Types of HRT
There are several types of HRT: Estrogen-only HRT — for women who have had a hysterectomy. Combined HRT (estrogen + progesterone) — for women with a uterus, as progesterone protects the uterine lining. Sequential/cyclic HRT — progesterone is taken for part of the cycle, producing a monthly withdrawal bleed. Continuous combined HRT — both hormones taken daily with no planned bleeding. Some women may also benefit from low-dose testosterone for libido and energy.
Key facts at a glance
- HRT replaces declining hormones to relieve menopause symptoms
- Available as pills, patches, gels, creams, and more
- Can reduce hot flashes by up to 75%
- Discuss risks and benefits with your healthcare provider
Delivery methods
HRT comes in many forms: oral tablets (pills), transdermal patches, topical gels and creams, vaginal rings and inserts, injections, pellets (implants), lozenges (troches), and nasal sprays. Transdermal methods (patches, gels) may carry lower risks than oral forms as they bypass the liver.
Benefits
HRT can significantly reduce or eliminate hot flashes and night sweats, improve sleep quality, stabilize mood and reduce anxiety, relieve vaginal dryness and discomfort, protect bone density and reduce fracture risk, and may improve cognitive function in early menopause.
Discussing with your doctor
The decision to start HRT is individual. Discuss your symptoms, medical history, family history, and personal preferences with your provider. Modern evidence supports that for most women under 60 or within 10 years of menopause onset, the benefits of HRT outweigh the risks.
How Menoa helps
Menoa tracks your HRT protocol, adherence, and dose history. The app shows before/after correlations between starting HRT and your symptom severity, helping you and your doctor evaluate effectiveness. Set reminders for patches, pills, and refills.
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