Is HRT Safe for You? The Real Risks, Rules, and What No One’s Explaining

Let’s talk about safety. There’s no one-size-fits-all answer—but here’s what every woman needs to know.

You Don’t Have to Stop After 5 Years

The old “5-year limit” was based on outdated fears. Current research supports longer use in women who:

• Started HRT before age 60 or within 10 years of menopause

• Have no major contraindications

• Continue to benefit symptomatically or need bone/brain support

There’s no arbitrary stop date if benefits outweigh risks.

Who Should Not Use HRT?

Absolute contraindications include:

• Breast or estrogen-sensitive cancer

• Active liver disease

• Unexplained vaginal bleeding

• Recent cardiovascular event

• History of blood clots

Who Might Need Special Consideration?

Women with:

• Migraine with aura

• Controlled high blood pressure

• Family history of hormone-sensitive cancers

These women may still use HRT under close supervision and with safer delivery methods.

Alternatives When HRT Isn’t an Option

For women who can’t use systemic HRT:

• Vaginal estrogen may still be safe and helpful

• Non-hormonal medications can manage symptoms

• Lifestyle changes, herbs, and nutrients also play a role