{"id":36104,"date":"2025-08-06T19:14:00","date_gmt":"2025-08-06T23:14:00","guid":{"rendered":"https:\/\/whatsgood.vitaminshoppe.com\/?p=36104"},"modified":"2025-08-06T19:14:00","modified_gmt":"2025-08-06T23:14:00","slug":"hormone-replacement-therapy","status":"publish","type":"post","link":"https:\/\/www.vitaminshoppe.com\/blog\/hormone-replacement-therapy\/","title":{"rendered":"Is Hormone Replacement Therapy Right For You?"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">If there’s ever a time in a woman’s life when her own hormones seem out to get her, it’s <a href=\"https:\/\/www.vitaminshoppe.com\/blog\/guide-to-menopause\/\" target=\"_blank\" rel=\"noopener\">menopause<\/a>. And though it’s long been famous for wreaking all sorts of havoc on the body and mind, ‘the change’ doesn’t have to be traumatic. One potential solution, according to many health professionals: replacing those plummeting hormones.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Menopause hormone therapy (MHT) is the use of prescription estrogen (and sometimes progesterone) to alleviate symptoms related to estrogen decline, according to gynecologist Alyssa Dweck, M.D., O.B.G.Y.N., author of <\/span><i><span style=\"font-weight: 400;\">The Complete A to Z for Your V<\/span><\/i><span style=\"font-weight: 400;\"> and Chief Medical Officer with <\/span><span style=\"font-weight: 400;\">Bonafide Health<\/span><span style=\"font-weight: 400;\">. \u201cIt can help manage vasomotor symptoms, like hot flashes and night sweats, and may also help protect against bone loss and other health shifts associated with estrogen decline,\u201d she says.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">But while MHT is becoming more common, few people in the menopause transition understand what the therapy entails. We tapped a team of menopause specialists and hormone health experts for all of the details, so that you can make an informed decision about whether MHT is the move for you.\u00a0<\/span><\/p>\n<ul>\n<li><em><strong>ABOUT OUR EXPERTS<\/strong>: <span style=\"font-weight: 400;\">Alyssa Dweck, M.D., O.B.G.Y.N., is a gynecologist, author of <\/span><a href=\"http:\/\/www.amazon.com\/gp\/product\/1592337678\/ref=as_li_tf_tl?ie=UTF8&linkCode=ogi&camp=1789&creative=9325&creativeASIN=1592337678&tag=womenshealth-auto-20&ascsubtag=[artid%7C2140.a.19941600[src%7C[ch%7C[lt%7C\"><i><span style=\"font-weight: 400;\">The Complete A to Z for Your V,<\/span><\/i><\/a><span style=\"font-weight: 400;\"> and Chief Medical Officer with <\/span><a href=\"https:\/\/hellobonafide.com\/?g_adtype=search&gclsrc=aw.ds&&g_acctid=381-037-9272&g_campaign=DEPT_SEM_Google_Brand_All_Core_NAMER_US_All_CPA_BAU_AllProducts_Alpha&g_campaignid=1699276690&g_adgroupid=124855105330&g_adid=561044587124&g_keyword=bonafide&g_keywordid=kwd-387315420&g_network=g&utm_source=google_adwords&utm_medium=paid_search&utm_campaign=DEPT_SEM_Google_Brand_All_Core_NAMER_US_All_CPA_BAU_AllProducts_Alpha&utm_term=bonafide&gclid=CjwKCAiA_OetBhAtEiwAPTeQZ3GonoXoN74cy0QqouR2QXZTZbzSfMyPSbSE7aTkBSHk3xim3cE-TRoCqmwQAvD_BwE\"><span style=\"font-weight: 400;\">Bonafide Health<\/span><\/a><span style=\"font-weight: 400;\">. Catherine Hansen, M.D., F.A.C.O.G., F.R.C.S.C., N.C.M.P., M.P.H., is a physician who heads <a href=\"https:\/\/www.pandiahealth.com\/menopause\" target=\"_blank\" rel=\"noopener\">Pandia Health<\/a>\u2019s menopause hormonal care offering. Sean Bourke, M.D., is a hormone specialist and board-certified obesity medicine physician, and the founder and chief medical officer at <a href=\"https:\/\/jumpstartmd.com\/\" target=\"_blank\" rel=\"noopener\">JumpstartMD<\/a>. <\/span><\/em><\/li>\n<\/ul>\n<h2><strong>The Hormone Replacement Therapy Rebrand\u00a0<\/strong><\/h2>\n<p><span style=\"font-weight: 400;\">Hormone Replacement Therapy (HRT) remains the most widely used term for the act of supplementing your natural hormone output with synthetic (meaning, lab-made) options to balance levels and ease symptoms. However, in clinical settings, and especially among menopause practitioners, the regimen is now being called Menopausal Hormone Therapy (MHT). Why? For increased accuracy.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The term <\/span><i><span style=\"font-weight: 400;\">replacement<\/span><\/i><span style=\"font-weight: 400;\"> implies that people are taking these hormones because their body is malfunctioning, says physician Catherine Hansen, M.D., F.A.C.O.G., F.R.C.S.C., N.C.M.P., M.P.H., who heads <\/span><span style=\"font-weight: 400;\">Pandia Health<\/span><span style=\"font-weight: 400;\">\u2019s menopause hormonal care offering. But actually, it is normal and healthy for individuals to experience declines in estrogen, progesterone, and testosterone as they age, she says. Throughout the menopause transition, for example, estrogen levels can drop up to <\/span><a href=\"https:\/\/www.jeanhailes.org.au\/health-a-z\/menopause\/about-menopause\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">90 percent<\/span><\/a><span style=\"font-weight: 400;\">.\u00a0<\/span><\/p>\n<p><strong>Read More: <a href=\"https:\/\/www.vitaminshoppe.com\/blog\/workout-tips-for-postmenopause\/\" target=\"_blank\" rel=\"noopener\">6 Workout Tips For Improving Health Postmenopause<\/a><\/strong><\/p>\n<p><span style=\"font-weight: 400;\">The thing is, while these declines are natural, they can bring some unpleasant symptoms with them\u2014<\/span><span style=\"font-weight: 400;\">and that’s when MHT can help. \u201cMHT adds estrogen into the body to alleviate symptoms related to estrogen decline, including hot flashes, night sweats, sleep disturbances, mood changes, and bladder and vaginal issues,\u201d Hansen says. The goal isn\u2019t to fix something broken, but to support the body through a natural transition and ease symptoms that can get in the way of daily life.<\/span><\/p>\n<h2><strong>The Hormone At The Heart Of It All: Estrogen\u00a0<\/strong><\/h2>\n<p><span style=\"font-weight: 400;\">Estrogen is best known for its role in breast development, pubic hair growth, and menstrual function. Indeed, the reproductive hormone is a key driver in the production of these secondary sex characteristics, but its role goes far beyond that.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cEstrogen binds with receptors in multiple tissues throughout the body, including the brain, bones, heart, blood vessels, urinary and vaginal tracts, skin, and hair,\u201d says hormone specialist and board-certified obesity medicine physician, Sean Bourke, M.D., founder and chief medical officer at <\/span><span style=\"font-weight: 400;\">JumpstartMD<\/span><span style=\"font-weight: 400;\">. There, the multitasking hormone regulates everything from mood and memory to bone density, skin elasticity, and cardiovascular health.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Throughout <a href=\"https:\/\/www.vitaminshoppe.com\/blog\/perimenopause\/\" target=\"_blank\" rel=\"noopener\">perimenopause<\/a>, the first stage in menopause transition, your ovaries begin to wind down. Estrogen levels fluctuate before permanently dropping\u2014and although menstrual cycles may still occur, they do so irregularly. Eventually, the ovaries completely\u00a0<\/span><span style=\"font-weight: 400;\">cease hormone production. \u201cThis dip in estrogen\u2014which impacts a multitude of other hormones and neurotransmitters\u2014can set off a series of systemic changes, such as muscle loss, bone loss, cardiovascular changes, cognitive decline, and more,\u201d says Hansen.\u00a0<\/span><\/p>\n<h2><strong>What MHT Involves\u2014And Why It Helps\u00a0\u00a0\u00a0<\/strong><\/h2>\n<p><span style=\"font-weight: 400;\">MHT involves supplementing with a lab-made form of estrogen, often bioidentical estradiol, which mimics the structure of the estrogen your body naturally produces, according to Dweck. This is known as estrogen-only hormone therapy and is typically reserved for people who have had a hysterectomy, since estrogen alone can increase the risk of uterine and endometrial cancer in those with a uterus.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">For women who have not had a hysterectomy, a synthetic form of progesterone called progestin is typically also prescribed, says Bourke. This is known as <\/span><a href=\"https:\/\/medlineplus.gov\/druginfo\/meds\/a601041.html\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">combined hormone therapy, or estrogen plus progestin therapy<\/span><\/a><span style=\"font-weight: 400;\">. The addition of progestin protects the uterus and may also help manage hormone-related symptoms in some individuals.\u00a0<\/span><\/p>\n<p><strong>Read More: <a href=\"https:\/\/www.vitaminshoppe.com\/blog\/menopause-sleep-tips\/\" target=\"_blank\" rel=\"noopener\">How To Keep Menopause From Wrecking Your Sleep<\/a><\/strong><\/p>\n<p><span style=\"font-weight: 400;\">MHT is available in a variety of doses and has multiple modes of administration (e.g. oral, transdermal, vaginal), depending on patient preferences, according to Dweck. Once inside the body, these hormones bind to the same estrogen and progesterone receptors as the ones your body naturally produces. That means they can help maintain the regulation of key systems\u2014including the brain, bones, heart, and pelvic tissues\u2014as they did before menopause. In turn, this can relieve (if not eradicate) symptoms associated with hormone decline, she says.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Take night sweats and hot flashes, for instance. Estrogen works on a part of the hypothalamus, the part of the brain colloquially dubbed the body\u2019s natural thermostat. When estrogen levels fluctuate and fall, the hypothalamus becomes hypersensitive to even small changes in core temperature, sending the body into overdrive with sudden sweats or chills, explains Bourke. \u201cReplenishing estrogen and progesterone can stabilize the hypothalamic centers in the brain, diminishing the frequency and intensity of flashes and supporting sleep,\u201d he says.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">MHT can also help relieve many of the bladder or vaginal symptoms that come with menopause, according to Hansen. Because estrogen receptors are highly concentrated in the pelvic tissues, declining estrogen during menopause can cause vaginal dryness, irritation, painful sex, urgency, and recurrent urinary tract infections, she says. (This cluster of symptoms is now known as genitourinary syndrome of menopause, or GSM.) Increasing estrogen levels can help ease some of these uncomfortable issues.<\/span><\/p>\n<h2><strong>Who Might Benefit From MHT<\/strong><\/h2>\n<p><span style=\"font-weight: 400;\">Anyone experiencing symptoms related to the menopause transition may be a candidate for MHT, according to Hansen.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The current body of <\/span><a href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S2414644722000252\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">research<\/span><\/a><span style=\"font-weight: 400;\"> suggests MHT is both safest and most beneficial <\/span><span style=\"font-weight: 400;\">when started within 10 years of menopause or before the age of 60. \u201cWhen MHT is prescribed many years after menopause\u2014particularly after age 60 or more than a decade from the final menstrual period\u2014there may be increased risks, such as cardiovascular disease or stroke,\u201d she explains.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">MHT may also be prescribed to and beneficial to those who are in the perimenopause, notes Hansen. During this stage, MHT can combat any unwanted symptoms, \u201cthough it\u2019ll be prescribed in a slightly different manner to ensure that bleeding remains predictable,\u201d she says. \u201cMHT is considered safe and well tolerated in perimenopause under the care of a specialized menopause provider.\u201d\u00a0<\/span><\/p>\n<h2><strong>Other Ways To Support Your Health During Menopause\u00a0<\/strong><\/h2>\n<p><span style=\"font-weight: 400;\">MHT can be incredibly effective, with research showing that most users report a \u201c<\/span><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC8966418\/\"><span style=\"font-weight: 400;\">significant benefit<\/span><\/a><span style=\"font-weight: 400;\">.\u201d Still, it\u2019s not the only tool available for managing the symptoms associated with perimenopause and menopause.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cThere <\/span><i><span style=\"font-weight: 400;\">are<\/span><\/i><span style=\"font-weight: 400;\"> alternatives to MHT for those who cannot or prefer not to take hormones,\u201d says Dweck. According to the <a href=\"https:\/\/www.acog.org\/womens-health\/faqs\/hormone-therapy-for-menopause?utm_source=chatgpt.com\">American College of Obstetricians and Gynecologists,<\/a> taking hormones is contraindicated for individuals with hormone-sensitive cancers, blood clotting disorders, and liver disease<\/span><span style=\"font-weight: 400;\">. Others prefer to avoid adding hormones to their system out of personal preference or due to past side effects with hormone-based treatments or medications.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Fine-tuning your lifestyle habits is the best thing you can do to support your body during menopause\u2014and that stands whether you\u2019re utilizing MHT or not, according to Hansen. Here are five best practices everyone should prioritize.<\/span><\/p>\n<h3><b>1. Eat Healthy<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">A <a href=\"https:\/\/www.vitaminshoppe.com\/blog\/mediterranean-diet\/\" target=\"_blank\" rel=\"noopener\">Mediterranean-style eating pattern<\/a> that focuses on vegetables, fruits, whole grains, legumes, nuts, extra-virgin olive oil, and fatty fish (like sardines and salmon) <\/span><span style=\"font-weight: 400;\">has been shown<\/span><span style=\"font-weight: 400;\"> to support heart health, promote hormone balance, and help you feel your best during menopause, according to Hansen.<\/span><\/p>\n<h3><b>2. Minimize Alcohol Consumption<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">While moderation is generally a perfectly okay policy, during the menopause transition, it\u2019s typically best to limit alcohol intake as much as possible, says Hansen. Alcohol can worsen hot flashes, cause sleep disruptions, and mess with hormones, often exacerbating the symptoms you\u2019re already experiencing due to menopause.\u00a0<\/span><\/p>\n<h3><b>3. Exercise Regularly<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">\u201cYou should engage in regular aerobic and strength exercises to preserve lean mass, protect bone mass, and enhance metabolic, mental, and physical health,\u201d says Bourke. Specifically, he suggests resistance training at least twice per week to support muscle and bone mass, as well as doing <a href=\"https:\/\/www.vitaminshoppe.com\/blog\/hiit-for-brain-health\/\" target=\"_blank\" rel=\"noopener\">high-intensity interval training (HIIT)<\/a> once per week for a healthy heart and metabolism.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cMind-body practices such as meditation, yoga, or Tai Chi on rest days can help regulate stress hormones like <a href=\"https:\/\/www.vitaminshoppe.com\/blog\/cortisol-balance\/\" target=\"_blank\" rel=\"noopener\">cortisol<\/a>, in turn supporting more stable sex hormone production,\u201d he adds.\u00a0<\/span><\/p>\n<h3><b>4. Consider Supplements<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Adequate nutrient levels are essential for hormone production, brain health, energy regulation, and more. Supplements\u2014such as <a href=\"https:\/\/www.vitaminshoppe.com\/c\/vitamins-supplements\/letter-vitamins\/vitamin-d\" target=\"_blank\" rel=\"noopener\">vitamin D<\/a>\u00a0and <a href=\"https:\/\/www.vitaminshoppe.com\/c\/protein-fitness\/performance-supplements\/creatine\" target=\"_blank\" rel=\"noopener\">creatine<\/a> for bone health, as well as <a href=\"https:\/\/www.vitaminshoppe.com\/p\/probiotic-50-billion-women-a-30-vegetable-capsules\/vs-3899\">targeted probiotics for vaginal health<\/a>\u2014can be helpful as women reach mid-life. Many brands offer women’s wellness solutions specific to menopause, such as <a href=\"https:\/\/www.vitaminshoppe.com\/p\/her-life-stages-menopause-60-vegetarian-capsules\/so-11859\">Solaray’s HerLife Stages<\/a> and <a href=\"https:\/\/www.vitaminshoppe.com\/p\/menopause-multi-nutrient-support-60-capsules\/hnh-11790\">Health & Her’s Menopause Multi-Nutrient Support<\/a>.\u00a0<\/span><\/p>\n<h2><strong>The Takeaway<\/strong><\/h2>\n<p><span style=\"font-weight: 400;\">Menopause is an inevitable part of the aging process for women, but it doesn’t have to compromise your quality of life or dull your sparkle. When combined with healthy habits, MHT can help provide relief from symptoms so you can feel like yourself again.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">To figure out if it\u2019s right for you, talk to a healthcare provider who specializes in menopausal health about your symptoms, family history, and overall health. If you need help finding one, check out <\/span><a href=\"https:\/\/portal.menopause.org\/NAMS\/NAMS\/Directory\/Menopause-Practitioner.aspx\"><span style=\"font-weight: 400;\">The Menopause Society’s directory.<\/span><\/a><\/p>\n<p><em>This article was reviewed by Brian Tanzer, nutritionist and Director of Scientific and Regulatory Affairs at The Vitamin Shoppe.\u00a0<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>If there’s ever a time in a woman’s life when her own hormones seem out to get her, it’s menopause. And though it’s long been famous for wreaking all sorts of havoc on the body and mind, ‘the change’ doesn’t have to be traumatic. One potential solution, according to many health professionals: replacing those plummeting<a class=\"more-link\" href=\"https:\/\/www.vitaminshoppe.com\/blog\/hormone-replacement-therapy\/\">Read More <span class=\"screen-reader-text\">Is Hormone Replacement Therapy Right For You?<\/span><\/a><\/p>\n","protected":false},"author":103,"featured_media":36109,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","enabled":false},"version":2}},"categories":[5,9],"tags":[],"class_list":["post-36104","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health","category-the-latest"],"jetpack_publicize_connections":[],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.7 - 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