Do your hormones need therapy?

One of the top questions I hear from women navigating menopause is: What’s the deal with hormone therapy? Is it safe?

Let's start with language. We call it hormone therapy, dropping 'replacement' because it isn't meant to 'replace' hormones but rather to adjust or supplement them. This therapy involves taking estrogen or a combination of estrogen and progesterone—two key hormones your body starts producing less of as menopause sets in. If you’re under 60 or within about 10 years of entering menopause, and you’re otherwise healthy, HT might be a real game-changer. It’s especially effective at tackling those relentless hot flashes and reducing vaginal discomfort that can make daily life feel like a struggle.

Is Hormone Therapy Safe?

Short answer? Yes—for most women.

Back in 2002, the Women’s Health Initiative (WHI) caused a big kerfuffle by linking combined hormone therapy (estrogen and progesterone) to increased risks of breast cancer and heart disease. Women got scared and went off their HRT right away but guess what? That study had significant flaws. Like - HUGE. It primarily focused on older women, many of whom were well past menopause, and it used outdated forms of estrogen that we don’t rely on today.

Fast forward to now, and we know much more. For many women, hormone therapy is not just safe—it can significantly improve quality of life during menopause. That said, it’s crucial to make informed decisions.

Who Should Consider Hormone Therapy?

If menopausal symptoms like hot flashes, night sweats, or vaginal dryness are interfering with your life, HT could be worth exploring. Health Canada-approved hormone therapies are specifically designed to address these challenges, but they’re not a one-size-fits-all solution.

Some women should avoid hormone therapy, including those with:

• A history of certain cancers (like breast or uterine cancer)
• Previous strokes or serious heart conditions
• Liver disease
• Blood clotting disorders

If any of these apply to you, there are alternative treatments that might be a better fit.

How to Decide if Hormone Therapy is Right for You

The best first step? Have an open, honest conversation with your healthcare provider or a certified menopause practitioner. They’ll help you weigh the benefits and risks based on your personal health history. You’ll also want to discuss the latest options for HT, including bioidentical hormones, which are chemically identical to the hormones your body produces.

The Bottom Line

Hormone therapy isn’t about turning back the clock—it’s about empowering yourself with options to feel your best during peri/menopause. If you’re curious, don’t let those outdated fears hold you back. Arm yourself with the facts, talk to an expert, and make the choice that’s right for you.

For more tips and expert advice on thriving during menopause, stay tuned to our blog. Your journey, your choice.

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