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Hormone Replacement Therapy (HRT) has always been a trustworthy option in managing menopause symptoms, providing relief for hot flashes, mood swings, and night sweats. However, there are questions along with its benefits, especially about its possible link to cancer.
This article examines the link between HRT and cancer and how you can make educated choices related to your health.
An Overview of Hormone Replacement Therapy (HRT)
Hormone Replacement Therapy, or HRT, is a treatment used to help manage symptoms of menopause by replacing the hormones—estrogen and progesterone—which decrease during menopause.
Purpose of HRT
HRT is prescribed to decrease menopausal symptoms like hot flashes, night sweats, vaginal dryness, and mood disturbances. Oestrogen and progesterone are the main hormones regulating your menstrual cycle, supporting ovulation, and playing a key role during pregnancy. Apart from their reproductive functions, they also help maintain the strength of your bones and the health of both your heart and brain.
Types of HRT
There are two main types of HRT:
- Oestrogen-only HRT: This type is usually recommended for women who have had a hysterectomy.
- Combined HRT (oestrogen and progesterone): This type is for women with an intact uterus to decrease the risk of endometrial cancer.
Methods of Administration
HRT can be taken in different forms, such as oral tablets, skin patches, topical gels, vaginal creams, or sprays. The choice depends on the patient’s health condition and choice.
Benefits of HRT
Many women experience alleviation from menopausal symptoms and improvements in their quality of life. When used early in menopause, HRT may promote bone and heart health in addition to symptom relief.
HRT Causes Cancer: Truth or False?
In short: not directly. However, research reveals that HRT may elevate the risk of specific cancers, specifically with prolonged use or certain formulations (Barcenas, 2024).
Breast Cancer Risk
The risk of breast cancer is not notably increased by standard HRT use. Younger people using combination hormone therapy saw an increase in risk, whilst those receiving oestrogen-only therapy actually experienced a decrease in risk.
Balancing Risks and Benefits
In the end, the benefits of HRT in alleviating symptoms must be weighed against any possible risks. Factors such as family history, personal medical background, and lifestyle determine the degree of risk.
Frequently Asked Questions (FAQ)
1. Is HRT safe for all women?
HRT may not be recommended for women with a history of breast cancer, blood clots, or specific cardiovascular conditions. Always consult your doctor.
2. When does HRT begin to show results?
Some women see improvements in symptoms within several days, while others may take a couple of weeks to notice the benefits.
3. Is it possible to suddenly quit HRT?
It is recommended to stop HRT slowly under medical supervision to prevent an abrupt return of symptoms.
4. Will fertility be impacted by HRT?
HRT is not a type of birth control; therefore, it does not impact fertility. HRT should not be used as a contraceptive.
5. Where can I get cancer screening in Malaysia?
Pantai Hospitals provides comprehensive cancer screening services and consultations for all women thinking about or currently using HRT.
Schedule an Appointment at Pantai Hospitals
Although hormone replacement therapy has benefits and risks like any other treatment, it can be a very effective tool for managing menopause. There is no definite answer to whether HRT elevates cancer risk, as it is dependent on several factors such as the type of HRT, duration of use, and the patient’s medical background.
Schedule your appointment today and begin your journey toward better health. Our team is here to support you every step of the way. You may also book an appointment via our website or download our MyHealth360 application from Google Play Store or Apple App Store.
Pantai Hospitals have been accredited by the Malaysian Society for Quality in Health (MSQH) for its commitment to patient safety and service quality.

