Hormone Therapy Explained: HRT Myths vs Facts, Timing, Risks & Benefits (Transdermal Estrogen, Progesterone) | The Menopause Reset Podcast
Hormone therapy (HRT) can be confusing. In this episode of The Menopause Reset Podcast, hosts Susan and Karen break down what HRT is, who it may help, how timing affects risk, and the differences between transdermal estrogen, oral options, and micronized progesterone. Clear, practical guidance so you can have a confident conversation with your clinician.What we cover: Basics: estrogen-only vs combined therapy, why a progestogen is needed if you have a uterus, and routes (patch, gel, spray, pill). Benefits: relief from hot flashes and night sweats, improved sleep, better quality of life, and support for bone density. Timing window: why starting before age 60 or within ~10 years of your final period often offers a favorable benefit–risk balance. Risks, honestly: how type, dose, route, and duration matter; why transdermal estrogen is linked to lower clot risk than oral; breast tenderness/spotting in early months; rare stroke or gallbladder issues reviewed with history. Breast cancer context: small risk signal in some combined regimens over time; where micronized progesterone may have a more favorable profile; decisions remain individualized. Who should not start without specialist input: history of breast or estrogen-sensitive cancers, unexplained bleeding, active/past clots, prior stroke/MI, severe liver disease, pregnancy. Migraine with aura or high triglycerides may favor transdermal routes. Local vaginal estrogen (GSM): targeted therapy for vaginal dryness, irritation, and painful intimacy with minimal systemic absorption; pairs well with moisturizers, lubricants, and pelvic floor PT. Appointment prep: one-page snapshot of goals, history, preferences; questions about dose, route, follow-up, and side effects. Smart trial: start low, reassess at 8–12 weeks, track symptoms, use the lowest effective dose, review annually; taper if discontinuing.Try this tonight: write your top two symptoms and note triggers like room heat, late caffeine, or wine. Cool your bedroom and set your phone to Do Not Disturb.This week: book a clinician visit if symptoms are disruptive. Read about transdermal estrogen and micronized progesterone so you know your options. If intimacy is uncomfortable, ask about local vaginal estrogen plus a moisturizer and lube.Keywords: hormone therapy, HRT, menopause, perimenopause, hot flashes, night sweats, sleep, bone density, estrogen, progesterone, progestogen, transdermal estrogen, micronized progesterone, risks and benefits, breast cancer risk, blood clots, timing window, under 60, within 10 years, local vaginal estrogen, GSM, pelvic floor PT, women over 40, women’s health podcast, The Menopause Reset Podcast.Subscribe/Follow: If this helped, follow on Apple Podcasts and Spotify, leave a quick rating or review, and share with a friend who is considering hormone therapy.Next episode: Non-Hormonal Options for Hot Flashes — evidence-based medications, likely side effects, and how to choose with your clinician.Disclaimer: This podcast is for informational purposes only and is not medical advice. Please consult your healthcare professional for personalized guidance.