Guidelines back hormone therapy for menopause and perimenopause symptoms, but who qualifies? Find out here
New guidance on symptoms
The American College of Obstetricians and Gynecologists has released recommendations for treating common symptoms during menopause and perimenopause. They support hormone replacement therapy for many women experiencing hot flashes and night sweats.
Dr. Kameelah Phillips, an OB-GYN and menopause specialist, said hormone therapy is now the first-line approach for vasomotor symptoms, which can include hot flashes, night sweats and sleep problems. She said treatment can help eliminate these symptoms. ACOG said menopause is a normal stage of life, but women do not have to endure symptoms without assistance.
Who should avoid treatment
Hormone replacement therapy is not appropriate for everyone. ACOG says women with a history of blood clots, stroke or liver disease should not use it.
Timing and research findings
The recommendations say women should start hormone replacement therapy before turning 60 or within 10 years after menopause begins. Newer research indicates age and dosage can affect whether treatment is safe for many patients. A 2024 study involving more than 10,000 women suggested hormone therapy may also help slow biological aging.
Key points
- The guidance advises starting treatment before age 60 or within 10 years of menopause beginning.
- People with certain medical histories, including breast cancer, should avoid hormone therapies.
- A menopause specialist says non-hormonal options are available and urges discussion with a healthcare provider.