Pregnancy Possibilities with Hormone Replacement Therapy, Suggestions, and Birth Control Methods
Hormone Replacement Therapy (HRT) is a treatment used to alleviate symptoms of menopause and perimenopause, such as hot flashes and vaginal dryness. This therapy contains either estrogen and progesterone, or estrogen alone, to replicate the hormones that the ovaries produce. There are two types of HRT: estrogen therapy and combined hormone therapy.
Combined hormone therapy consists of a combination of estrogen and progestin. It's important to note that HRT is unnecessary during pregnancy as a person will already have high levels of estrogen and progesterone.
If a person wishes to conceive, they must stop taking HRT. Pregnancy is rare but still possible during perimenopause and menopause, but experts recommend that people do not take HRT if they are or could be pregnant. Estrogen-based HRT should not be used during pregnancy as it is contraindicated and may interfere with conception or fetal development.
For those trying to conceive, it's advisable to speak with a doctor if they have not conceived after 1 year of regular sexual intercourse (unless over 35, in which case it is 6 months). People over 40 years of age should also speak with an obstetrician-gynecologist about evaluating their fertility before trying to conceive.
It's worth mentioning that it is possible for any person with a uterus who is ovulating to become pregnant. However, people cannot take HRT and the combined pill at the same time. If a person uses the progestogen-only pill, they may be able to use HRT simultaneously. People who are only taking testosterone can use any type of birth control.
Lastly, it's crucial to remember that even while on HRT, people may still need to use condoms or other barrier methods to protect against sexually transmitted infections (STIs). Doctors advise that people over 50 continue to use contraception for a year after their last period. For people under 50, they will need to keep using contraception for 2 years. A doctor may recommend that people take the combined pill until age 50 and then change to using HRT.
In conclusion, while HRT can help alleviate symptoms of menopause, it's essential to understand its implications on fertility and pregnancy. Always consult with a healthcare professional for personalised advice.
