Hormone Therapy for Menopause

Hormone replacement therapy, or HRT, is treatment that replaces hormones that naturally decline during perimenopause and menopause, especially estrogen and progesterone. For many people, HRT can help with hot flashes, night sweats, sleep disruption, mood changes, vaginal dryness, and other menopause-related symptoms.

Bioidentical hormones have the same molecular structure as hormones your body makes naturally, such as estradiol and progesterone. Many FDA-approved HRT options use bioidentical estradiol or micronized progesterone. “Bioidentical” does not automatically mean risk-free, so your clinician will still review your health history before prescribing.

Yes, many people can get HRT prescribed online after completing a medical evaluation. A licensed clinician will review your symptoms, health history, medications, and risk factors to determine whether HRT is appropriate and which treatment option makes sense.

Not usually. Most menopause symptoms are related to changes in estrogen and progesterone, so HRT often starts there. Testosterone may be considered in specific situations, such as persistent low sexual desire after other causes have been evaluated, but it is not a standard first step for everyone.

We recommend using a sunscreen SPF 30 or higher in the morning, as some of the ingredients can increase dryness and sensitivity to the sun.

Nurx offers access to menopause care online, without needing to schedule an in-person appointment first. You can complete your consultation from home, message with your care team, and receive treatment if prescribed. Your regular OB-GYN may still be important for pelvic exams, Pap smears, mammograms, and in-person care when needed.

Treatment options may include prescription hormone therapy such as estrogen and progesterone, depending on your symptoms, health history, and whether you still have a uterus. Some people may also be better suited for non-hormonal options or vaginal treatments for dryness and discomfort. Your clinician will recommend a plan based on your needs.

Yes. HRT is considered one of the most effective treatments for vasomotor symptoms, including hot flashes and night sweats. Many people also notice improvements in sleep, mood, and day-to-day comfort when those symptoms improve.

If your symptoms don’t improve, your clinician can reassess your plan. That may mean adjusting the dose, changing the form of medication, checking for other causes of your symptoms, or discussing non-hormonal options.

Age matters, but it is not the only factor. HRT is often most favorable for people who are under 60 or within 10 years of menopause onset. People with early menopause or primary ovarian insufficiency may also be candidates for hormone therapy. If you’re older than 60 or further from menopause, a clinician can help weigh the benefits and risks.

Not necessarily on a fixed timeline. Many people use HRT for several years, while others continue longer when benefits still outweigh risks. Your care team should periodically reassess your symptoms, goals, and health history to decide whether continuing makes sense.

No. HRT is prescription medication that contains hormones shown to treat menopause symptoms. Supplements are not the same as prescription hormone therapy, and they are not held to the same standards for safety, dosing, or effectiveness.

Cost depends on your treatment plan, pharmacy, insurance coverage, and whether your medication is covered. If you’re paying out of pocket, your care team can often help choose lower-cost options when clinically appropriate.