Where to start when choosing HRT
If you still have a womb, even if your periods stopped long ago or even if they're still around or being very erratic - having a womb in HRT terms means that you will require progesterone alongside oestrogen for your HRT. Oestrogen will work on your symptoms while progesterone will work mainly on your womb lining to keep it thin and healthy while you're using the oestrogen. Without progesterone your womb lining could over thicken and lead to cellular changes taking place which could progress (if left unchecked ) and lead to cancer.Progesterone is available to use as a small, round capsule known as Utrogestan/Gepretix which you usually take at bedtime. It's also available in tablet forms - Provera and Dydrogesterone ( which has recently become available to be used as a standalone cyclical option ) and these are popular options for this. It also comes in the form of an IUS ( hormonal coil ) - sometimes called a Mirena although there are now other brand names for this which provide the same dose of progestogen. Whichever progesterone you choose, it's important that you use it consistently and as prescribed alongside your oestrogen.