When women stop hormone therapy (HRT), the body gradually adjusts to the lower hormone levels, which can trigger the return of menopausal symptoms. Common effects include hot flashes, night sweats, mood swings, fatigue, vaginal dryness, and sleep disturbances. Some women may also experience changes in bone density and an increased risk of osteoporosis over time, especially if HRT was used for several years.
The intensity of symptoms varies; some women notice mild discomfort, while others experience stronger reactions. It’s usually best to taper off hormone therapy slowly under medical supervision to minimise withdrawal symptoms and support a smoother hormonal transition.