Can menopausal hormone therapy (MHT), commonly referred to as HRT, still be considered after the age of 60? A recent article in Aesthetic Appointment explores this question with insights from Dr Simone Silver and Dr Sibu Lubelwana.
The article looks at the factors that need to be considered when a woman is thinking about starting hormone therapy later in life. While the timing of treatment can influence the balance of benefits and risks, age alone does not necessarily provide the answer. Individual health history, symptoms, cardiovascular risk, bone health and personal preferences all form part of the decision-making process.
Dr Silver discusses the importance of looking at the individual rather than applying a blanket approach to hormone therapy. She highlights the distinction between starting treatment around the time of menopause and initiating it many years later, as well as the importance of considering how hormones are administered. The article also explores the role of transdermal oestrogen, particularly when assessing cardiovascular and clotting considerations.
Bone health is another important consideration, particularly as the risk of osteoporosis increases with age. The discussion also addresses symptoms that can continue or emerge later in life, including sleep disruption, changes in mood, reduced energy and libido.
Dr Silver also challenges some of the generalisations and misconceptions surrounding HRT. Her approach emphasises informed, individualised care and shared decision-making, taking into account both the potential benefits and risks for each woman.
The full Aesthetic Appointment article provides a broader discussion featuring both Dr Simone Silver and Dr Sibu Lubelwana, and explores whether there really is an age at which it is “too late” to consider menopausal hormone therapy.
Read the full article: Can You Start Menopausal Hormone Therapy (HRT) After 60?
