Hormone Therapy for Perimenopause & Menopause

 

Menopause is a natural transition, but it does not always feel easy. Many women experience changes that affect their quality of life, confidence, and long term health. You do not have to simply live with those changes. With the right support, this stage of life can feel more manageable, more empowering, and more like yourself again.

 

How HRT/MHT Can Help

Hormone Replacement Therapy, also known as Menopausal Hormone Therapy (HRT/MHT), can ease many of the most common symptoms of perimenopause and menopause, including:

  • Hot flashes and night sweats

  • Trouble sleeping

  • Mood changes, anxiety, or brain fog

  • Vaginal dryness or discomfort

  • Weight changes and metabolic shifts

  • Bone loss and cardiovascular changes

 

The Benefits of HRT/MHT

Research shows that hormone therapy, when used appropriately, offers more than just symptom relief. Benefits may include:

  • Fewer hot flashes, better sleep, and more stable moods

  • Support for bone strength and protection against osteoporosis

  • Positive effects on cholesterol and heart health

  • Possible improvements in cognitive function and memory

  • Support for skin, hair, and metabolism

 

Addressing Safety Concerns

You may have heard mixed messages about hormone therapy. Earlier studies raised questions about safety, but we now know that many of those fears came from outdated data and one-size-fits-all prescribing. Today’s approach is different:

  • Modern hormone therapy often uses bioidentical hormones that closely match the body’s own.

  • Treatment is tailored to your age, health history, and unique needs.

  • Regular monitoring helps ensure benefits outweigh risks.

When prescribed and monitored carefully, hormone therapy is considered safe and effective for many women.

 

My Approach to HRT/MHT

Every woman is unique, and so is her hormone plan. Here’s how I support my patients:

  • Comprehensive lab testing before starting treatment

  • Personalized prescriptions for estrogen and progesterone

  • Ongoing monitoring to keep treatment safe and effective

  • Integrating nutrition, supplements, and lifestyle so your body gets full support—not just a prescription

 

Is HRT/MHT Right for You?

You may be a good candidate for hormone therapy if you are:

  • In perimenopause or menopause and experiencing disruptive symptoms

  • Concerned about bone health, cardiovascular health, or memory

  • Not finding relief with lifestyle and supplements alone

 

Next Step

If you’re considering hormone therapy, the best place to begin is with a consultation. We’ll review your health history, lab work, and goals, then design a personalized plan that supports your body and your long-term wellness.

Book your consultation

 

References

General Safety & Benefits
The 2022 Hormone Therapy Position Statement of The North American Menopause Society. Menopause. 2022;29(7):767-794. PMID: 35797481

Bone Health
Menopausal hormone therapy and bone health: current status and future directions. Osteoporos Int. 2021. PMID: 34406321

Cardiovascular Health
Menopausal hormone therapy and cardiovascular disease: the role of formulation, dose, and timing. J Clin Endocrinol Metab. 2021. PMID: 33855436

Cognitive Function
Hormone therapy and cognitive function: a review of the literature. Menopause. 2019. PMID: 31232774

 

Learn More About Menopause & HRT

Menopause care is often underserved, and there’s still a lot of outdated information circulating. If you’d like to explore more perspectives, here are some evidence-based voices and conversations worth following:

Instagram Accounts

Podcasts

  • Peter Attia, The Drive — Episode #348 with Dr. Rachel Rubin: listen here

  • You Are Not Broken — Episode #328 with Dr. Kelly Casperson: Menopause, Hormones, and What Doctors Get Wrong listen here