It's never too late to start hormone replacement therapy for menopause symptoms because the products may help alleviate symptoms of menopause or fight bone loss.

27% of US menopausal women used estrogen in 1999, but by 2020 that number was under 5%

The fallout of studies in the early 2000s linking hormone therapy for menopause and elevated cancer, stroke, and other health risks meant that even decades later—yet before the FDA removed its black box warning in 2025—use of HRT remained extremely uncommon. (Some users may experience a paywall.)

There are multiple HRT options to treat menopause and perimenopause symptoms including hot flashes, vaginal dryness, and mood swings.

Common hormone therapies to treat menopausal symptoms

While there is no cure for menopause, there are ways to treat some of the intense symptoms women experience during perimenopause. There are two main hormone therapies used, one in the form of a pill, gel, or patch to treat symptoms like hot flashes, and another in the form of a cream or ring to treat symptoms like vaginal dryness. Read this article to learn more about the different hormone therapies available for menopausal women.

Menopause hormone therapy infuses the body with estrogen after the body's natural levels drop

The treatments can treat symptoms like hot flashes and vaginal dryness at varying doses. Progestogen, another hormone, is also typically prescribed with estrogen because estrogen alone can thicken the uterus lining, which elevates the risk of developing endometrial cancer.

Within months of a landmark 2002 study that indicated HRT harms, sales dropped by about half

In the early 2000s, Women's Health Initiative studies indicated HRT increased risk of breast cancer, heart disease, and stroke in some women—so many physicians stopped prescribing it to help with menopause symptoms. But further research has concluded that much of the elevated risk was overblown and that it was also disproportionately seen in women in their 70s who had been taking an older HRT formulation.

Women experience heightened bone loss after menopause

Both women and men begin to lose some bone density after age 35, on average, but for the first decade after menopause women lose bone more rapidly due to the significantly decreased levels of estrogen, putting women at heightened risk of osteoporosis and related bone fractures.

Late-onset menopause lowers osteoporosis risks, but heightens the risks for certain cancers

Defined as when a woman starts to experience perimenopause after age 55, this delayed menopause onset is linked to elevated risk of developing breast, ovarian, and uterine cancers.

FDA has removed black box warnings from HRT for menopause

The agency removed the label in 2025, reversing its 2003 decision to warn women about HRT's links to stroke risk, developing cancer, and heart disease. Years of accumulating research have found that the risks had been overstated and unnecessarily deterred hormone therapy use. The agency still warns against using certain estrogen-alone products, however, due to elevated endometrial cancer risk.

America doesn't have enough estradiol patches for menopause and perimenopause demand

Fueled in part by the lifting of the FDA's black box warning about HRT risks, sales of estradiol patches in the US have shot upward. More than 142 million units of the patches were sold in 2025 versus 46.5 million in 2020. Suppliers are failing to keep up with demand—11 patch products were in short supply in early 2026. (Some users may experience a paywall.)

This is what happens to your body during menopause

The menopause transition may begin in one's mid-40s with erratic periods and a decrease in estrogen. It can trigger health complications, including hot flashes, palpitations, and elevated risks of osteoporosis.

HRT patches are popular partly because they have lower blood clotting risks than oral estradiol

Women taking estradiol for menopause or perimenopause are sometimes told oral HRT is not an option for them because it increases blood clot risks. But a large analysis in 2019 concluded that other forms of the HRT, such as the patch, creams, and gel, do not.

HRT for menopause may not help with mental health or sleep says a large 2026 analysis

A recent analysis investigating the effects of menopause and HRT use on mental health, cognition, and brain health suggested HRT did little or nothing to aid with mental health and sleep. But the researchers caution that, among other data gaps, they didn't have information on which HRT formulations were used among their nearly 125,000 participants, so results may have varied by drug treatment.

Resistance training can help fight osteoporosis, especially in menopausal women

Weight-bearing training that pulls on bones, joints, and muscles can strengthen bone health. Movements like squats, rows, shoulder and chest presses, and push-ups can be started at any age (if you don't already have advanced bone loss), though ideally they should be started earlier—in one's teens or young adulthood—to stave off bone density losses that begin in your 30s.

Gender-affirming hormone therapy cues changes similar to puberty

When HRT is part of gender affirmation care, people receive regular doses of estrogen or testosterone to alter hormone levels to more closely align with those of cis individuals of that biological sex. HRT may affect voice pitch, body hair, bone density, and more. Many of those changes are not reversible with the cessation of therapy, though the effects may diminish.

Early menopause, occurring before age 45, can be triggered by certain risk factors

Some potential causes of early menopause include autoimmune disorders, chemotherapy, smoking, and certain surgeries that cause the body to produce lower levels of estrogen and progesterone.

What to know about early and premature menopause

Although it's rare, some women may experience menopause early. Early menopause describes women that are menopausal between the ages of 40 and 45. Women that go through menopause before age 40 experience premature menopause. Early experiences of menopause impact under 6% of women, and doctors can’t point to a specific reason why it happens. Learn about what we do know about the conditions here.

The gaps in menopause research and their effects

Nearly all studies (99%) researching the biology of aging don’t consider menopause in their setup. A Harvard professor noted that about 75% of aging-related diseases are likely influenced by menopause. In this article, she discusses how gaps in research are negatively impacting how the medical system can effectively treat aging women. Read her analysis of the issue here.

Estrogen is a really important hormone for men, too.

Premarin was the bestselling drug in the US in 1992

The drug, derived from the urine or pregnant mares, raised ethical and animal welfare concerns, but also became wildly popular until the Women's Health Initiative study findings in 2002 (which have since been largely disproved). In the 1990s, Premarin was used to treat menopause symptoms and also to protect against osteoporosis and heart disease among older women.

Perimenopause, which typically occurs in a woman's mid-40s, precedes menopause

Sometimes referred to as the menopausal transition, this time period often lasts around 4 years as the ovaries' production of the reproductive hormones progesterone and estrogen decline. It may be accompanied by mental and physical symptoms including irregular periods, hot flashes, sleep issues, mood swings, and alterations to a woman's sex drive.

MS Drugs reduce inflammation, helping reduce relapses and slow disease progression

Disease-Modifying Drugs calm the body's inflammatory response to help stave off relapses—when new or existing MS symptoms show up for a day or longer. Avoiding smoking, exercising, reducing stress via mindfulness, checking for vitamin D deficiencies, drinking more water and eating well, all can slow disease progression. [The jury's still out on if HRT around the time of menopause may reduce dementia risk](https://www.thelancet.com/journals/lanhl/article/PIIS2666-7568(25)00122-9/fulltext) Estrogen can reduce inflammation and support neural growth in the brain, and some research has suggested that beginning hormone replacement therapy around menopause—versus later in life—reduces Alzheimer's disease risk. Still, a recent systematic review concluded that taking HRT didn't affect dementia risk, regardless of when women started taking it, so the science remains unsettled.

How menopause affects mental health

Menopause, a natural biological process, occurs in three stages: perimenopause (hormone fluctuations), menopause (end of menstrual cycles), and postmenopause (12 months without menstruation). Hormonal shifts during this time can affect neurotransmitters, increasing the risk of mood disorders.

Menopause can exacerbate anxiety

Some research shows that menopause can fuel anxiety and also that pre-existing anxiety can boost the chances of experiencing other menopause symptoms, including hot flashes, insomnia, and brain fog. But treatments including hormone replacement therapy, breathing exercises, and other forms of exercise can alleviate some of these symptoms.

Menopause may become a $600B industry

Companies marketing products and supplements to alleviate menopause symptoms and make life easier during this life stage have become a gold mine. This 2022 article explores how and why companies have swooped into this space, and whether you should trust them or not.

Menopause and perimenopause symptoms may affect both the mind and body

Women going through these aging transitions may experience some common physical and mental symptoms to varying degrees, including hot flashes, bladder control issues, brain fog, and vaginal dryness. This article dives into some of the most common symptoms women might expect during perimenopause, plus what they can do to relieve them.

Perimenopause can last as long as 8 years

Typically lasting around four years, beginning around age 45, some women experience it as early as their 30s. Smoking and thyroid disease are factors that can trigger early perimenopause. Early menopause, which can increase health risks, occurs in about 5% of women. Researchers are still investigating why it occurs.

Menopause is a hormonal transition point, like puberty

Yet menopause isn't talked about as much. In this podcast episode by Houston Methodist, a Texas-based hospital, the host speaks with a gynecologist with a specialization in menopausal medicine about what menopause really is, and how women and the people in their lives can navigate this next life stage.

By 2030, roughly 6% of the world's population will be in menopause

An estimated 25 million women pass through menopause annually, with a projected increase in the number of women in menopause in both lower-resource and higher-income populations in the years ahead, highlighting the social and economic value of focusing on menopause care.

A 40-something science journalist was getting more winded during workouts, and experiencing night sweats, forgetfulness and tiredness—she thought it was perimenopause, but these common symptoms turned out to be signs of her blood cancer.

Health problems are being misdiagnosed as perimenopause symptoms

Symptoms of menopause and perimenopause (the premenopause period) can be varied enough that clinicians dismiss them in patients in their mid-30s and onward as just a symptom of hormone level change. In this story, a woman's itching was dismissed as a hormonal change, but after two years and 11 separate doctor consultations, was diagnosed as cancer. (Some users may experience a paywall.)

Early-onset Alzheimer's can appear as early as age 30

Drugs recently approved to slow the progression of Alzheimer's appear to work best when administered as early as possible. Early stages are marked by a low buildup of tau, a protein experts believe clumps into misfolded, neuron-disrupting tangles once clusters of another protein—amyloid beta—have already started causing damage.

The term 'low T' was coined in 2002, recasting testosterone therapy and elevating demand

The marketing shift and accompanying awareness campaigns, both by the company behind the first testosterone product approved by the FDA, changed the landscape for testosterone product demand. Testosterone is often considered low when it's below 300 nanograms per deciliter of blood. (Some users may experience a paywall.)

Most things you would get tested for at the doctor’s office are influenced by circadian rhythm

In this video, a Salk Institute Researcher offers daily habit tips focused on aligning with your circadian rhythms. She notes heart rate and blood pressure are highest in the afternoon, for example, and there’s a triglyceride peak in the morning. Generally, she says, it’s a good idea to schedule your doctor’s checkups at the same time of day each year so there’s consistency across your data.

The halting of human bone growth helps manage heat produced from metabolism

While fish, amphibians and reptiles get bigger throughout their lives until they die, their slower metabolisms allow their bodies to regulate the resulting smaller temperature increases. In humans, hormones triggered during puberty harden growth plates, ending bone lengthening.

Why young women experience the most workplace ageism

While one might assume that older women face the most unfair treatment due to age in the workplace, some research from McKinsey & Co. suggests otherwise. The consulting firm found that while ageism impacts older women and men at similar rates, women in their 20s and 30s report much higher instances of ageism than both older women and their young, male colleagues. Learn more from the research here.

How self-care led to Ozempic's success

Self-care has become a $1.5T economy that idealizes restraint and willpower, leaving behind those who can't shake off human nature. This article explores how Ozempic and similar weight loss medications pick up where self-care left off.

Research suggests Ozempic has benefits beyond weight loss

Semaglutide, the key ingredient in Ozempic, is proving to be more than just a diabetes and weight loss drug. Research suggests it may also help prevent strokes, improve heart health, and slow Alzheimer’s.

See this searchable resource about herbal therapies, including evidence and drug interactions

Memorial Sloan Kettering Cancer Center has created this searchable resource of herbal supplements to inform the public about the purported uses of herbal therapies, the existing evidence about them, their mechanism of action, and any concerns about potential herbal supplement and drug interactions.

Supplements are only typically recommended for those with a proven deficiency

Blood tests and other dietary screening tools by clinicians and nutritionists can indicate whether someone is deficient in needed vitamins or minerals, and those results can then lead to a personalized care plan that may include supplements. Supplements can negatively interact with certain medications, so it's important to speak with your doctor about supplements before taking them.

The US FDA considered mitochondrial replacement therapy during 2014 hearings

An agency committee assessed if this approach could have undesirable ripple effects across multiple generations and whether a clinical trial involving this approach would be appropriate. As of 2026, the US has continued to prohibit this procedure though it is legal in other settings including the UK and Australia.

Too little stress can be as problematic for our health as too much stress, because mild or moderate stress—followed by recovery—helps make us resilient.

3-parent baby approach may help women with infertility

Though the topline promise of this approach is avoiding passing on mitochondrial diseases, some researchers and companies have been eyeing its potential for helping with female infertility, since faculty mitochondria may contribute to the condition. Recent research suggests this approach could be promising.

Yes, you can die from a broken heart

Researchers reviewed the health records of about 200,000 people diagnosed with broken heart syndrome from 2016 to 2020 and the death rate was 6.5%—with men's deaths roughly doubling that of women.

Five to ten percent of Alzheimer's cases are early-onset

Early-onset Alzheimer’s typically emerges around 40 to 50 years of age, with devastating effects. This video follows Brian, diagnosed with the disease at age 54, as he travels the country as an advocate for research and discusses the progressive mental fog of Alzheimer’s.

Doctors are prescribing social activities—and seeing good results

Physicians, especially in the UK, are asking patients what they enjoy and then prescribing a consistent regimen of doing that type of activity to improve fitness and overall health, including community exercise classes, volunteering, and spending time in nature. This approach may provide better incentives to stick with an activity.

The US FDA issued a 2025 warning about BPC-157 and other popular peptides that are marketed for various regenerative properties.

Some argue that annuities are particularly good options for women

Women live longer than men, meaning they'll likely be retired for longer. Annuities can provide them with a guaranteed income stream during their retirement years, even if the rest of their retirement plan doesn't last.

The science of spring fever

Researchers have confirmed what people have sensed for ages: Our emotions during the springtime can go a little wild. This piece breaks down the impact of the seasonal transition on our bodies and prescribes a few ways to mitigate the effects.

3 types of people who should claim Social Security at 62

Popular wisdom suggests people should wait as long as possible to claim their Social Security benefits. This article argues there are three types of people who would benefit from claiming sooner rather than later—such as people with short life expectancies. To see the other two groups of people who might want to claim as soon as possible, read the article here.

The overlooked physical causes of insomnia

Persistent lack of sleep is dangerous for anyone, but women are especially unlikely to have their symptoms taken seriously. This article highlights the physical causes of insomnia—a condition often written off as solely psychological—and the importance of early diagnosis. The writer, Courtney Maum, was diagnosed with an anterior nasal valve collapse as the source of her insomnia.