Hormone Replacement Therapy (HRT) 101:
What You Need to Know Before You Decide
Hormone Replacement Therapy (HRT) is one of the most talked-about and misunderstood options for managing Menopause and Perimenopause symptoms. With so much conflicting information, it can be overwhelming to know what’s safe, what’s effective, and whether it’s right for you.
In Episode 5 of Empowered Menopause, Dr. Gabrielle Francis provides a clear, expert guide to HRT from a naturopathic and functional medicine perspective. She explores who may benefit, what types of therapy are available, and how to use HRT safely and effectively if you choose to go that route.
What Is Hormone Replacement Therapy?
HRT involves supplementing the body with estrogen, progesterone, and sometimes testosterone to relieve symptoms caused by declining hormone levels. While it can be very effective for some women, it is not a one-size-fits-all solution.
Dr. Francis explains that HRT can be beneficial for:
- Severe hot flashes and night sweats
- Vaginal dryness or painful intercourse
- Mood instability or depression
- Bone density support in postmenopause
However, the decision to use HRT should always be based on comprehensive lab testing and a personalized health profile.
Types of Hormone Replacement Therapy
There are multiple forms of HRT, each with pros and cons. Dr. Francis breaks them down into four main categories:
- Herbal or Botanical HRT: Phytoestrogens and herbal blends that mimic natural hormone activity (e.g., black cohosh, red clover).
- Bio-identical Natural HRT: Derived from plant sources and chemically identical to the body’s own hormones.
- Bio-identical Synthetic HRT: Lab-produced hormones that match your body’s chemistry but may be processed in pharmaceutical form.
- Non-Bio-identical Synthetic HRT: Traditional pharmaceutical hormones that may carry more side effects or risks.
Dr. Francis advises working with a knowledgeable practitioner to choose the option that aligns with your body and values.
Is HRT Right for You?
HRT may not be appropriate for everyone. Women with a history of hormone-sensitive cancers, blood clots, or certain autoimmune conditions may be advised against it. That’s why testing and medical supervision are critical.
Key considerations:
- Have you ruled out thyroid, adrenal, and nutrient imbalances?
- Are your symptoms truly due to low hormones, or other issues?
- Are you using HRT as a short-term support or long-term therapy?
Dr. Francis often uses HRT as a bridge while addressing root causes of imbalance through diet, lifestyle, and supplements.
HRT Strategies for Perimenopause vs. Menopause
Your needs during Perimenopause may be very different from those in full Menopause. During Perimenopause, hormone levels fluctuate wildly, making HRT more complex to manage.
In contrast, postmenopausal women tend to have stable but low levels of estrogen and progesterone, making hormone therapy easier to regulate. A tailored plan based on lab results ensures you receive just enough support without overcorrection.
Takeaway: You Deserve a Personalized, Safe Approach
There is no single answer when it comes to HRT. The best choice is an informed one—guided by testing, expert support, and your personal preferences. Whether you choose natural remedies, HRT, or a combination of both, you deserve to feel empowered and supported every step of the way.
🎥 Watch Episode 5 here
Coming up next: Episode 6 — The Emotional and Spiritual Shift of Menopause: From Mother to Queen.
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