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Types of Hormone Therapy

The main types of hormone therapy used in Australia and New Zealand that contain oestrogen and progestogens are as follows:

Sequential Combined or Cyclical therapy is often prescribed for women who are still menstruating but are experiencing menopausal symptoms (known as the peri-menopause). Oestrogen is taken continuously for 28 days, with overlapping progestogen for 10-14 days. This type of HT imitates the natural menstrual cycle and you will experience a menstrual period each month while using sequential combined therapy.

Continuous Combined or Bleed-free therapy is generally prescribed for women who are at least one year past the menopause and no longer menstruating. These preparations contain oestrogenic and progestogenic components for the full month and you do not experience monthly periods.

Oestrogen alone therapy consists of oestrogen alone and is only suitable for women who have had a hysterectomy.

 

Topical or Local therapy is used in some women where a lack of oestrogen has resulted in vaginal dryness, itching, painful sexual intercourse and recurrent infections. Topical or local therapy is placed directly into the vagina. Formulations include tablets, creams and pessaries.

Are there alternatives to Hormone Therapy?
There are a number of alternative non-hormone therapy options available for the treatment of menopausal symptoms. Please speak with your doctor about the most appropriate treatment for you.


Last updated:April 2009