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Easing your transition in life
We have evolved to live longer, however there has been no change to the age of menopause, it still happens in our late forties or early fifties. It is unjustified that women have to live the remaining half of their lives in the state of menopause, stripped off the hormones that kept us youthful, energised, physically healthy and sexually desiring.
The Menopause Symptoms Score
Score yourself between 0-3 depending on the severity of your symptoms.
1 for mild
2 for moderate
3 for severe
0 if you don’t have that particular symptom.
Then total up the score for each of these symptoms:
If score 15 or over, it indicates oestrogen deficiency and you can consider treatment.
If score between 20 – 50, it indicates significant menopause symptoms.
The type of menopausal hormone therapy we recommend depends on your symptoms. Local hormone therapy refer to products that affect a specific area of the body such as your vulva, in which case we would recommend hormonal vulva creams. There are also other creams and tablets that can be prescribed depending on the condition.
Systemic hormone therapy refer to oral tablets, or patches that exert an effect throughout the whole body, rather than just one spot. In that case we may look at estrogen, progesterone or both treatments, either in a continuous fashion (such as through daily pills) or a cyclical fashion (e.g. progesterone pills taken on certain days of the cycle).
Beyond menopausal hormone therapy, we can also help menopausal women with some of the effects that may interfere with their sex lives. Vaginal rejuvenation through painless vaginal fraction CO2 lasers can help reduce vaginal dryness and vaginal infections. Women may also use lubricants to enhance their sexual experiences.
Natural, Bio-Identical and Synthetic Hormones. What are the Differences?
Natural hormones are simply those that are derived from natural sources such as plants (soy, tofu, tempeh, etc.). These natural hormones are not equivalent to the hormones produced by our bodies. The idea that natural hormones result in lesser side effects is also not true.
Bio-identical hormones are those which are identical to hormones carried by our bodies. These are produced in pharmacies just for you. Although identical to what you naturally have, they also come with side effects so getting the right dosage from your doctor is important.
Synthetic hormones can be more potent and more useful in a shorter period of time. Therefore, the best solution for you depends on the severity of your symptoms, the concerns you raise, and the duration of your hormonal therapy.
There is no right or wrong option, women can switch between the different hormones depending on circumstances as they change.
We’re here to answer even the most sensitive and intimate questions. Take the first step, and we’ll take care of the rest.
Who are suitable candidates for MHT (Menopause Hormone Therapy)?
• Women experiencing menopausal symptoms
• Women with early or premature menopause
• Women with osteoporosis and are under age 60
• Women within 5-10 years of last period for vasomotor symptoms like hot flashes
Who should not take MHT?
• Women with breast cancer
• Blood clots in the veins (VTE – venous thromboembolism)
• Undiagnosed vaginal bleeding
• Liver disease- untreated
• Uncontrolled High Blood Pressure
• Cardiovascular Disease
How do I know if my treatment is working?
You do generally feel better but objectively your menopausal symptoms score will drop to 10 or under in 3-6 months time.