Questions to Ask Your Doctor About HRT

(Take this list to your next appointment to help guide the conversation.)

Understanding Your Options

• What types of HRT are available, and how do they differ?

• Which hormones would I be replacing—estrogen, progesterone, testosterone, or a combination?

• Is bioidentical hormone therapy an option for me?

• What are the pros and cons of systemic (pill/patch) vs. local (vaginal) HRT?

Personal Risk & Health History

• Based on my personal and family history, do I have any increased risks (e.g., breast cancer, blood clots, stroke)?

• Are there any tests you recommend before starting HRT (like hormone levels, mammogram, or bloodwork)?

• Are there safer options if I have a history of migraines, high blood pressure, or autoimmune issues?

Effects & Expectations

• How soon might I expect to feel relief from symptoms?

• Which symptoms does HRT usually help with—sleep? mood? hot flashes? anxiety? weight?

• How will we measure whether it’s working or needs adjusting?

Long-Term Use & Monitoring

• How long is it safe to stay on HRT?

• Will I need regular check-ins or lab work while on it?

• What signs should I look out for that something might not be working?

Shared Decision-Making

• If you're not comfortable prescribing HRT, can you refer me to someone who specializes in menopause care?

• Are there lifestyle changes I should pair with HRT for the best results?