Every year on October 18th, World Menopause Day brings global attention to the unique health challenges faced by women in midlife. Organized by the International Menopause Society (IMS), this day aims to promote awareness and understanding of menopause and highlight essential aspects of women’s health during this stage of life.
This year, the theme for World Menopause Day 2024 is ‘Menopause Hormone Therapy (MHT)’. MHT, previously known as Hormone Replacement Therapy (HRT), is a treatment used to relieve the symptoms of menopause and protect long-term health in some women. It is essential for women to be well-informed about this therapy as they navigate the complexities of menopause.
What is Menopause Hormone Therapy (MHT)?
Menopause Hormone Therapy involves the use of hormones to alleviate the symptoms of menopause. These symptoms can include hot flushes, night sweats, vaginal dryness, and urinary problems, all of which can significantly affect daily life. In Malaysia, MHT can be administered in several forms, such as tablets, gels, creams, vaginal tablets and in some other countries even as patches, or vaginal rings. The goal is to manage the hormonal changes that occur during menopause and to protect overall health.
Who Should Consider MHT?
MHT is particularly recommended for women who experience bothersome menopause symptoms that affect their quality of life. It is also advised for women who enter menopause early, either before the age of 45 or due to a condition known as Premature Ovarian Insufficiency (POI), where menopause occurs before 40. In these cases, MHT can play an essential role in protecting bone, heart, and brain health, as women in these categories face higher risks of conditions like osteoporosis and heart disease.
However, MHT is not suitable for everyone, and a healthcare professional should assess individual needs. Women with a history of breast cancer, blood clots, or stroke, for example, may need to explore alternative treatments due to the small but significant risks associated with MHT.
When Should MHT Be Started and Stopped?
MHT can be initiated in the perimenopause when menstrual cycle starts to change and menopausal symptoms become significant and impact daily living. For women who go through early menopause or have POI, starting MHT promptly after diagnosis is critical for long-term health protection.
As for stopping MHT, there is no set timeline. The decision to discontinue therapy is personal and should be made in consultation with a healthcare professional. The key consideration is balancing the benefits of symptom relief with any potential health risks.
Why is MHT Important?
The importance of MHT goes beyond managing hot flushes or night sweats. It also plays a role in protecting bones, helping to prevent osteoporosis, a condition where bones become weak and are more prone to fracture. Some studies suggest MHT may also support heart health by reducing the risk of heart disease, although it is not specifically licensed for this purpose.
Despite its benefits, MHT is not without risks. Women who use MHT may face a slightly increased risk of breast cancer, blood clots, and stroke, but these risks depend on individual health factors, the type of MHT used, and how long therapy is continued.
Where Can You Get MHT?
Speak to a healthcare professional who is knowledgeable about menopause to understand the options available to you and what might work best for your health and lifestyle.
IMS White Paper on MHT in Bahasa Malaysia
In conjunction with World Menopause Day, the IMS has made its comprehensive white paper on MHT available in multiple languages, including Bahasa Malaysia. This white paper serves as a valuable resource for women, providing evidence-based guidance on the use of MHT. It highlights the latest research and best practices for managing menopause symptoms and improving midlife women’s health globally.
As we celebrate World Menopause Day 2024, let’s continue to foster a supportive and informed environment for women to navigate the challenges of menopause.
For women in Malaysia, this white paper is now accessible to help make informed decisions about MHT.
You can access the Bahasa Malaysia version of the IMS White Paper here.
Or read the Key Recommendations: the 5W’s of MHT here.