While many people notice improvements in sleep or mood within weeks of starting HRT, changes like improved muscle mass or fat loss can take at least three to six months.
Contrary to popular assumptions, most women experience no changes in weight as the result of undergoing HRT. A systematic review of 22 high-quality randomized clinical trials concluded that there was no significant difference in weight between menopausal women who were treated with HRT and those who were not.
Your hormone replacement drugs aren't going to counteract a diet that's high in calories and low in nutrients. HRT won't dramatically increase your metabolism so that you can lose weight without even trying. You have to combine HRT with a healthy diet and active lifestyle to obtain the maximum benefits.
Hormone replacement therapy (HRT) can affect weight loss in women. In addition to having less abdominal fat, the same study found that women undergoing HRT were almost one whole point lower on the body mass index (BMI) scale, and they had nearly 3 pounds less of fat mass.
When starting HRT, it's very common to experience some initial side effects or start-up symptoms such as breast tenderness or breast size increase. Some women describe slight nausea, headaches or abdominal bloating. Light erratic bleeding is also quite usual.
The body will begin to burn the fat located in the waist, shoulders and back. The majority of the fat will migrate to the hips, thighs and buttocks, which may result in a smaller waist and larger hips.
It is often used in HRT for women since an imbalance of progesterone causes women to overeat. DHEA: A hormone that promotes weight loss by increasing the body's metabolism, preventing fat storage, and decreasing the appetite for dietary fats.
Another reason why some women may appear to gain weight occurs when background anxiety, with reduced appetite, keeps weight a little lower than it would be naturally. This anxiety is often reversed by the positive impact of HRT, which in turn can increase appetite and weight over time.
You may feel bloated and uncomfortable like having trapped wind. This can be due to the progesterone and usually settles with time.
It usually takes a few weeks before you feel the benefits of HRT. It can take up to 3 months to feel the full effects. If you have not felt the benefit of HRT after 4 to 6 months, it may help to try a different type. It can take your body time to get used to HRT.
Some women resist taking HRT for fear of weight gain but there is no scientific evidence that HRT causes weight gain. A very small group of women may develop fluid retention with HRT (up to 10lbs in a month) but generally it is mild and will balance out in a month or two.
You may experience some breast tenderness, vaginal bleeding or spotting, or some abdominal bloating in the first few weeks after starting estrogen and progesterone treatments. If taking progesterone, you may also notice a dip or change in your mood initially.
Some evidence suggests that estrogen hormone therapy increases a woman's resting metabolic rate. This might help slow weight gain. Lack of estrogen may also cause the body to use starches and blood sugar less effectively, which would increase fat storage and make it harder to lose weight.
As you get older, you might notice that maintaining your usual weight becomes more difficult. In fact, many women gain weight around the menopause transition. Menopause weight gain isn't inevitable, however. You can reverse course by paying attention to healthy-eating habits and leading an active lifestyle.
Start with a mix of moderate and vigorous exercise to burn off menopausal weight gain. Your routine should include aerobic exercises like swimming, walking, bicycling, and running, as well as resistance or strength training. “What you want to employ now is high-intensity interval training (HIIT),” Dr. Peeke says.
Your body will begin to redistribute your weight. Fat will collect around your hips and thighs and the muscles in your arms and legs will become less defined and have a smoother appearance as the fat just below your skin becomes a bit thicker.
It may take a few weeks to feel the effects of treatment and there may be some side effects at first. A GP will usually recommend trying treatment for 3 months to see if it helps. If it does not, they may suggest changing your dose, or changing the type of HRT you're taking.
You might feel a bit sick or nauseous, or experience breast tenderness, bloating or headaches, particularly in the first few days. You can see a full list of side effects of the different hormones in HRT here. Bloating is a common side effect of HRT and can be a result of taking oestrogen or progestogen.
You can usually begin HRT as soon as you start experiencing menopausal symptoms and will not usually need to have any tests first. However, a blood test to measure your hormone levels may be carried out if you're aged 40 to 45.
In very real ways, using HRT to address symptoms of hormonal change can help you feel younger. It can give you more energy, elevate mood, and increase sex drive. It can make sex more comfortable and improve sleep in both men and women.
Many women actually find that they lose weight by using HRT as it shifts the metabolism back into a pre-menopausal metabolic state. Progesterone can sometimes cause fluid retention which can mimic weight gain, but there are alterations that can be made to the regime to minimise this impact.