I've been on HRT since my hysterectomy, how do I get off?

Stopping your hormone replacement therapy suddenly is stressful to the body and may produce symptoms similar to when you first had your surgery. You can stop, but need to do it over time so your body can compensate, much like it does naturally.

As to exactly how to do this - it depends on several factors. First, how long have you been on HRT? Secondly, which hormones are you taking? For instance, if you are taking some of the synthetic, stronger forms (such as premarin and prempro), you body may need a longer adjustment period than if you were using a more natural or bio-identical hormone. And third, what was your body's response to menopause (surgical or otherwise).

Though every woman is different, in general it's recommended you wean yourself off over a 2-4 month time period. For some women, the time is much shorter, and others have needed 6-8 plus months to wean. Some women will need other support in the form of natural hormones and/or supplements to assist in their weaning. As always, women who take good care of themselves (diet, exercise, mediation, etc) will have an easier time than women who do not.

Discuss your situation with your health care provider. Medical recommendations today state that women who are using HRT should be on the smallest possible dose for no more than 5 years because of the potential adverse effects. It is in your best interest to make informed choices about the health of your body.

©2005 Barbara C. Phillips, NP