Menopause and HRT
What happens in perimenopause and menopause, and a grounded look at hormone replacement therapy — the benefits, the risks, and the options a provider may discuss.
Oravix Editorial Team
Published June 5, 2026
Medical review pending
Perimenopause is the transition period before menopause when hormone levels begin to shift. It can start in a woman's 40s (sometimes earlier) and bring hot flashes, sleep disruption, cycle changes, and mood shifts. Menopause itself is confirmed after twelve months without a period.
Where HRT fits
Hormone replacement therapy (HRT) supplements estrogen — often with progesterone — to address symptoms driven by declining hormone levels. Depending on your history, a licensed provider may discuss hormone therapy, non-hormonal prescription options, or lifestyle approaches. Hormone therapy has both benefits and risks that depend heavily on your personal situation — a good provider walks through both.
When to seek care
If symptoms affect your sleep, work, or relationships, that's reason enough. You don't need to wait until things are unbearable to have a clinical conversation.