MHT and Fibroids
💡 What about HRT if you have fibroids?
Fibroids are estrogen-sensitive, so some types of HRT can cause fibroids to grow or symptoms to return, especially if unopposed estrogen is used.
However, this doesn’t mean you can’t have HRT.
🗣️ “If you wouldn’t block the hormones to treat the condition — you can have HRT.”
– One of the world’s leading menopause experts
What that means:
If your fibroids aren't actively being treated with hormone blockers (e.g. GnRH), then HRT is usually appropriate — with the right type.
Transdermal estrogen + progesterone is often the best tolerated.
You may need individualised support to monitor symptoms (e.g. bleeding, pelvic pressure).
⚖️ The bottom line:
For most people, the benefits of HRT — especially for mood, sleep, bones, brain, and cardiovascular health — outweigh the risk of minor fibroid growth.