Postmenopausal hormone replacement therapy

Tell the patient the basic facts, the advantages and disadvantages of the hormone therapy as well as the health benefits and risks of long-term use. The final decision about starting the treatment is made by the patient. Discuss the alternatives of hormone therapy. The younger the patient is at the onset of menopause, the more readily the treatment should be started. Add progestogen to the oestrogen therapy for women with an intact uterus. The primary indication for postmenopausal hormone replacement therapy (HRT) is the treatment of menopausal symptoms.