Hormone Replacement Therapy
Hormone Replacement Therapy (HRT) consists of delivering low dose estrogen and progestogen to alleviate symptoms of menopause.
Symptoms of menopause
Many women experience both physical and emotional symptoms, such as hot flushes, night sweats, extreme tiredness and exhaustion, anxiety, irritability and brain fog. For women who find the symptoms interfering with daily life, HRT may be an effective treatment.
Hormone Replacement Therapy ( HRT)
HRT is now available in body-identical formulations. Estrogen is best delivered through the skin either as a gel or as a transdermal patch. Progestogen can be delivered either as a patch or as oral tablets. Use of body-identical preparations have reduced the risks of strokes and thrombosis previously associated with HRT usage. Progestogen is required to protect the lining of the womb (the endometrium) and can also be delivered through the Mirena intrauterine system.
Vaginal estrogen
Menopausal or perimenopausal women often experience vulval irritation or recurrent cystitis-like symptoms which may need additional local estrogen cream or pessary. This may be needed on top of the HRT.
Mr Alak Pal will discuss the various options available and match them with your symptoms to get the best outcome for you.
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Patient seen for : Dilation and Curettage
Dr Alak Pal was great. He made me feel comfortable and explained everything clearly, including next steps. Would recommend.
Patient seen for : Hysteroscopy
Very professional and helpful in explaining everything. Helped me make an informed decision with this vast knowledge.
Patient seen for : Total Abdominal Hysterectomy
From the initial appointment, surgery, aftercare and to my final appointment, Mr Pal was extremely professional and understanding to my particular medical circumstances. The entire abdominal hysterectomy procedure was extremely satisfactory. He spent time listening to any concerns that I had and explained clearly and simply the process surrounding the surgery. I would highly recommend him for anyone contemplating such a procedure. Additionally, post-surgical care and appointments were excellent too.
Fantastic doctor, very pleased with consultation. Thanks

