The Best Way to Come Off Hrt (Hormonal transfer Therapy)

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Question:
I've been taking Hrt- Prempak-C -for ten years. In view of the recent research, I've decided to come off it. I tried just stopping taking it but have felt dreadful, with hot flushes after only a few weeks. Have you any advice to help me come off Hrt?

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Answer:
Firstly, it's vital that - unless you have a severe complication, which it doesn't sound as if you do - you come off Hrt slowly, over several months. I do recommend you to talk to your physician about this.

Now a dinky about hormone exchange therapy in general... As women come to the end of their reproductive life, the operation in their ovaries declines because the eggs they are born with run our As this happens, the levels of the female hormone oestrogen drop. (There is all the time some oestrogen in the body because the ovaries go on producing a little; even if the ovaries are removed, the adrenal gland produces a hormone called androstenedione, which is converted to a form of oestrogen.)

Hrt was developed in the 1940s as a recipe of replacing the lost oestrogen. In the mid-1970s, study confirmed that using oestrogen alone significantly increased the risk of cancer of the uterus (womb), so progestogen, a artificial version of the other main reproductive hormone progesterone, was added to protect the womb. Hrt was then relaunched as a 'wonder drug'. However, there was still very dinky hard scientific evidence to show whether that Hrt was safe or that it had the multiple benefits that were claimed. Since then many studies have confirmed that the risks outweigh the benefits in most cases.

A consensus statement put out by the Royal College of Physicians now says that the use of Hrt in menopausal or postmenopausal women is controversial. They recommend that it should only be used for menopausal symptoms, such as hot flushes, in the lowest inherent sufficient dose for the shortest inherent time. This is because of the significantly increased risks of breast cancer, heart disease, strokes and blood clots in the leg or lung. In November last year, the European expert Working Group, which consists of experts from 28 countries, agreed that doctors should not recommend it as the first line of rehabilitation for osteoporosis.

The lack of oestrogen has a range of effects, along with irregular periods, aches and pains, low blood pressure, poor circulation, dry skin and mouth insomnia, fatigue and low mood. If the ovaries publish even a small whole of oestrogen, urgent messages are sent to the whole body that the missing hormone is on its way and all hell breaks loose: the woman's heart rate goes up, she starts to sweat, her face gets flushed, her body warms up and she feels agitated. Then, as soon as the body realises that it's only a tiny whole the symptoms subside.

Remember, menopause is a natural transition. It will come no matter what if you did not go straight through it simply because you were taking Hrt, you will go straight through it now. A good whole of women don't, in fact, palpate uncomfortable symptoms, but you want to be sure to avoid them if you can. The key is to keep your stress levels down.The less anxious you are and the more harmonious your life, physically, mentally and emotionally, the good your threshold of tolerance to symptoms. In many countries, women go straight through menopause without bother. If they do get symptoms, they accept them as part of this change.

Here are some simple tips

* Take regular practice in the fresh air.
* Practise Yoga, particularly the cobra and semi-bridge poses.
* If you have hot flushes, do holding breathing the second you feel the tide rising. Breathe in straight through your nose to a slow count of three, hold the breath for three, then exhale slowly straight through your mouth to a count of six. Practise this twice a day for five minutes, so you can do it nothing else but when the need arises.
* Eat fresh, healthy food, preferably organic; avoid coffee, excess salt, spicy food and alcohol.
* Drink two litres of fresh, still water daily in the middle of meals.
* Take vitamin B complex,: one daily for two months.
* Take Shatavari: one twice daily for three months. This Ayurvedic supplement helps to equilibrium hormones.
* Take Dong Quai: one daily for three months. This Chinese supplement helps alleviate hot flushes.
* Massage the neck and shoulders twice a week to improve blood flow to the brain; this will help sleep and improve hormonal balance. (There are full instructions on my website). Also have pro massages twice a month, if you can.

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