Long-term use of hormone replacement therapy may increase the number of women who get breast cancer . If a woman has a family history of breast cancer, menstruated before age 12, or delayed pregnancy , hormone replacement therapy may not be advised. Women who are at higher risk of developing blood clots may also be unable to use hormone replacement therapy. A healthcare provider can assist with decision making by pointing out the risks, risk factors, and benefits of any proposed therapy. There are also side effects to using hormone replacement therapies.
Side effects can include headaches , bloating, and irritability .
Most symptoms of perimenopause go away after menstruation ceases. Osteoporosis and cardiac risk factors continue unless estrogen is replaced. A woman's progression through menopause is monitored in regular gynecological exams, which include pelvic exams and PAP smears . Any new or worsening symptoms should be reported to the healthcare provider.