HRT is a lifesaver for many people who are going through transitions.HRT can be stopped because of the increased risk of cancer and other side effects.Talk to your doctor if you want to stop HRT.The doctor will gradually reduce your dose.If HRT is stopped immediately, it can lead to overnight menopause or worsening menopause symptoms.When possible, your body should have time to adjust to its new hormones.There might be some side effects.You can use lifestyle changes and other treatments to deal with these symptoms.
Step 1: You should talk to your doctor about why you want to stop HRT.
If you believe you no longer need hormones, tell your doctor before you stop.Don't stop taking your medication without your doctor's permission.Depending on your condition and your 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 the risk of osteoporosis.
Step 2: Do you know what the risks are 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.If you stop taking HRT, your risk of osteoporosis may return.
Step 3: Work together to find the best way to stop hormones.
In most cases, the doctor will tell you to stop using 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 by gradually stopping HRT.
Step 4: Your doctor tells you to continue taking hormones.
Over the course of 3-6 months, you will wean off the hormones.Stop using the hormones if you quit cold turkey.
Step 5: Take lower hormones.
A lower dose of hormones may be prescribed by your doctor.If you take pills, your doctor may advise you to cut the pill in half.
Step 6: If you're told by your doctor 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 have your doctor watch you.
If you stop HRT, you may be at a higher risk of osteoporosis.Continue to see your doctor after you stop using HRT.
Step 8: Exercise frequently.
It is possible to improve sleep and give you more energy by exercising.Moderate to vigorous exercise 3-4 times a week.If you want to protect your bones, you can do weight lifting once or twice a week.Exercise can reduce hot flashes.If you have recently 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 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 checkup 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 break.Staying active and taking supplements may help protect your bones.
Step 10: Relax techniques can be practiced.
Stress can cause symptoms.Stress can be alleviated by practicing relaxation techniques.It's possible to try yoga, meditation, or deep breathing.
Step 11: Ask your doctor if non-hormonal medicines can help with the symptoms.
Some drugs are prescribed to women instead of HRT to deal with menopause symptoms.These medications have some risk.If these 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 side effects.Side effects of anti-depressants 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 your symptoms are severe, you should talk to your doctor about restarting HRT.
If your symptoms persist for more than 6 months, restart HRT.Discuss your options with your doctor.