The MHT (HRT) debate: a health coach's perspective on menopause care
This week, I had the pleasure of seeing my article about thriving during menopause published in the local newspaper. It’s such a thrill to see something I’ve written in print! You can read the article here.
The article was also shared on Facebook, where a reader commented that I didn’t mention Menopause Hormone Treatment (MHT or HRT). I understand her concern.
MHT has been a topic of confusion since a 2002 trial linked it to increased risks of blood clots, breast cancer, and stroke. However, the trial didn’t highlight that most participants were already 10 years past menopause. More recent studies show that MHT is safer than initially thought, especially for women in peri-menopause (the years leading up to menopause).
Because of this confusion, many doctors are hesitant to prescribe MHT. Yet, for many women, it remains the best option for managing menopause symptoms, particularly hot flushes and the risk of osteoporosis.
Unfortunately, the mistrust in MHT has also led to a surge in “natural remedies” for menopause, many of which lack clinical testing. This has opened the door for products that might not effectively help women struggling with menopause symptoms.
Given this background, I can see why the reader felt MHT should have been included in my article. However, as a certified health coach, yoga teacher, and personal trainer—not a doctor—it’s beyond my scope to discuss prescription medications in a general public article. I did emphasize the importance of finding an understanding GP, who can prescribe medications when appropriate.
What I am qualified to support are the lifestyle factors that play a crucial role in managing menopause symptoms: physical activity, gentle nutrition, stress management, and a sense of purpose. This is all covered in my private menopause health coaching program.