Ilaaj aur dawaein

HRT ke faide aur khatre

Ghar wale HRT ke baare mein jo kuch kehte hain, us ka zyada tar hissa us research se aata hai jis par bani soch ko NHS ab purani kehta hai. Aaj ki hidayat faidon aur khatron ke baare mein kya kehti hain, aur woh sawal jo inhein aap ke baare mein aik faisle mein badalte hain.

Is safhe par
  1. Lafz aur hidayat
  2. Yeh kya hai
  3. Hidayat mein kya likha hai
  4. Ilaaj ke baare mein hidayat kya kehti hain
  5. Doctor ko kab dikhayen
  6. Doctor se poochne ke sawal
  7. Deen aur ghar wale
  8. Is par nazar rakhein
  9. Aam sawal
  10. Milte julte mauzuaat
  11. Hawale

Zyada tar kamron mein HRT ka naam lein to koi na koi cancer keh de ga. NHS ki website kehti hai ke purani research ne bohat se logon ko HRT se dara diya, aur yeh soch ab purani ho chuki hai kyunke is mein khatron ko tola gaya, faidon ko nahin. Yeh raha aaj ki hidayat ka bayan, donon taraf.

Lafz aur hidayat

English
HRT risks and benefits
In naamon se bhi dhoonda jata hai
HRT side effects, HRT safety, is HRT safe, HRT and breast cancer, MHT risks
Urdu
HRT کے فائدے اور خطرے
Roman Urdu
HRT ke faide aur khatre
  • NHS ki website kehti hai ke HRT ke faide aam taur par khatron se zyada hote hain, aur yeh ke 60 se kam umar ki jin auraton ko menopause ki alamaat hain aur jinhein chhaati ke cancer ya khoon ke lothre ka zyada khatra nahin, un mein faide ghaliban khatron se zyada hain.
  • NICE NG23 doctoron se kehta hai ke faide aur khatre aap ki umar, haalaat aur khatre ki wajoohaat ke hisaab se samjhayen, aur is ke liye HRT par NICE ki discussion aid istemal karein, jo dikhati hai ke har hazaar auraton mein se kitni ko HRT ke saath aur is ke baghair kaun si beemari hoti hai (1.4.2, 1.6.2).
  • British Menopause Society ke chhaati ke cancer wale fast facts kehte hain ke jin auraton mein buniyadi khatra kam hai, aur zyada tar auratein aisi hi hain, un mein paanch saal tak HRT se alamaat mein milne wala faida mumkina nuqsaan se zyada hai.
  • Pakistan Menopause Society ki 2026 ki sifarishaat kehti hain ke faide aur khatre ka tawazun sab se achha tab hota hai jab HRT 60 se pehle ya menopause ke 10 saal ke andar shuru ho (section 5.12).

Yeh kya hai

HRT mein faide aur khatre, donon inhi chand baaton par chalte hain: aap ki umar, yeh mushtarka hai ya sirf estrogen, jild ke raaste hai ya goli, kitna arsa leti hain, aur aap ki apni sehat ki tareekh. NICE NG23 doctoron se kehta hai ke baat bilkul inhi ke hisaab se karein (1.4.2).

Yeh safha naqsha hai. Aap ka apna hisaab doctor ke saath hota hai, aur behtar hai ke NICE ki discussion aid mez par ho.

Hidayat mein kya likha hai

Faide

NHS ki website in mein hot flush (achanak garmi lagna), raat ke paseene, neend ke masail, menopause se hone wali bechaini aur udaasi, aur andaam nihani ki khushki mein aaram ginti hai. Woh yeh bhi kehti hai ke HRT haddiyon ki kamzori (osteoporosis) se bachane mein madad karti hai, yani haddiyon ka woh patla hona jo estrogen girne ke baad hota hai, aur patthon ko mazboot rakhne mein madad karti hai. NICE NG23 kehta hai ke HRT lete hue haddi tootne ka khatra kam hota hai aur chhorne ke baad yeh faida khatam ho jata hai. Dekhein haddiyon ki sehat.

Chhaati ka cancer

Yeh sab se bari baat hai, is liye ise theek theek samajhna zaroori hai. NICE NG23 kehta hai ke mushtarka HRT se chhaati ke cancer ka khatra barhta hai, jitna lamba arsa li jaye utna zyada, aur chhorne ke baad kam ho jata hai, agarche kuch barha hua khatra kam az kam 10 saal tak rehta hai. Woh yeh bhi kehti hai ke mushtarka HRT se chhaati ke cancer se maut ka khatra bohat hi thora barhta hai. Sirf estrogen wali HRT ke baare mein NICE kehta hai ke khatra bohat kam barhta hai ya bilkul nahin.

British Menopause Society ka January 2026 ka doctoron ke liye tool likhta hai ke kisi rishtedar ko chhaati ka cancer ho to aap ka apna buniyadi khatra barh sakta hai, magar sirf is wajah se HRT ka raasta band nahin ho jata. Mazeed chhaati ki sehat mein.

Khoon ke lothre aur faalij

NICE NG23 lothron par saaf baat karta hai: jild ke raaste (transdermal) HRT se VTE, yani nas mein khoon ke lothre, ka khatra nahin barhta, aur munh se khayi jane wali HRT mein yeh khatra jild ke raaste wali se zyada hai.

Faalij (stroke) par NICE kehta hai ke HRT ki goliyan khatra barhati hain, zyada dose, lambe istemal aur zyada umar mein shuru karne par zyada, jabke jild ke raaste estrogen se is ke barhne ka imkaan kam hai.

Dil, sugar aur bachedani

NICE NG23 kehta hai ke mushtarka HRT se dil ki shiryanon ki beemari (coronary heart disease) ka khatra nahin barhta, aur HRT se type 2 sugar hone ka khatra nahin barhta. NICE yeh bhi kehta hai ke dil ki beemari ya bhoolne ki beemari (dementia) se bachao ke liye HRT nahin di jani chahiye, aur yeh ke majmooi taur par is se umar ki lambai par farq parne ka imkaan kam hai.

Junoobi Asiyai auraton ke liye yeh hissa zyada aham hai. BMS likhti hai ke menopause ke aas paas junoobi Asiyai auraton mein insulin ka asar kam hona, sugar, pait ke gird wazan barhna aur high blood pressure zyada milte hain. Dekhein dil ki sehat aur sugar ka khatra.

Agar bachedani hai to akela estrogen bachedani ke cancer ka khatra barhata hai, isi liye saath progestogen diya jata hai (NICE NG23).

Pitta (gallbladder)

America ki The Menopause Society kehti hai ke HRT se pitte ki pathri ka khatra barhta hai, aur is ke saboot ko mazboot darje ka maanti hai. Mushahidati mutale batate hain ke jild ke raaste yeh khatra goliyon se kam hai, magar tajurbaat mein abhi is ki tasdeeq nahin hui.

Ilaaj ke baare mein hidayat kya kehti hain

NICE NG23 doctoron se kehta hai ke sirf HRT nahin, har option ke faidon aur khatron par baat karein (1.4.1). Kab shuru karein, is par The Menopause Society bhi PMS ki tarah 60 se pehle ya menopause ke 10 saal ke andar ki baat karti hai, aur is ke saboot ko mazboot darje ka maanti hai. Woh kehti hai ke 60 ke baad shuru karna radd nahin, magar is se pehle aap ke apne faide aur khatre ghaur se tolne chahiyen.

PMS ki sifarishaat kehti hain ke HRT kitna arsa li jaye, is ki koi muqarrara hadd nahin honi chahiye: jaari rakhne ka faisla aap aur aap ka doctor mil kar karte hain, har jaize par aap ke maqsad aur aap ke faide aur khatre dekh kar (section 5.14). European Menopause and Andropause Society (EMAS) aur The Menopause Society bhi yehi kehti hain, aur EMAS kehti hai ke 65 saal par maamool ke taur par band kar dene ki sifarish nahin ki jati.

Agar yeh tawazun aap ke haq mein na ho to hidayat ghair harmoonal ilaaj batati hain.

Doctor ko kab dikhayen

Agar aap ko khatron ki fikr hai, chahe aap shuru karne ka soch rahi hon ya pehle se HRT le rahi hon, to NHS ki website kehti hai ke doctor se baat karein. Apne khandan mein chhaati ke cancer, khoon ke lothre, dil ki beemari aur faalij ki tareekh saath le jayen.

HRT lete hue NHS ki website kehti hai ke chhaati ki screening karwati rahein, aur woh nishaniyan batati hai jin par qadam uthana hai: chhaati mein nayi gilti, aik pindli mein dard ya soojan, ya ghair mutawaqqa khoon ho to doctor ko dikhayen. Saans phoolne ke saath seene mein dard ho to emergency mein madad chahiye.

Doctor se poochne ke sawal

  1. Meri umar aur sehat ko dekhte hue, kya mere liye HRT ke faide khatron se zyada hain?
  2. Kya hum HRT par NICE ki discussion aid saath baith kar dekh sakte hain?
  3. Meri ammi ya behan ko chhaati ka cancer hua tha. Is se kya farq parta hai?
  4. Mujhe sugar ya high blood pressure hai. Kya is se woh qisam badalti hai jo aap tajweez karein ge?

Deen aur ghar wale

BMS likhti hai ke bohat si communities mein menopause ko aik qudrati cheez samjha jata hai, aur kuch auratein kisi qudrati cheez ke liye dawa lene mein hichkichati hain. Kuch poochti hain ke kya dawa se ise aasan karna un ke deen ke lihaaz se theek hai. Yeh sawal andaze se nahin, kisi mustanad aalim se poochne ka hai.

Ghar mein dar aksar suni sunayi baat se aata hai. Khane ki mez par yeh behes jeetna aap ki zimmedari nahin. Oopar wale sawal doctor ke paas le jayen aur jawab ghar le aayen.

Is par nazar rakhein

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Aam sawal

Kya HRT se chhaati ka cancer hota hai?
British Menopause Society ke fast facts kehte hain ke zyada tar auraton mein HRT lene ki wajah se chhaati ke cancer ki tashkhees nahin ho gi. Sirf estrogen wali HRT mein khatre mein bohat kam ya koi farq nazar nahin aata; mushtarka HRT mein khatra thora barh sakta hai, aur jitna lamba arsa li jaye, utna barhta hai. (Hawala: British Menopause Society, Tool for Clinicians: Fast facts, HRT and breast cancer risk (updated September 2025))
Agar mujhe sugar hai to kya HRT mehfooz hai?
NICE NG23 kehta hai ke HRT se type 2 sugar hone ka khatra nahin barhta, aur sifarish karta hai ke type 2 sugar wali auraton ke liye, doosri beemariyon ko dekh lene ke baad, HRT ke baare mein socha jaye, aur zaroorat ho to specialist ka mashwara liya jaye (1.5.27). (Hawala: NICE NG23, Menopause: identification and management (last updated 15 April 2026))
Mera menopause 40 se pehle ho gaya tha aur main ne HRT kam umar mein shuru ki. Kya yeh saal meri chhaati ke khatre mein gine jayen ge?
British Menopause Society ke fast facts kehte hain ke premature ovarian insufficiency, yani 40 se pehle menopause, mein HRT ke saal 50 saal ki umar se gine jate hain, us umar se nahin jab aap ne shuru ki. EMAS bhi yehi kehti hai. (Hawala: British Menopause Society, Tool for Clinicians: Fast facts, HRT and breast cancer risk (updated September 2025))

Milte julte mauzuaat

Hawale

  1. NHS website, Benefits and risks of hormone replacement therapy (HRT) (reviewed 8 February 2023)Hissa: Benefits of HRT; Risks of HRT · 1 October 2026 ko khola gaya
  2. NICE NG23, Menopause: identification and management (last updated 15 April 2026)Hissa: 1.4.1; 1.4.2; 1.5.27; 1.6.1 to 1.6.5, tables 1 and 2 · 1 October 2026 ko khola gaya
  3. British Menopause Society, Tool for Clinicians: Fast facts, HRT and breast cancer risk (updated September 2025)Hissa: HRT and the risk of being diagnosed with breast cancer; HRT and women at increased risk · 1 October 2026 ko khola gaya
  4. NHS website, Side effects of oestrogen tablets, patches, gel and spray (reviewed 5 January 2023, review was due 5 January 2026)Hissa: Serious side effects · 1 October 2026 ko khola gaya
  5. British Menopause Society, Tool for Clinicians: What is the menopause? (reviewed January 2026)Hissa: What is the risk of breast cancer with HRT? · 1 October 2026 ko khola gaya
  6. British Menopause Society, Tool for Clinicians: Menopause in ethnic minority women (published June 2023, review was due June 2026)Hissa: Barriers to seeking help; South Asian women · 1 October 2026 ko khola gaya
  7. Pakistan Menopause Society, Good Clinical Practice Recommendations for Menopause Care in Pakistan (JSOGP 16(2), 28 April 2026)Hissa: 5.12; 5.14 · 1 October 2026 ko khola gaya
  8. The Menopause Society (then The North American Menopause Society), The 2022 hormone therapy position statement, Menopause 2022;29(7):767-794Hissa: Gallbladder and liver; Duration of use, initiation after age 60 years, and discontinuation of hormone therapy (key points) · 15 October 2026 ko khola gaya
  9. European Menopause and Andropause Society, Menopause Essentials 2026: Starting and stopping treatment (July 2026)Hissa: Duration of MHT use · 15 October 2026 ko khola gaya
  10. European Menopause and Andropause Society, Menopause Essentials 2026: Risk of breast cancer (July 2026)Hissa: MHT and breast cancer risk · 15 October 2026 ko khola gaya