You may be wondering if other medications or other health problems affect whether you can use HRT during menopause. Here, answers to the questions we hear.

Can I still take HRT if I have risk factors for heart disease such as high blood pressure?

The NICE guideline says having risk factors for heart disease (such as high blood pressure and raised cholesterol) doesn’t mean women can’t have HRT, so long as their risk factors are being optimally managed. However, HRT is not generally recommended for women with a history of strokes or blood clots. 

Can women who have had breast cancer take HRT?

Cancer Research UK says it does NOT recommend women who have had breast cancer take HRT as it increases the risk of breast cancer returning, although some doctors will prescribe it to women who have severe symptoms. 

But there are other options. Topical oestrogen creams, pessaries and rings may help with vaginal dryness and are safe as minimal amounts of oestrogen are absorbed. Additionally, the usual lifestyle changes that are known to help with menopause symptoms – including exercise, sleep and cutting out processed foods and sugar – are an option to women who have had breast cancer.

What other drugs can I take?

Drugs such as Dixarit (a vasodilator drug which dilates blood vessels) and gabapentin (an epilepsy drug also used to treat pain conditions) can help with hot flushes, and antidepressants such as venlafaxine (Exefor) with depression. Drugs called bisphosphonates (Alendronate) can prevent or slow down bone thinning.