Do You Need Hot Flashes to Consider Hormone Therapy?
Many women assume hormone replacement therapy (HRT) is only appropriate if they are experiencing hot flashes. While hot flashes are a well‑known symptom of menopause, they are far from the only sign of hormonal change.
At The She Clinic, we often see women in perimenopause or early menopause who feel that something is off long before hot flashes appear. Common concerns include disrupted sleep, increased anxiety, mood changes, brain fog, fatigue, joint aches, or unexplained changes in weight or energy. These symptoms are frequently dismissed as stress or aging, yet hormonal fluctuations may be playing a significant role.
Hormonal changes can begin years before menstrual cycles stop completely. During this transition, estrogen and progesterone levels can fluctuate unpredictably, affecting sleep regulation, mood stability, metabolism, and cognitive function. These are physiologic changes, not personal failures or signs of weakness.
A medical evaluation for hormone therapy is never based on a single symptom. It involves a careful review of symptoms, medical and family history, and individual risk factors. For some women, hormone therapy may be appropriate. For others, alternative strategies may be discussed.
The most important first step is understanding what your symptoms may represent and having the time to discuss options thoughtfully.
Wondering if this applies to you? We offer physician‑led consultations to review symptoms and discuss options in an unrushed setting. Consultations are self‑pay and by appointment only.