Women wishing to start HRT should carefully discuss the benefits and risks of treatment with their doctor to see what is right for them and taking into account their age, medical history, risk factors including family history of Breast, Ovarian or Uterine cancer and personal preferences.
For the majority of women who use HRT for the short-term treatment of symptoms of the menopause, the benefits of treatment should always outweigh the risks. Every patient has to be carefully evaluated and their individual risks needs to be assessed. No HRT is without risks, any form of estrogen and progesterone be it plant based or synthetic can potentially increase risks of breast cancer, ovarian cancer and endometrial cancer in certain individuals. Therefore the use of HRT is not recommended for everyone and we have to always carefully individualize its use.
The lowest effective HRT dose should be taken, with duration of use depending on the clinical reasons for use. Women on HRT should be re-assessed by their doctor every 6 months. Use of HRT beyond the age 60 is not recommended. Annual mammography is often a requirement to ensure safety and wellbeing of the patient.