Menopause hormone therapy: What to know about treatment for symptoms like hot flushes and dryness

Assoc Prof Rukshini recommended seeing a doctor if you have “very bothersome” menopause symptoms, to optimise your health and quality of life.

She explained that, currently, the most robust scientific evidence regarding menopausal symptoms is on vasomotor symptoms such as hot flushes and night sweats. Some women, but not all, suffer from these for prolonged periods of time, and this can last beyond the age of 60.

“MHT in patches or tablets has been demonstrated scientifically to reduce menopausal symptoms and is indicated for moderate to severe menopausal symptoms such as hot flushes and night sweats,” said Assoc Prof Rukshini.

Night sweats can interfere with sleep, and prolonged periods of poor sleep negatively affect physical as well as mental and cognitive health, she added.

She noted that MHT is generally thought to be safe for most women under the age of 60 and within 10 years of menopause.

“MHT is not recommended for women with a history of breast cancer and other oestrogen-dependent cancers,” said Assoc Prof Rukshini, who is also head of Family Medicine Service at KK Women’s and Children’s Hospital. Oestrogen-dependent cancers are those that need oestrogen to develop and grow, and include breast, ovarian and uterine cancer.  

It’s crucial to discuss the benefits and risks of MHT with your doctor before starting treatment. Assoc Prof Rukshini added that after equipping them with all the necessary information, doctors need to give their patients space and sufficient time to make an informed decision.