10/18/2026
For over two decades, I have been strongly against the widespread use of HRT for perimenopausal and menopausal symptoms, believing the risks far outweighed the espoused benefits, and our female ancestors got through this stage of a woman’s life without laboratory intervention, and somehow, there was solidarity and honor in our aligning with that. There are risks in using HRT which are higher for some women, but for most women not in a higher risk group, HRT can be a low risk, very useful tool. I’ve also learned much of the anti-HRT rhetoric was born of the white male medical patriarchy who wanted to push older women out of their view. Nope! I have learned here and revised my opinion, and I may owe a few sisters my acknowledged, expanded view.
New guidelines back use of hormone therapy for menopause, perimenopause symptoms. Here's what to know.
A leading OB-GYN organization now recommends hormone replacement therapy for many women experiencing common menopause symptoms including hot flashes.