Women's hormone care

Menopause hormone therapy, personalized to your history

Medical review pending · Last updated 2026-11-03

Hot flashes, night sweats, sleep disruption, and vaginal dryness are common in perimenopause and menopause. Hormone therapy is the most effective treatment for many of these symptoms, if a licensed provider determines it is appropriate.

Symptoms hormone therapy may help

Hot flashes and night sweats (vasomotor symptoms)
Vaginal dryness and painful sex (genitourinary syndrome of menopause)
Prevention of bone loss in appropriate patients

Learn the early signs: perimenopause symptoms.

Options a provider may discuss

FDA-approved estradiol (patch, gel, pill) with a progestogen if you have a uterus
Low-dose vaginal estrogen for genitourinary symptoms
Non-hormonal prescription options for hot flashes

Who should not use systemic hormone therapy

Generally not recommended with a history of breast or endometrial cancer, blood clots, stroke, heart attack, active liver disease, or unexplained vaginal bleeding. Your provider will review your personal and family history.

Frequently asked questions

Is hormone therapy safe?

For many healthy people under 60 or within 10 years of menopause, The Menopause Society concludes benefits generally outweigh risks for bothersome symptoms. Risks depend on age, health history, and type of therapy, so your provider will individualize the decision.

Do I need progesterone?

If you have a uterus and take systemic estrogen, a progestogen is generally needed to protect the uterine lining. Your provider will explain options.

What about "bioidentical" compounded hormones?

FDA-approved products include estradiol and progesterone that are chemically identical to the body's hormones. Compounded hormone mixtures are not FDA-approved and are generally not recommended over approved products by major medical societies.

Sources

Sources are listed for reference and do not imply endorsement. Regulatory status can change; check the date above.