Oestrogen-Only HRT
Women who have had a hysterectomy may be prescribed oestrogen alone, as progesterone is not usually needed to protect the lining of the womb. In some cases, testosterone may also be considered where clinically appropriate.
Personalised HRT support for women in the UK, with medically guided treatment designed to improve symptoms, restore balance, and support long-term wellbeing.
Hormone replacement therapy (HRT) is used to replace hormones that naturally decline during menopause. As hormone levels change, many women experience symptoms that affect energy, mood, sleep, focus, libido, and overall wellbeing.
At Origin HRT, treatment is tailored to the individual and may include oestrogen, progesterone, and, where clinically appropriate, testosterone. The aim is not only to improve symptoms, but to support long-term health and quality of life.
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HRT is not one single treatment. The most suitable option depends on whether you still have a uterus, where you are in the menopause transition, and your wider health profile.
Women who have had a hysterectomy may be prescribed oestrogen alone, as progesterone is not usually needed to protect the lining of the womb. In some cases, testosterone may also be considered where clinically appropriate.
Women who still have a uterus usually need progesterone alongside oestrogen. This helps protect the lining of the womb and forms an important part of safe long-term treatment.
Sequential HRT is often used for women who are still having periods or whose periods stopped more recently. Progesterone is added in a cyclical way to reflect this stage more appropriately.
Continuous combined HRT is commonly used after periods have stopped for longer. Oestrogen and progesterone are taken together on an ongoing basis, usually without monthly bleeding.
HRT can be prescribed in different formulations depending on symptoms, medical history, preferences, and how treatment is best tolerated.
Transdermal HRT is commonly used and may be preferred in many cases. These options are practical, flexible, and often well tolerated.
Oral HRT may still be appropriate for some women depending on treatment goals, symptoms, and broader clinical considerations.
Vaginal oestrogen creams, tablets, or pessaries may be used for symptoms such as dryness, discomfort, and urinary changes.
Hormone-releasing devices and other specialist formulations may be used where appropriate as part of a tailored treatment plan.
Hormone replacement therapy should always be guided by careful clinical assessment. Symptoms, age, medical history, menstrual status, and wider health risk factors all influence which treatment approach is most appropriate.
At Origin HRT, care is designed around the individual. This may include discussion of treatment options, symptom patterns, and where appropriate, blood markers or further screening to ensure treatment is both safe and effective.
The goal is not simply to prescribe HRT, but to provide treatment that is appropriate for the individual and reviewed over time to support long-term wellbeing.
Before starting hormone replacement therapy, your clinician may recommend certain tests depending on your symptoms, medical history, and overall health profile. These assessments help guide treatment decisions and support safe, personalised care.
Hormone testing may sometimes be used to support symptom assessment and help inform treatment decisions.
Broader health markers can provide useful insight into overall wellbeing and help guide safe long-term treatment.
Markers such as cholesterol, glucose, and other metabolic indicators may be reviewed when considering treatment.
In some cases, pelvic ultrasound or other screening may be recommended depending on symptoms or medical history.
For a more comprehensive starting point, many women choose the Ultimate Women’s Health Check to review hormone and wider health markers before treatment begins.
Starting HRT should feel clear and well supported. Our consultation process is designed to review symptoms, medical history, and treatment options in a structured way, with testing used where appropriate to support safe clinical decision-making.
You can arrange a consultation whether you already have recent bloodwork or not. This gives you the opportunity to discuss symptoms, goals, and whether HRT may be appropriate for you.
Consultations can still take place without prior blood testing, but having bloodwork available beforehand is strongly recommended. It gives the doctor a much better basis for a proper work-up and allows for a more informed clinical assessment.
During the consultation, symptoms, menstrual status, medical history, risk factors, and any available results are reviewed in detail. From there, suitable treatment options can be discussed more clearly and safely.
If treatment is started, follow-up remains an important part of care. Review appointments help ensure the treatment continues to be appropriate, effective, and well tolerated over time.
For women who want a more complete starting point before speaking with a doctor, we recommend completing bloodwork in advance.
View Ultimate Women’s Health CheckIf you’re ready to explore hormone replacement therapy, book a consultation with Origin HRT. We provide structured, medically guided care designed around your symptoms, health history, and long-term wellbeing.