Progesterone-only HRT in perimenopause: what you need to know

Progesterone-only HRT in perimenopause: what you need to know

Progesterone-only HRT is increasingly requested by women in perimenopause, often because sleep, anxiety and night sweats feel unmanageable and they’re wary of oestrogen or synthetic progestogens. But progesterone-only isn’t a standard NHS pathway — largely because guidance is oestrogen-led and progesterone’s established role is womb protection. The emerging evidence (including perimenopause-specific trial data) suggests progesterone can help some women, but it isn’t a complete solution for many perimenopause symptoms. Here’s how to make an evidence-based, personalised decision.

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HRT and Heart Health: Rethinking the ‘Window of Opportunity’ Theory
Menopause, Medical treatments menopause Georgina Standen Menopause, Medical treatments menopause Georgina Standen

HRT and Heart Health: Rethinking the ‘Window of Opportunity’ Theory

For years, women were told there was a limited “window of opportunity” to start HRT safely for heart health. New evidence shows this isn’t true. Modern studies reveal that the timing of HRT matters far less than the type, route, and overall cardiovascular profile. Dr Georgina Standen explains why HRT remains safe and beneficial well beyond ten years after menopause when used appropriately.

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Genitourinary Syndrome of Menopause (GSM): Understanding Your Options
Menopause, Medical treatments menopause Georgina Standen Menopause, Medical treatments menopause Georgina Standen

Genitourinary Syndrome of Menopause (GSM): Understanding Your Options

Many women experience vaginal dryness, discomfort or urinary changes after menopause — but you don’t have to live with it. Genitourinary Syndrome of Menopause (GSM) is common and treatable. From moisturisers and lubricants to Gina®, Ovesse®, Imvaggis® and prasterone, discover safe and effective options to restore comfort and confidence.

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I Never Tolerated the Pill, So I Can’t Take HRT” – Busting a Common Menopause Myth
Menopause, Medical treatments menopause Georgina Standen Menopause, Medical treatments menopause Georgina Standen

I Never Tolerated the Pill, So I Can’t Take HRT” – Busting a Common Menopause Myth

Many women worry that because they didn’t tolerate the pill in their 20s, they won’t tolerate HRT in menopause. In reality, the two treatments are very different — HRT uses lower doses of body-identical hormones tailored to your needs, and many women who struggled with the pill find they thrive on HRT.

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