur kisi aur ko bhi yeh mehsoos nahi karne dijiye ki aap kuch nahi kar rahe hain.

Dusri taraf, main yeh nahi keh rahi ki lifestyle modifications koshish nahi karni chahiye—hum sabko apni lifestyle behtar banane par dhyan dena chahiye—chahe hum menopause se guzar rahe ho ya nahi. Lekin sochiye, agar main aapke khane se salt hata doon aur keh doon ki aap ise spices…

HINGLISH TRANSLATION:

Menopausal hormone therapy ke kya benefits hain? Hormone therapy kai tarike ke fayde de sakti hai.

Sabse pehle, yeh hot flashes aur night sweats se relief deti hai—yeh symptoms aapki zindagi ko bilkul disrupt kar sakte hain. Lekin agar aap keh rahe hain ki aap hot flashes se deal karne mein khush hain, toh yeh samajh lijiye: hot flash sirf ek symptom hai—menopausal transition aur post-menopause ke dauran aapke body mein bahut kuch ho raha hai, aur hormone therapy kai tarike ke benefits de sakti hai. Ismein osteoporosis aur fractures ki prevention shamil hai, jo kabhi-kabhi menopause ke baad kuch saalon ya dasakon baad dikhai dete hain. Yeh sleep quality ko bhi improve kar sakti hai, jo kuch auraton ke liye brain fog ka underlying reason ho sakta hai. Genitourinary syndrome of menopause ke vaginal dryness aur urinary symptoms ko kam karna bhi iska ek fayda hai. Research…

HINGLISH TRANSLATION

Main perimenopausal hoon, aur mera pet jelly ki tarah ho raha hai. Kya exercise se mera body tighten hoga?

Yeh bilkul aam hai ki perimenopause ke dauran body composition mein badlaav aata hai, jisme tummy ke aas-paas zyada fat deposit hone lagta hai. Is samasya ke do pehlu hain - pehla hai visual, jo aapne bataya hai aur jo "jelly" feeling deta hai. Dusra hai ek gehra masla. Yeh body composition ka badlaav visceral fat ka indicator ho sakta hai, jo dil ki bimari aur diabetes se juda hai.

Achhi baat yeh hai ki isse jaanchne ke liye aapko koi fancy machine ki zaroorat nahi hai. Aap ghar par ek simple cheez kar sakte hain: apne waist ko sabse patle point par aur hips ko sabse wide point par measure karein, phir waist measurement ko hip measurement se divide karein. Aurton ke liye, healthy waist-to-hip ratio 0.85 ya…

#menopausewize #menopause #perimenopause #perimenopausesymptoms #musclepain #dryskin #jointpain #dryeye

HINGLISH TRANSLATION:

Body me khujli, dry aankhe, dry skin, Badan aur muscle mein dard: Yeh sabhi perimenopause ke lakshan lagte hain. Lekin iska koi ek jaadooi solution nahi hota. Perimenopause aur menopause ko sabse acchi tarah manage karne ke liye lifestyle changes, supplements, aur hormone therapy ka upyog karna padta hai, agar aapko hormones use karne ka koi contraindication nahi hai.

Lekin agar kisi ne mujhpar bandook taan kar pucha ki main smooth perimenopause ke liye top 5 cheezein kya karungi, toh woh yeh hoti, bina kisi khaas order ke:

1. Acchi quality ki neend lena

2. Movement aur exercise, khaaskar weight lifting par dhyaan dena

Pelvipower: Rejuvinate Your Core in Midlife

 Developed with Swiss-based Viviane Hoeger, a pelvic floor expert and menopause coach, this is an educational and practical 4-week Pelvic Floor Health program!

Who is it for? Perfect for women at all stages of life, including those transitioning through menopause, this program offers a preventive and proactive approach to enhance pelvic floor health, reducing the risk of developing symptoms.

NOTE: This program is NOT meant to diagnose or cure pelvic floor dysfunction and should NOT be done by those with: - Heaviness, dragging, or bulging in the pelvic area - Diagnosed with Pelvic Floor Prolapse, Diastasis Recti - Leaking of feces or urine at rest - Unexplained bleeding during or after exercise.

For more details about the program: https://www.miyarahealth.com/programs

The Discount Code: Enjoy 20% off with the discount code MW20

#menopausewize #menopause #menopause #perimenopause