Holidays and HRT: Your Essential Guide

As the holiday season approaches, many women in midlife may find themselves grappling with travel anxiety, especially when it comes to managing their Hormone Replacement Therapy (HRT). The worries can be daunting, but I've compiled some commonly asked questions to help ease your mind and take away one of your worries so you have a lovely time.

Feel free to share these tips with your friends who might benefit from them!

What Exactly is HRT?

Hormone Replacement Therapy, or HRT, typically involves the use of up to three hormones: oestrogen, progesterone, and testosterone (although not all women require the latter).

Ostrogen can be administered via gel, spray, or patch, while progesterone is often in capsule form or delivered through a Mirena coil or combined patch. Testosterone, when necessary, is usually prescribed as a cream or gel.

Finding the right balance of hormones for each individual can take time, so it's crucial not to let holiday plans disrupt your treatment regimen.

Preparing for Your Holiday

About a month before you embark on your holiday adventures, ensure you have an ample supply of your prescribed HRT medications, especially if you know that supplies have been affected where you live.  This forward planning helps to prevent last-minute panics or trips to every chemist in town!  

Navigating Air Travel with HRT

The question of whether you can take HRT on a plane is a common one. The answer is a resounding YES!

Keep your HRT in its original packaging and stow it in your hand luggage in a clear, sealable bag.

Remember not to decant it into smaller containers. Having your prescription handy is advisable, just in case you're asked to provide more information during security checks.

Timing Your HRT with Sunscreen

For those using estrogen gel or testosterone cream, applying it in the morning might interfere with sunscreen application due to absorption time. Consider switching to applying it in the early evening after a shower to avoid any conflicts with your sun protection routine.

Taking Utrogestan: Updated Guidance

Good news: you no longer need to wait two hours after eating to take Utrogestan. However, it's still recommended to take it in the evening, preferably at bedtime, as it aids in relaxation and sleep.

Dealing with Time Changes

If you're traveling to a destination with a significant time difference, consider gradually adjusting the times you take or apply your HRT to align

with the new time zone. For minor time differences, simply adapt to the new schedule without worry.

Buying HRT Abroad: A Word of Caution

While it might be tempting to purchase HRT over the counter in other countries, it's not advisable. HRT prescribed by your GP in the UK undergoes rigorous regulation. In case of emergencies abroad, consult a doctor or pharmacist before opting for alternative medications.

Swimming and HRT Patches

Swimmers, beware! Chlorine, swimsuits, and sunscreen can cause HRT patches to dislodge. Consider using Tegaderm, a transparent and waterproof dressing, to secure your patch during swim sessions. It's readily available in most pharmacies and can be a lifesaver when unexpected mishaps occur.

In conclusion, understanding how to manage HRT during the holidays can alleviate stress and ensure continuity of treatment. Remember, HRT is just one piece of the menopause puzzle, alongside factors like sleep, nutrition, and movement. By staying informed and prepared, you can enjoy a well-deserved holiday without compromising your health and well-being.