HRT is a lifesaver for many people, whether they are going through menopause or transitioning gender.HRT can be stopped because of the increased risk of cancer or other side effects.If you want to stop HRT, you should talk to your doctor.The doctor will gradually reduce your dose.If HRT is stopped immediately, it may lead to overnight menopause.When possible, your body should get time to adjust to its new hormones.There may be side effects.You can use other treatments and lifestyle changes to deal with these symptoms.
Step 1: If you want to stop HRT, talk to your doctor.
If you believe you no longer need hormones, tell your doctor before you stop.Do not stop taking your medication without your doctor's permission.Depending on your condition and doctor, how long you need to stay on HRT may be different.You can technically use hormones indefinitely, but many doctors will stop treatment after a few years.It is recommended that trans people stay on HRT until they are 50 to reduce their risk of osteoporosis.
Step 2: Ask your doctor about the risks of stopping HRT.
You may be at higher risk of side effects based on your age and medical history.Before stopping HRT, make sure you are aware of the risks.Symptoms may return if you use HRT to ease menopause, including hot flashes, vaginal dryness, anxiety, mood swings, and a reduced sex drive.If you had a history of hot flashes or heart palpitations before taking HRT, ask your doctor how you can manage them once you stop taking hormones.Your risk of osteoporosis may return if you stop taking HRT.
Step 3: Determine the best way of stopping hormones.
Most of the time, the doctor will recommend gradual removal of hormones.If you have very severe side effects, your doctor may decide to end your treatment immediately.The risk and severity of side effects may be reduced if HRT is stopped gradually.
Step 4: Continue taking hormones as long as your doctor tells you to.
Over the course of 3-6 months, you will wean off the hormones.Stop using the hormones if you decide to quit cold turkey.
Step 5: Take less hormones.
A lower dose of hormones may be prescribed by your doctor.If you take pills, your doctor may tell you to cut the pill in half.
Step 6: If your doctor tells you to use hormones less often, you should.
If you are using a patch or gel, your doctor may recommend that you use the hormones less often.Follow your doctor's instructions for taking a less frequent dose.
Step 7: Continue to be watched by your doctor.
If you stop HRT, you may be at higher risk of osteoporosis.During and after you stop using HRT, continue to see your doctor.
Step 8: It's a good idea to exercise regularly.
It is possible to improve sleep and give you more energy.Moderate to vigorous exercise 3-4 times a week.Strength training and weight lifting can be done once or twice a week.Exercise can reduce hot flashes if you are going through menopause.If you have stopped taking hormones, you may be at increased risk of gaining weight.You can use exercise to lose weight.
Step 9: Don't go for a bone mineral density screening.
Trans women may be at higher risk of bone loss while on HRT.Your risk of osteoporosis may return once you are off HRT.You should visit your doctor at least once a year for a screening to make sure your bones are healthy.Most of the time, your doctor will use a DEXA machine to determine your risk of getting a bone fracture.Taking supplements with calcium and vitamins D may help protect your bones.
Step 10: Relax techniques can be practiced.
Stress can cause symptoms.Relaxing techniques can help alleviate symptoms.It is possible to try yoga, meditation, or deep breathing.
Step 11: Ask your doctor if you can take non-hormonal medicines.
Some drugs are prescribed to women instead of HRT to deal with menopause symptoms.The medications still carry some risk.If the medications are right for you, your doctor will let you know.It is possible to improve your sex drive with the help of tibolone.It has the same side effects as HRT and has a higher risk of breast cancer.There is a milder effect on menopause symptoms than there is on hormones.Dry mouth is one of the effects of side effects.Side effects of antidepressants include dizziness, anxiety, and a reduced sex drive.Hot flashes and insomnia can be treated with gabpentin.headaches, dizziness, and sleepiness are some of the side effects.
Step 12: If you have severe symptoms, talk to your doctor about restarting HRT.
If your symptoms persist for more than 6 months, restart HRT.Discuss your options with your doctor.