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HRT - hormone replacement therapy

Women going through menopause sometimes resort to hormone replacement therapy (HRT) to reduce the symptoms of this condition, which involves taking a combination of estrogen and progesterone hormones in the form of tablets, skin patches or gel to restore their balance in the body. HRT implants are also available, but as they only contain estrogen, progesterone needs to be taken as well.


HRT implants are the small pellets releasing estrogen into the bloodstream, as they dissolve after being inserted under the skin of a buttock, thigh or abdomen. This implant needs to be replaced every 2 to 12 months depending on the amount of hormone it contains. Some women find implants more practical than gels, patches or tablets, since they do not have to worry about taking them every day.


One downside of HRT implants is that they are virtually impossible to remove, which can be a problem to women who discover that the implant does not suit them. Frequent implant replacement makes the implant effects last shorter causing the symptoms of menopause to reappear 2-3 months after implantinsertion. Even when they stop wearing implants, women who take progesterone must continue its use up to the point when their bleeding finally ceases, which can go on for the next two years.

Side effects

HRT implant insertion is a common and safe procedure. Nevertheless, women who decide on this option should bear in mind the potential side effects. Not all women will experience them, and even those who do will find them to be temporary. Once the HRT implant is inserted, women may suffer from nausea, headaches, tender breasts, cramps in the legs and accumulation of fluid in the tissue that can lead to swelling. These side effects usually take several months to disappear.

Having an HRT implant does not cause the woman to gainweight. However, estrogen can increase the risk of a stroke, breast or ovarian cancer or the formation of blood clots. Although these outcomes are not very likely, they should be discussed with the doctor before opting for this kind of treatment, which should be reviewed on a yearly basis. Women in HRT are advised to have their breasts checkedregularly.


After the procedure, some women may find that the implant site has been bruised. The infection may occur at the implant site in extremely rarecases. As the scar tissue begins to form in the place where the implant has been inserted, some women may feel a thickening under skin surface.

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