Is hormone replacement therapy safe, and is there a difference between menopause and perimenopausal treatment?

HRT involves using bioidentical or pharmaceutical hormones—usually estrogen, progesterone, and sometimes testosterone—to restore balance, relieve symptoms, and support long-term health.

Perimenopause vs Menopause:

• Perimenopause: Hormone levels fluctuate unpredictably. Symptoms may come and go. Periods may be irregular but still present.

• Menopause: You’ve gone 12 months without a period. Estrogen and progesterone remain consistently low, and symptoms are often more stable but persistent.

Treatment Differences:

• Perimenopause:

• Often supported with cyclical or flexible dosing to match hormonal shifts

• Treatment may include adaptogens, progesterone, or low-dose estrogen

• Menopause:

• Typically requires steady hormone levels

• Uses consistent doses of estrogen (via patch, cream, or pill) and micronized progesterone to protect the uterus if present

Is It Safe?

• Yes, for most women when started within 10 years of menopause onset and under age 60

• Transdermal estrogen (patch or gel) and micronized progesterone have the best safety profile

• Studies show reduced risk of bone loss, brain fog, night sweats, and vaginal dryness when HRT is used correctly

Why Choose RVA Telecare?

• You’ll get personalized care that respects your lived experience

• We start with a comprehensive lab panel and symptom review

• We adjust doses based on how you feel, not just what the numbers say

• All care is delivered via secure, convenient telehealth visits

Note:
Hormones are powerful—but when used properly, they can restore vitality, sleep, mood, metabolism, and intimacy. RVA Telecare works with you to create a sustainable plan that honors your stage of life and goals.