💊 What Else Might Be Part of the Picture?

While menopause hormone therapy (MHT) usually refers to systemic estrogen (and often progesterone), there are other medications that may play a supportive or complementary role:

• Vaginal estrogens – These target local symptoms like dryness or discomfort and aren’t counted as systemic MHT, but can be life-changing for urogenital health.
• Testosterone – Indicated for low libido, but anecdotally (unfortunately not supported by robust evidence improves energy/sense of self and body pain).
• Contraceptive pills – Some may choose to continue or start these during perimenopause, depending on symptoms and needs (eg contraception, heavy menstrual bleeding, ease, symptom control).
• Antidepressants – These can help with mood or hot flushes in certain situations, though they aren’t first-line for menopause depression. However, when depression or other mood disorders exist alongside then antidepressants can be more effective. Dopamine likes estrogen!
• Statins and other medications – Sometimes part of a broader midlife health plan, especially if cardiovascular risk is a concern. Initiation of Statins and transdermal estradiol together is more antiinflammatory than estradiol alone.

Understanding how these work with or alongside MHT can help you and your doctor personalise care safely and effectively.