00:00There is no drug that doesn't come with a set of risks and everything has to be taken
00:07in context. It's important to have the discussion with the woman in front of us, take into consideration
00:13what she is suffering with and then make that decision with her. And talk about the risks.
00:18Of course we should talk about the risks, but the risks are very much to do with the
00:23place we're starting from. What has sometimes put women off is what we see from research
00:30and there's one particular study that came out now almost a decade and a half ago which
00:35talked about the increased risk for women of breast cancer and some other things as well.
00:40But what that study showed was that that risk was higher if you started HRT later in life,
00:46MHT later in life once you had turned 60 and took it for a longer time. The vast majority
00:51of women who need to take some form of hormone replacement need to do it when they approach
00:56menopause. So they're relatively young in their 50s and so the risks when you are in your 50s
01:01are very different from the risks when you are 60 plus or 70 plus. And I think that's
01:06the discussion that we need to have with the individual woman who has come to us for help.
01:11It can make a huge difference to women's lives. We know that women who are perimenopausal or
01:17indeed have experienced menopause can have some really significant symptoms like hot flushes,
01:23sometimes mood disturbances, sleep disturbances that affect their ability to take part in
01:29life, you know, to be just a normal human being. And those can have really significant effects
01:35on ability to work, ability to participate in family life, ability to exercise. Those are
01:41the sorts of things that women should get help and menopausal hormone replacement is one
01:46of the best ways of helping women with those symptoms.
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