Properly utilizing Hormone Replacement Therapy - Insights from a Menopause Specialist on the Correct Application Methods

Dr Shahzadi Harper, a well-known General Practitioner and perimenopause expert, known as The Perimenopause Doctor on Instagram, has shared some valuable tips on how to correctly apply Hormone Replacement Therapy (HRT) for women experiencing menopause.

For those who tend to sweat excessively during summer, Dr Harper suggests applying HRT at night to ensure its effectiveness. However, it's important to note that the search results on her website do not specify who recommends this particular application method in the video.

Proper application of HRT is crucial to ensure the right dose is received and to maximize the efficiency of the gel or patch. Before applying HRT, it's essential to ensure the skin is well-exfoliated and free from oil. This can help the HRT absorb properly and work effectively.

After applying HRT, it's advisable to wait an hour before applying sun cream or putting on leggings or tight jeans. Similarly, it's recommended to wait at least an hour before swimming after HRT application. It's also important to let HRT gels dry properly before getting dressed (3-5 minutes).

Some women may not absorb topical HRT as well as others, so finding the best HRT delivery system for an individual's body is important. If HRT still isn't working properly, it might be beneficial to consider a different type or preparation.

Incorrect application of topical HRT can prevent it from absorbing properly, leading to the perception that it isn't working. To avoid this, it's crucial to ensure that the HRT is dry before getting dressed to avoid it coming off on clothes.

Dr Harper also advises against putting oestrogen gel on the upper arms if you have keratosis pilaris (bumpy skin). She also suggests being militant about the lifespan of the HRT patch, re-applying every 3.5 days.

For women with poor circulation, Dr Harper recommends applying HRT straight after the shower or tapping the application area to improve circulation. She also suggests splitting the dose of gel by applying it to different body parts.

For those who are concerned about the potential for HRT to come off in water, Dr Harper suggests considering a switch to a patch during the summer months, as there have been no reported issues with swimming.

Lastly, Dr Harper advises taking oral progesterone an hour before dinner if possible. She has made a video demonstrating how to apply HRT properly, which can be found on her website.

Properly utilizing Hormone Replacement Therapy - Insights from a Menopause Specialist on the Correct Application Methods