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Q&A

hrt · menopause

When should I start HRT?

Written byEditorial Team, HormonalHealth PortalReviewed byEditorial Medical Review, MD, NAMS-CMP· Updated May 15, 2026

NAMS recommends HRT initiation under age 60 or within 10 years of menopause onset for maximum safety profile. Earlier within this window often preferable for symptom control.

The detail

The "window of opportunity" frames HRT initiation. Under 60 or <10 years post-menopause, cardiovascular and bone benefits typically outweigh risks for most women. After 60 + >10 years, risk-benefit shifts. Symptomatic women should consider initiation when symptoms impact quality of life, not wait for "severe" symptoms. Consultation with NAMS-certified clinician recommended.

Sources

SC
Reviewed by Editorial Medical ReviewBoard-certified OB/GYN · NAMS-certified · Updated 2026-05-15

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