“Seriously, you need to get HRT – you won’t believe how good you feel.”
“But I’m 63 and feel great – I don’t need HRT”
“You won’t believe how much better you’ll be. Your bones need it. Seriously, just get it. If your doctor won’t give it to you just go find a female doctor that prescribes HRT and they will.”
This is a conversation that I couldn’t help over hearing, mostly because it involved the class instructor talking up to all of us how great HRT was before a recent exercise class started. The great irony of this? The other members of the class are there doing the non-drug things that are looking after their healthy aging and health.
So, since I’m a female doctor who looks after perimenopause women (those who are not on HRT and some who are). Did I say anything? Not a thing. It’s her space in that class to share her thoughts.
1.) HRT is great, and when prescribed correctly – very safe! However, it is not the right choice for every woman. This is a decision for a woman and her doctor to make together, looking at risk/benefit and goals of care. There are also other options that aren’t HRT for managing certain symptoms.
2.) The other things for perimenopause are just as – if not more – important and include physical activity and strength, looking after sleep, and healthy diet.
3.) Women in perimenopause/menopause do not need supplements to balance their hormones or almost any of the intensely marketed products. Want even more expert advice? You can’t do better than Dr. Jen Gunter. Follow her on instagram, check out her substack or her excellent book I cant’ recommend enough: “The Menopause Manifesto”.
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