HRT can help relieve menopausal symptoms by replacing the hormones estrogen and progesterone that decline during menopause. It comes in different forms like pills, patches, gels, and implants.
Hormone implants
Implants release hormones like estradiol (estrogen) and testosterone slowly over several months. They are inserted under the skin, usually in the abdomen or buttock area.
Types of implants
- Estradiol (50mg) implants
- Testosterone (100mg) implants
How Implants Work:
- Inserted every 6-8 months under local anaesthesia
- Release hormones gradually into the bloodstream
- Regular blood tests monitor hormone levels
- Dosage/ frequency adjusted based on levels
Benefits of implants:
- Improved symptom relief when other treatments are ineffective
- Convenient, long-lasting hormone delivery
Risks of implants:
- Blood clots or stroke risk (comparable to other HRT types)
- Potential for estrogen levels to rise too high (tachyphylaxis)
- Small scar from insertion, possible infection at incision site
Endometrial protection:
For women with a uterus, a progestogen like the Mirena IUD is recommended along with estrogen to prevent uterine lining overgrowth and cancer risk.
Monitoring
- Blood tests required every 6-12 months “Top-up” estrogen may be needed before next implant
- Stop “top-up” 1 week before blood test
- Discontinuing Implants
- Effects can last up to 24 months after last implant
- Progestogen needed until estrogen levels are post-menopausal
Discuss your individual risks, benefits, and hormone options with your healthcare provider to determine if implants are appropriate for managing your menopausal symptoms.
If you require any further information, please visit the NHS website, Hormone replacement therapy (HRT) – NHS