HRT benefits could still outweigh side-effects

HORMONE replacement therapy (HRT) can have a hugely-beneficial effect on unpleasant menopause symptoms, reducing hot flushes, night sweats and mood swings, and improving quality of life for many of the one million UK women who take it.

But there are fears about the therapy’s side-effects, with the latest research suggesting HRT — which usually involves the replacement of oestrogen and sometimes progesterone — could be associated with an increased risk of hearing loss in postmenopausal women.

Past studies have claimed HRT increases the risk of breast cancer, although more recent reviews have shown the association was exaggerated.

Then there’s cardiovascular disease; some studies say HRT is protective, others say it increases the risks.

Dr Heather Currie, chair of the British Menopause Society (BMS), warns that the research on hearing loss relied on women’s self-reports and doesn’t prove HRT causes it, just that there may be an association.

“This should not terrify women and, as we have always said, the decision about HRT should be an individual choice based on the balance of benefits and risks.

“Evidence shows the risks are small and, for most women, outweighed by the benefits if treatment is started before 60, or within 10 years of the menopause.”

Dr Currie says the decision to use HRT (or not) should be made by women who’ve been given clear, evidence-based information by a healthcare professional, including information about complementary therapies, lifestyle and dietary changes.