Rethinking Menopause Hormone Therapy - Takeaways - MDSpire

Rethinking Menopause Hormone Therapy

  • By

  • Kerri Miller

  • April 23, 2026

  • 3 min

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  • 1

    Menopausal hormone therapy (MHT) use declined from over 20% to under 5% after the Women’s Health Initiative.

  • 2

    The FDA's removal of black box warnings on MHT presents an opportunity for improved patient care.

  • 3

    Research shows that initiating MHT before age 60 or within 10 years of menopause has a favorable benefit-risk profile.

  • 4

    There are significant gaps in menopause education and symptom screening among clinicians treating middle-aged women.

  • 5

    The FDA label change emphasizes the need for routine symptom assessment and individualized discussions about MHT.

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