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If you mainly have genital symptoms such as vaginal dryness or bladder symptoms, you may choose to try a topical (vaginal) HRT treatment, also known as vaginal oestrogen cream or vaginal oestrogen tablets. However, if you have other symptoms of menopause such as hot flushes or sweats, you may want to consider HRT tablets or patches that work on the entire body.

There is evidence which shows HRT increases the risk of breast and ovarian cancer which still means HRT is controversial. The NHS advises that each woman should discuss these risks alongside the benefits of HRT to establish what course of treatment will be best for them. Women who are already at an increased risk of cancer will be advised against taking HRT.

It can also cause poor sleep, headaches, achy joints and dry or itchy skin. The severity of symptoms will vary between women, but many report severe sleep disruption as one of the most challenging symptoms experienced.

Menopause itself is a point in time that refers to your last menstrual period. If we look at menopause as a symptomatic phase that passes with time, the reduction in severity and frequency of symptoms indicates the symptomatic phase is coming to an end.

There is evidence to show that smoking reduces the age of menopause, so stopping/avoiding smoking may help prevent earlier menopause. Having children and using contraception that suppresses ovulation is associated with later menopause.

Customers are now able to buy tickets for the bus, light rail, ferry and paratransit at Food Lion stores in Hampton Roads. Shoppers who once purchased tickets at recently closed Farm Fresh stores can now do so at locations near those old stores.

Customers are encouraged to request tickets from the customer service counter and not at the cash register. Stores will only accept cash or debit card transactions for transit tickets. No credit card sales for transit tickets will be allowed.

In England, HRT is paid for thorough prescription charges, sometimes as often as monthly. The government has promised to reduce that cost and NHS England is considering how best to do this. Expect news soon.

The menopause is a natural part of the ageing process for women. It normally occurs between 45 and 55 years. The menopause is caused by a reduction in oestrogen levels that eventually stops women from ovulating causing their periods to stop. It is the reduction in oestrogen that triggers unpleasant symptoms of the menopause including vaginal dryness, hot flushes and low libido. Hormone Replacement Therapy (HRT) is used to treat symptoms of the menopause. There are now lots of options available including tablets, patches and gels, to help women find a medication that suits them.

Hormone Replacement Therapy (HRT) is a type of treatment used by women to help relieve the symptoms of the menopause. As women approach the menopause, the female hormones oestrogen and progesterone begin to reduce. This reduction can cause a variety of unpleasant symptoms, including;

To replace the hormone that your body produced previously, Gina HRT tablets contain 10 micrograms of estradiol and are inserted into the vagina with an applicator. Only a small amount is absorbed into your bloodstream as the treatment works locally, unlike other HRT products that are taken orally or used transdermally through a patch or by spreading on your skin.

Vaginal atrophy is usually diagnosed based on the symptoms you experience and an intimate physical examination is not required. You can tell your pharmacist about your symptoms confidentially in a private consultation room, so no one else in the pharmacy will overhear.

Pharmacists are trained to understand vaginal atrophy symptoms and Gina medication. If they are worried about your symptoms, they will refer you to your doctor or specialist without selling you the drug. For example, Gina will not be sold to anyone with unexplained vaginal bleeding, unusual vaginal discharge, or changes to the look or feel of their vulva. These symptoms would need further investigation. Read more about the HRT debate.

Stella has everything needed to manage menopause in one place, without referral to different specialists. You start with an in-depth online assessment which recommends personalised treatment options based on your medical history, symptoms, lifestyle and preferences. HRT is delivered, if eligible, within three to five days. Start your menopause assessment here.

I am a clinical associate for Vira Health and have worked in hospitals and community teams as a clinical pharmacist. I have a Masters in Public Health and am passionate about gender equality, especially when it comes to healthcare.

Gina is a brand of vaginal tablets, which contain 10 micrograms of estradiol, used to treat the common menopause symptom of vaginal atrophy. This can lead to the area feeling dry, sore and itchy and can cause painful sex.

Vaginal atrophy is caused when a drop in the estrogen levels during and after menopause causes thinning of the tissues in and around the vulva and vagina. This leads to decreased flexibility and elasticity of the vagina and a decrease in the mucus production that lubricates the area.

This will include questions to identify if women may have a candida fungal infection of the vagina, which can be worsened by vaginal estrogen. Women who have a vaginal infection should not start treatment with Gina until the infection has been sorted.

Women with a history of endometriosis, where tissue similar to the lining of the womb grows elsewhere in the body, can buy Gina if they have previously had a prescription for vaginal estrogen and they have had no recent symptoms of endometriosis.

Systemic HRT medicines, which circulate in the blood and can be administered by oral tablets, patches and skin gels and sprays, are still prescription only. This change currently only applies to Gina.

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The drug, which was reclassified from a prescription-only medicine to a pharmacy medicine by the Medicines and Healthcare products Regulatory Agency (MHRA) this year, treats one of the symptoms of menopause, vaginal atrophy.

"I encourage those who are going through any stage of the menopause to come and speak to their local pharmacist for personalised advice and recommendations alongside guidance, where appropriate, on how to optimise HRT treatments - we are here to help."

Hormone Replacement Therapy (HRT) can alleviate symptoms of menopause including hot flushes, sweats, headaches and mood changes. For more information on the treatment options available, as well as other techniques to help you combat menopause, please read this comprehensive guide.

If you are already on hormone replacement therapy and wish to purchase treatment, you can do so below. Your prescription will then be sent to our pharmacy and dispateched with free next-day delivery. Alternatively, you can read more about HRT below.

Hormone replacement therapy (HRT) is recommended for women who require relief from the symptoms of menopause at any age. However, it can also be used for osteoporosis prevention, women with perimenopause symptoms and women with surgical menopause. You can begin to take HRT as soon as you begin the menopause and wish to relieve symptoms.

The menopause means that the female hormones adjust causing an egg to stop being produced every 4 weeks. this tends to happen around the mid-50s, but it can begin earlier. If you smoke, there's a chance you will experience the menopause later.

Despite popular belief, menopause isn't always a bad experience for all women - in fact, there are women that don't find the symptoms related to menopause bothersome at all - but for most, you can take HRT to alleviate them. HRT replaces the female hormones your body has lost to maintain a balance, allowing you to function without experiencing any emotional or physical changes.

Oestrogen is responsible for maintaining many functions in the female body. It is also responsible for many secondary female characteristics. When oestrogen levels start fall, it can cause a woman to experience a number of symptoms mentioned above.

HRT treatment is intended to reduce the severity of many of these symptoms and to prevent osteoporosis. A drop in hormones can also lead to a drop in bone mass, which can make women more vulnerable to conditions such as osteoporosis. All HRT medications contain oestrogen, or ingredients that act in a similar way once inside the body.

Whilst the lack of progesterone doesn't cause the majority of menopause symptoms, it is very important for womb health and it has been proven that a drop in the hormone can increase a woman's risk of developing endometrial cancer. This is why artificial progesterone, also known as progestogen, may be recommended as part of HRT treatment or form part of the ingredient in the medication used.

Most women take HRT for two to five years, until the symptoms of menopause pass. It's not recommended to take it for longer than five years. It's also advised that when you're ready to finish HRT, you gradually decrease your dosage rather than stop abruptly.

How long you'll need to use HRT medications for will depend on your condition and your doctor. If you are at low risk of complications, you may be able to use some medicines for up to ten years, although generally HRT will be stopped as soon as possible.

Yes, you can still get pregnant whilst taking HRT. It is not a contraceptive method and even though your periods may have stopped it is still recommended that you use contraception for two years following your last period, especially if you're under the age of 50. 041b061a72