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  • Q&A with Australian Health Practitioners

    What HRT combo can I take to help me through late menopause?

    I am 56 years old and am still having regular periods. Having had hot flushes for some years, and having taken natural hormone replacements (via creams), I recently went on Premia 5. I found that this cyclic HRT stopped the hot flushes, but I have other symptoms which may or may not be related, specifically dizziness, fluid retention, headaches, etc.

    Over the past six weeks while taking Premia 5, I have had four five-day, fresh blood, periods. I am naturally finding this frustrating, although I'm not having the usual hormonal swings I have when menstruating.

    I don't understand why I am still bleeding at my age, particularly as my sisters reached menopause at about 50.

    Can you suggest the best combo of oestrogen and progesterone that will help me through? Should I have surgical intervention?
  • Find a professional to answer your question

  • 4


    Dr Barry Wren

    Endocrinologist, Gynaecologist

    Dr Barry Wren was one of the original founders of the International Menopause Society in 1976 and subsequently founded the Australian Menopause Society, becoming its … View Profile

    The menopause occurs when a woman runs out of eggs in her ovaries. As a result, cells that depend on oestrogen to maintain their normal homeostatic activity cease to function. A woman who is deprived of oestrogen often experiences symptoms such as flushes, sweats and a dry inelastic vagina and later in life begins to develop osteoporotic fractures, an increasing risk of heart attacks and an increased risk of Alzheimers dementia. If she is given oestrogen alone (whether by oral tablets, skin patches, skin creams or subdermal implants) to control her symptoms, she may increase the growth of the endometrium lining the uterus with an increased risk of endometrial cancer. For that reason it is important that women who still have their uterus, should be given a progestogen as well to protect the uterus from an abnormal growth in these cells. Any woman who has unexpected vaginal bleeding after her normal menopause should see a gynaecologist to ensure she does not have an abnormality in the uterus.
    For a full explanation of the influence of oestrogen on women who become menopausal I suggest you obtain a copy of the recently published book - ‘MENOPAUSE : Change, Choice andHRT’  published by Rockpool Publications and now available at all major bookshops.

  • 1



    HealthShare Member

    I thought I should contribute to the menopause debate as I think most doctors are somewhat biased when it comes to make recommendations about and in particular HRT.  

    I too was pushed into severe menopause symptoms 2 years after having a hysterectomy.  The sudden crashing of my hormones after the operation pushed my body into chaos. Tried HRT and TCM and most other products and remedies available to me, but nothing really worked for me.

    I have found a different solution to my menopause problems, it is called Reconnective Healing and was provided by Time2heal in Sydney.  Look them up on the internet, it help me and I am sure it can help any other women suffering from severe menopause symptoms.

    I strongly urge doctors and the various expects to look at alternative approaches, Reconnective Healing worked for me and in my case I have said goodbye to all my menopause symptoms. I am also now totally drug and herbal remedy free. No more expensive herbal and drug charges, it is truly amassing and life changing!


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