Variations on HRT.
When to Start?
There are clear differences concerning the correct time to start therapy. Most women start HRT in the post menopausal state but this can be soon after a normal menopause in the early fifty year age group or later in a 60 plus age group. Hormone therapy may also be required in younger women after a premature menopause (14) or following hysterectomy and oophorectomy (15). These groups should all be treated in different ways. HRT may also be prescribed to peri-menopausal women in the transition phase before the periods have ceased if they have appropriate symptoms. These will require different doses of different hormones depending on the age and clinical needs and will be discussed in detail.
Essentially older women need a smaller dose, and non hysterectomised women may also require testosterone for specific symptoms.