Ongoing Fertility: Despite a decline in fertility as women move through perimenopause or transition into menopause, it is still possible for a woman on HRT (because of its low dose) to become pregnant- ongoing contraception or alternate methods should be considered.

Not Suitable for Everyone – Individuals with a history of certain cancer, blood clots or a history of a heart problem may need further medical evaluation and discussion with Dr Dawson. Lastly, a woman may not want to take these hormone regimens. We fully support that decision and offer diet, exercise, and other options for all our patients as part of our shared decision-making approach to care.

Possible Side Effects – Some may experience bloating, breast tenderness, headaches, and nausea, which are usually temporary.

Slightly Increased Risk of Blood Clots & Stroke – Hormone replacement therapy, which includes both estrogen and progestin, is often used for managing symptoms of menopause or as part of birth control regimens. These hormones can affect blood clotting mechanisms, potentially increasing the risk of thromboembolic events such as deep vein thrombosis (DVT), pulmonary embolism, and stroke. The risk varies depending on several factors, including the individual's age, overall health, smoking status, and the specific formulation and route of administration of the hormone therapy.

Requires Personalized Monitoring – The risks of HRT vary depending on several factors, including the individual's age, overall health, smoking status, and the specific formulation and route of administration of the hormone therapy. Dosage, treatment plans and response to therapy should be regularly reviewed with shared decision-making between a woman and Dr. Dawson, with any modifications adopted following these sessions.