HRT, done properly: individualized, evidence-based, monitored.
Hormone therapy is the most effective treatment for hot flashes, night sweats, and genitourinary symptoms, and it protects bone. The question is not simply whether HRT — but which hormones, at what dose, by what route, for you.
What "done properly" means.
The right formulation
Transdermal or oral estrogen, micronized progesterone, vaginal estrogen, testosterone where appropriate — the differences matter for both safety and results, and we walk you through them plainly.
The right candidate assessment
Your personal and family history — clotting, breast health, cardiovascular risk, migraine — determines what is safe. We assess it systematically before prescribing, not after.
The right follow-up
HRT is not "prescribe and forget." Doses are adjusted to response, risks are re-reviewed over time, and your plan evolves as you do.
The questions, in the order patients ask them.
Is HRT right for me?
Candidacy, the timing window, and who should not take it.
Read more →Benefits & risks
The honest numbers — including the WHI story and breast cancer risk by regimen.
Read more →Types of hormone therapy
Patches, pills, gels, vaginal preparations, combinations — the full toolkit.
Read more →Bioidentical: facts vs. myths
What the word really means, and why we don't recommend compounded pellets.
Read more →Testosterone for women
The legitimate role, the off-label status, and the monitoring that keeps it safe.
Read more →Non-hormonal options
Effective treatment when HRT isn't the answer — by necessity or by choice.
Read more →Numbers for your situation, not slogans.
For most healthy women within ten years of menopause, current guidelines from The Menopause Society support hormone therapy as safe and effective. Individual factors — age, time since menopause, personal and family history — change that balance, which is exactly what a specialist consultation is for. Every recommendation we make is grounded in current evidence, explained in plain language, and made for your situation — including the recommendation not to treat, when that's the right answer.
