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Hormonal replacement therapy during peri
I am 43 years old female..
Currently going through perimanopause..
I have attached report.
I get intense hot flashes throughout the day...
Should I go for hormonal replacement therapy and what will be it's side effects..
If not what are the other options to manage hot flashes..
Thank you..
Answers (20)
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Healthy lifestyle
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Kindly do connect and consult with me for better treatment plan and advice on your case
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HRT will help you, but has adverse effects as well. If tolerable ignore them as they will end infew monthsif intolerable,Consult a physician offline to discuss alternate like methyl dopa or clomidine
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Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal
Walk
Do connect and consult
Will help you
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HRT is the first line treatment for management of hot flashes but you have to exclude the contraindications before taking HRT pls consult gynecologist
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Do consult
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Though there's only a bit of information provided here , Menopause at such an early age indicates - modern day stressful life style.
If it is gone, let it go . HRT helps a lot in relieving the symptoms , but at the time of its(HRT) stoppage the individual faces the problem of withdrawal symptoms . And its side effects too are there .
Next Steps
consult your Gynecologist for HRT
Health Tips
Start a stress free- natural life --> full of fruit, salad , Dhyan Yoga & Humming beside HRT .
slowly slowly taper the HRT & then stop it , And spend your life in natural bliss .
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CHANGE LIFE STYLE N DIET PLAN DRASTICALLY.
CONSULT SUPERSPECIALIST LIKE ENDOCRINOLOGIST
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No need , you need to changes dietary habits, it may help.
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At the age of 43, with hot flashes alligns with one of the peri menopausal symptoms. Having said that, a complete clinical hostory, blood work and evaluation is necessary to diagnose.
Next Steps
A full hormonal blood work of TSH, T3 T4, PRL, AMH, E2, LH and FSH(you have already done that) is recommended.
Health Tips
Keep hydrated, well rested, have fibre rich fruits and vegetables. Focus on your sleep quality and circadian rhythm to maintain minimal stress and restful recovery.
Feel free to consult for further queries.
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I think you need to follow healthy food habits
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HRT is currently the most effective treatment for intense hot flashes during perimenopause, and for most healthy women under 55 without specific contraindications (such as prior breast cancer, blood clot history, or active liver disease), the benefits typically outweigh the risks when used for an appropriate period under medical supervision. The risk of side effects is lower with transdermal (patch or gel) forms compared to oral tablets. If HRT is not preferred, there are effective non-hormonal prescription options as well. Additionally, lifestyle modifications â avoiding triggers like spicy food, caffeine, alcohol, and hot drinks, wearing light breathable clothing, and using fans â can help reduce the frequency and intensity of hot flashes.
Next Steps
Please consult a gynecologist in person with your hormone report for a full evaluation â the right type and form of HRT, if appropriate for you, must be individually decided based on your complete medical history. Please consult me directly on Practo for a detailed evaluation.
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Hi,
Proper evaluation and personalised advice are needed for your concern. A detailed consultation would be best to provide accurate guidance.
Feel free to consult me for further assistance.
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Dr. Sajid Ali
General Practitioner
4 yrs exp
Kanpur
Lifestyle modification
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Dr. Borsha Roy
General Physician
10 yrs exp
Aurangabad (BH)
Dear Ma’am, your FSH level is very high, which is usually seen in menopause or early menopause. This can explain your frequent and intense hot flashes.
For severe symptoms, HRT (Hormone Replacement Therapy) is the most effective treatment, but it should be started only after proper gynecological evaluation and basic screening like BP, breast check/mammogram if needed, uterus/bleeding history, sugar, lipid and liver profile.
HRT can have mild side effects like breast tenderness, bloating, headache or spotting. It is not advised in patients with breast cancer history, unexplained bleeding, blood clot/stroke history or severe liver disease.
If HRT is not suitable, other medicines are also available to control hot flashes. Please consult a gynecologist so the safest option can be selected for you.
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
No need, diet change helps
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Dr. Anuj Mothsra
General Physician
7 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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