Hormone Replacement Therapy (HRT) for Menopause

Menopause occurs when your body's estrogen and progesterone levels start to decline, causing a hormonal imbalance that can trigger a wide range of symptoms. At ARC, our adult primary care and Ob/Gyn doctors and advanced practice clinicians (APCs) use hormone replacement therapy (HRT), also known as hormone therapy, to restore hormone balance, ease menopausal symptoms, and help you feel like yourself again. Before starting treatment, our experienced physicians and APCs carefully review your symptoms and medical history to determine the most appropriate treatment plan for your needs. For a full list of physicians and APCs that offer menopause services, visit our Menopause Treatment page.

Who may benefit from hormone therapy?

Hormone therapy may be helpful if you are experiencing any of the following symptoms due to menopause:

• Genitourinary symptoms – vulvovaginal atrophy or recurrent urinary tract infections (UTIs)
• Hot flashes
• Irregular periods
• Joint aches/pains
• Mood changes
• Night sweats
• Primary ovarian insufficiency/premature menopause
• Sleep disturbances
• Vaginal dryness and discomfort

What are the possible side effects of hormone replacement therapy?

HRT may cause headaches, mood changes, nausea, bloating, and other symptoms. Depending on your risk, more serious side effects like blood clots can occur. Your ARC doctor or APC can explain the potential risks and benefits associated with treatment and help you determine whether hormone therapy is the right choice for you.

What types of HRT does ARC offer?

ARC doctors and APCs prescribe several forms of hormone replacement therapy, including oral medications, patches, gels, injections, sprays, and creams. Each option carries its own risks, and your ARC care team will work with you to determine the best option for you.

When may alternative treatments be recommended? 

Although hormone replacement therapy is a safe and effective option for many patients, it may not be the best choice for everyone. Your ARC physician or APC may recommend safe and effective alternative treatment options that better fit your health profile if you have had, have, or are at an increased risk for any of the following medical conditions:

• Active liver disease
• Coronary artery disease
• History of breast cancer or at high risk (such as family history)
• Previous stroke (or clotting disorder)
• Unexplained vaginal bleeding