Among many women, there is still uncertainty about Menopause Hormone Therapy (MHT), resulting in confusion and missed opportunities for effective treatment.

According to Johannesburg-based Obstetrician and Gynaecologist Dr Trudy Smith, “Menopause is a natural transition, but it often brings symptoms that disrupt daily life. It is therefore critical that women are empowered to seek support and have access to the treatment they require.”  

UNDERSTANDING MENOPAUSE AND MHT 

Menopause marks the absence of menstrual periods for 12 consecutive months. Symptoms such as hot flushes, night sweats, and mood changes often start during perimenopause and can continue long after menopause. These symptoms can have a profound impact on a woman’s well-being. 

Menopause Hormone Therapy (MHT) is the most effective way to control menopausal symptoms while also providing other health benefits. Oestrogen, the primary hormone used in MHT, helps alleviate hot flushes, night sweats, and vaginal dryness. For women with a uterus, progesterone must be included in an MHT regimen to protect the lining of the womb from excessive growth caused by oestrogen.  

“MHT remains the most effective option for managing hot flushes and night sweats,” explained Dr Smith. “It can also reduce long-term health risks like osteoporosis and heart disease. However, a personalised approach is essential, with professional guidance to evaluate the potential risks and benefits.” 

NAVIGATING THE CONTROVERSIES 

The safety of MHT has been well debated, especially around breast cancer and cardiovascular risks. The International Menopause Society’s latest White Paper clarifies that for most healthy women starting MHT within ten years of menopause, the benefits outweigh the risks. 

Women with certain health histories – such as breast cancer or clotting conditions – may need to explore non-hormonal alternatives. Dr Smith emphasised, “It is crucial that each woman discusses her individual circumstances with her healthcare provider to determine the best course of action.” 

TACKLING MISINFORMATION 

The spread of misinformation has led many women to avoid evidence-based treatments or opt for unproven remedies. “The South African Menopause Society’s goal is to ensure that every woman feels empowered to make informed decisions about her health and receives the support she needs to navigate this life stage with confidence and comfort,” concluded Dr Smith. 

For more details, refer to the International Menopause Society’s White Paper and link to SAMS guidelines