Hormone Therapy Postmenopause

“It is not recommended you start MHT
if you are older than 60 years
or if you’ve been postmenopausal for 10 years or more”.1

Umbrella

What may the Hormone Therapy Postmenopause Umbrella include?

Depending on the Source (DotS) this Umbrella may include:

  • Hormone Replacement Therapy (HRT) After Menopause
  • Hormone Therapy (HT) After Menopause
  • Menopausal Hormone Therapy (MHT) After Menopause
  • Postmenopausal/Postmenopause Hormone Replacement Therapy (HRT)/Hormone Therapy (HT)

Between 50 and 60 Years

What is the association between HT, age and time since menopause, for women between 50 and 60 years?

In Treatments for Menopause: Menopausal Hormone Therapy (MHT) – What Are the Risks of MHT? the (Australian) Jean Hailes for Women’s Health (JH) elaborate on:

“A recent review of evidence on MHT found it is an effective and safe treatment for the relief of menopausal symptoms for healthy women.

The results showed that MHT had low risks for women aged between 50 and 60, but more research is needed to understand how MHT might affect other women’s health issues”.2

In Hormone Therapy: Is Hormone Therapy Safe? the Menopause Society (formerly the North American Menopause Society) include:

“For most women, experts agree that HT helps to control moderate to severe menopause symptoms such as hot flashes when initiated within 10 years of onset of menopause or under age 60 years.

You and your healthcare professional need to balance your individual benefits and risks based on your medical history. For example, if you don’t have a uterus and can take ET alone, your risks are different from those women who still have a uterus and must use EPT to protect against uterine cancer”.3 

Older Than 60 Years

What is the association between HT and being older than 60 years?

In Treatments for Menopause: Menopausal Hormone Therapy (MHT) – What Are the Risks of MHT? the JH note:

“It is not recommended you start MHT if you are older than 60 years or if you’ve been postmenopausal for 10 years or more”.4 

Postmenopausal 10 Years and 10 Years+

What is the association between HT and being postmenopausal for 10 years or more?

In Treatments for Menopause: Menopausal Hormone Therapy (MHT) – What Are the Risks of MHT? the JH note:

“It’s recommended you don’t start MHT if you’re older than 60 or if you’ve been postmenopausal for 10 years or more”.5

Bone Health

Does HT have an effective role in the prevention and treatment of osteoporosis?

On page two in the Joint Position Statement By the British Menopause Society, Royal College of Obstetricians and Gynaecologists and Society for Endocrinology on Best Practice Recommendations for the Care of Women Experiencing the Menopause, first published online 10 June 2022, one of the recommendations is:

  • “In addition, HRT has been shown to have an effective role in the prevention and treatment of osteoporosis. Bisphosphonates are considered as first-line options for most patients with postmenopausal osteoporosis due to their broad spectrum of anti-fracture efficacy. HRT may be considered as an additional alternative option, particularly in younger postmenopausal women with menopausal symptoms who are at increased risk of fractures”.6

Heart Health

Does HT have an effective role for health health?

On page one in Deciding About Hormone Therapy Use: Potential Risks the (United States) Menopause Society (formerly the North American Menopause Society):

“Some studies suggest that HT might be good for your heart if you start before age 60 or within 10 years of menopause. However, if you start HT further from menopause or after age 60, HT might slightly increase your risk of heart disease. Although there are risks associated with taking HT, they are not common, and most go away after you stop treatment”.7

Chronic Disease Prevention

Should HT be used for chronic disease prevention?

On page four in the Joint Position Statement By the British Menopause Society, Royal College of Obstetricians and Gynaecologists and Society for Endocrinology on Best Practice Recommendations for the Care of Women Experiencing the Menopause one of the recommendations is:

  • “HRT should not be recommended for the primary or secondary prevention of chronic disease in women experiencing the menopause in keeping with national and international guidelines”.8

Stop

Does HT need to be routinely stopped?

In Treatments for Menopause: Menopausal Hormone Therapy (MHT) – How Long Do You Need To Take MHT? the JH elaborate on:

“You can take MHT at low doses for as long as you need. Many women have symptoms for around 8 years and one in 4 women have symptoms into their 60s and 70s”.9

On page six of Menopause and Menopause Hormone Therapy: 3. When Should MHT Be Started and Stopped? Long-Term Use, the International Menopause Society’s (IMS) Leaflet for Women, for World Menopause Day 2024 the IMS note10:

Hormone Therapy Postmenopause

Fountain of Youth

Is HT the “fountain of youth”?

On page three of Menopause and Menopause Hormone Therapy: 1. Who Is MHT For? Who Might Not Need MHT? the IMS explain:

“Women who go through menopause at the natural age (after 45) and have no bothersome symptoms usually don’t need MHT. Some people believe MHT is a “fountain of youth”, but there’s little scientific evidence for that. It’s important to remember MHT is not recommended solely to prevent aging, memory loss, or dementia”.11
Hormone Therapy Postmenopause

Health Care Provider

What if I am postmenopausal and choose to use HT?

If you are postmenopausal and choose to use HT, it may be in your best interest to also choose to talk to your health care provider about this.

In Deciding About Hormone Therapy Use the Menopause Society elaborate on:

“Every woman is different, and you will decide about whether to use HT based on the severity of your symptoms, your personal and family health history, and your own beliefs about menopause treatments. Your healthcare professional will be able to help you with your decision”.12

Health Topics A-Z

Where may I find Health Topics A-Z related to Hormone Therapy Postmenopause?

In Health Topics A-Z you may find:

Health Topics A-Z

Links

Where may I find Links related to Hormone Therapy Postmenopause?

Your Country may have Links similar to:

Links

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New or Updated

  1. ACOG Explains: Managing Menopause Symptoms [American College of Obstetricians and Gynecologists]
  2. Askearlymenopause.org [Ask EM] [+ Video: What Is Early Menopause?]
  3. BMS & WHC’s 2020 Recommendations on Hormone Replacement Therapy In Menopausal Women
  4. BMS TV: Bioidentical Hormones
  5. BMS TV: Coronary Heart Disease (CHD)
  6. BMS TV: HRT and Bleeding
  7. BMS TV: HRT and Breast Cancer: Overall Risks and Benefits
  8. BMS TV: HRT and the Risk of Breast Cancer
  9. BMS TV: Hormone Replacement Therapy (HRT)
  10. BMS TV: Urogenital Atrophy
  11. Bioidentical Hormones: Are They Safer?
  12. British Menopause Society Statement Published In Response To the BBC One Panorama Programme 30 September 2024
  13. Cognitive Behaviour Therapy (CBT) for Menopausal Symptoms
  14. Compounded Bioidentical Hormone Therapy [Video]
  15. Consumer Video and Podcast Series: 2023 Consumer Videos and Podcasts – Premature and Early Menopause
  16. Consumer Video and Podcast Series: 2024 Consumer Videos and Podcasts – Preparing for Your Menopause Health Care Visit
  17. Deciding About Hormone Therapy Use
  18. EMAS On-Demand Webinars [European Menopause and Andropause Society] [Multiply Languages]: FDA Decision on MHT Warnings – A Live EMAS Roundtable
  19. Experts Answer Your Menopause Questions In New Video
  20. FDA Direct: Removing Black Box Warnings for HRT (Part 1/2)
  21. FDA Direct: Removing Black Box Warnings for HRT (Part 2/2)
  22. Find A Menopause Practitioner [United States and Other]
  23. Find A Practitioner [Australasian Menopause Society i.e. Australia and New Zealand]
  24. Find Your Nearest BMS Menopause Specialist [British Menopause Society]
  25. Genitourinary Syndrome of Menopause
  26. Genitourinary Syndrome of Menopause
  27. Guidance on Menopausal Hormone Therapy
  28. HRT
  29. HRT Questions Answered
  30. HRT Types and Doses | Dr Louise Newson
  31. HRT – Types, Doses and Regimens
  32. HRT: Benefits and Risks
  33. Healthy Ageing
  34. Hormone Replacement Therapy (HRT)
  35. Hormone Replacement Therapy (HRT): Benefits and Risks of Hormone Replacement Therapy (HRT)
  36. Hormone Replacement Therapy (HRT): Side Effects of Hormone Replacement Therapy (HRT)
  37. Hormone Replacement Therapy (HRT): Types of Hormone Replacement Therapy (HRT)
  38. Hormone Replacement Therapy (HRT): Vaginal Oestrogen
  39. Hormone Replacement Therapy (HRT): When To Take Hormone Replacement Therapy (HRT)
  40. Hormone Therapy
  41. Hormone Therapy In Postmenopausal Persons: Primary Prevention of Chronic Conditions
  42. Hormone Therapy and Biological Aging In Postmenopausal Women
  43. Hormone Therapy: Four Things A Mayo Clinic Women’s Health Specialist Wants You To Know [+ Video Courtesy: Mayo Clinic News Network. Name Super/CG: Taryn Smith, M.D./Internal Medicine/Mayo Clinic]
  44. Hormone Therapy: Is It Right for You?
  45. Hot Flashes
  46. Hot Flashes
  47. Hot Flashes: What Can I Do? [+ Video: What Are the Signs and Symptoms of Menopause?]
  48. How Should You Come Off Your HRT?
  49. How To Find Relief for Hot Flashes At Night
  50. How Vaginal Hormones Can Transform the Health of Women
  51. Is It Ever Too Late To Start HRT?
  52. Is It Too Late To Start HRT?
  53. Later Years (Around 50 Years and Over): Menopause and Post Menopause Health – After the Menopause [Other Languages and Formats]
  54. Later Years (Around 50 Years and Over): Menopause and Post Menopause Health – Hormone Replacement Therapy (HRT) [+ Video: Is HRT Bad for You?] [Other Languages and Formats]
  55. Later Years (Around 50 Years and Over): Menopause and Post Menopause Health – Sexual Wellbeing, Intimacy and Menopause [+ Video: Menopause Is the End of Your Sex Life] [Other Languages and Formats]
  56. Managing Your Symptoms
  57. Mayo Clinic Q and A: Coping With Menopause: Can Hormone Therapy Help?
  58. Menopausal Hormone Therapy
  59. Menopausal Hormone Therapy Use Among Postmenopausal Women
  60. Menopausal Hormone Therapy and Breast Cancer Risk
  61. Menopausal Hormone Therapy and Venous Thromboembolism
  62. Menopausal Hormone Therapy, Heart Disease and Stroke
  63. Menopause
  64. Menopause
  65. Menopause Hormone Therapy: Is It Right for You?
  66. Menopause Map: Downloadable Resources – Stages of Menopause: Postmenopause
  67. Menopause Symptoms: Mayo Clinic Expert Outlines Hormone and Nonhormonal Therapies
  68. Menopause Treatments: What Works, What Doesn’t
  69. Menopause: Identification and Management [NICE Guideline Published: 12 November 2015 Last Updated: 07 November 2024]
    Hormone Therapy Postmenopause
  70. Menopause: Identification and Management: NICE Guideline [NG23] [07 November 2024]
  71. Navigating Menopause: Honest Answers To All Your Questions [+ Video: What To Expect in Menopause]
  72. Navigating Menopause Care Resource Guide
  73. Postmenopause
  74. Q&A: At 20 Years, WHI Emphasizes Personalized Postmenopausal Care, Shared Decision-Making
  75. Risks and Benefits of MHT
  76. SERMs – Their Role In Menopause Management
  77. Shedding Light on the Menopause Experience and Demystifying Treatment
  78. Starting and Stopping Hormone Therapy
  79. Surprising Menopause Symptoms Revisited | Dr Louise Newson
  80. The Benefits and Risks of Menopause Hormone Therapy for the Cardiovascular System In Postmenopausal Women: A Systematic Review and Meta-Analysis
  81. The Menopause Society Statement on Misinformation Surrounding Hormone Therapy
    Hormone Therapy
  82. The Women’s Health Initiative Randomized Trials and Clinical Practice
  83. The Women’s Health Initiative Trials: Clinical Messages
  84. Treatments for Menopause
  85. Types of Hormone Therapy
  86. Update on Hormone Therapy for the Management of Postmenopausal Women
  87. Use of Menopausal Hormone Therapy Beyond Age 65 Years and Its Effects on Women’s Health Outcomes By Types, Routes, and Doses
  88. Vaginal Dryness After Menopause: How To Treat It?
  89. Video: Leslie Cho, MD, Discusses CV Risks, Benefits of Menopausal Hormone Therapy
  90. Videos & Podcasts: Videos – Menopause and Hormone Therapy: Current Perspectives and Controversies
  91. Videos & Podcasts: Videos – Preventing Bone Loss At Menopause
  92. Webinars: Changing the Paradigm for Earlier Osteoporosis Prevention
  93. Webinars: Hormones and Stroke: An Update on Treatment and Risk
  94. Webinars: The Burn, the Itch, the Pain, the Urge: GSM In Women
  95. Webinars: What’s Hot? Options for Treatment of Hot Flushes 2025 [12 March 2025]
  96. What Is Menopause Hormone Therapy and Is It Safe?
  97. What Is the Difference Between Perimenopause, Menopause and Postmenopause?
  98. Why You Get An Itch or Thrush on Vaginal Estrogen and What To Do About It
  99. World Menopause Day 2024: Leaflet for Women – Menopause and Menopause Hormone Therapy [Multiply Languages]
  100. World Menopause Day 2024: Poster for Women – The 5 Ws of Menopause Hormone Therapy (MHT)

Sources

Where may I find the Sources quoted?

You may find the Sources quoted at:

Sources

  1. Treatments for Menopause: Menopausal Hormone Therapy (MHT) – What Are the Risks of MHT? Last Updated: 13 May 2025 | Last Reviewed: 22 April 2025. Jean Hailes for Women’s Health https://www.jeanhailes.org.au/health-a-z/menopause/menopause-management Accessed: 29 December 2025
  2. Treatments for Menopause: Menopausal Hormone Therapy (MHT) – What Are the Risks of MHT? Last Updated: 13 May 2025 | Last Reviewed: 22 April 2025. Jean Hailes for Women’s Health https://www.jeanhailes.org.au/health-a-z/menopause/menopause-management Accessed: 29 December 2025
  3. Hormone Therapy: Is Hormone Therapy Safe? Menopause Society https://menopause.org/patient-education/menopause-topics/hormone-therapy Accessed: 29 December 2025
  4. Treatments for Menopause: Menopausal Hormone Therapy (MHT) – What Are the Risks of MHT? Last Updated: 13 May 2025 | Last Reviewed: 22 April 2025. Jean Hailes for Women’s Health https://www.jeanhailes.org.au/health-a-z/menopause/menopause-management Accessed: 29 December 2025
  5. Treatments for Menopause: Menopausal Hormone Therapy (MHT) – What Are the Risks of MHT? Last Updated: 13 May 2025 | Last Reviewed: 22 April 2025. Jean Hailes for Women’s Health https://www.jeanhailes.org.au/health-a-z/menopause/menopause-management Accessed: 29 December 2025
  6. Hamoda, H., Mukherjee, A., Morris, E., Baldeweg, S. E., Jayasena, C. N., Briggs, P., Moger, S. Joint Position Statement By the British Menopause Society, Royal College of Obstetricians and Gynaecologists and Society for Endocrinology on Best Practice Recommendations for the Care of Women Experiencing the Menopause. First Published Online 10 June 2022:3-4. https://journals.sagepub.com/doi/10.1177/20533691221104882 Accessed: 29 December 2025
  7. Deciding About Hormone Therapy Use: Potential Benefits. 2025:1. Menopause Society https://menopause.org/wp-content/uploads/default-document-library/MenoNote-Deciding-About-HT-2025.pdf Accessed: 29 December 2025
  8. Menopause and Menopause Hormone Therapy: 1. Who Is MHT For? Who Might Not Need MHT? 2024:3. International Menopause Society https://www.imsociety.org/wp-content/uploads/2024/10/2024-WMD-Leaflet_English.pdf Accessed: 25 March 2025
  9. Hamoda, H., Mukherjee, A., Morris, E., Baldeweg, S. E., Jayasena, C. N., Briggs, P., Moger, S. Joint Position Statement By the British Menopause Society, Royal College of Obstetricians and Gynaecologists and Society for Endocrinology on Best Practice Recommendations for the Care of Women Experiencing the Menopause. First Published Online 10 June 2022:4. https://journals.sagepub.com/doi/10.1177/20533691221104882 Accessed: 29 December 2025
  10. Treatments for Menopause: Menopausal Hormone Therapy (MHT) – How Long Do You Need To Take MHT? Last Updated: 13 May 2025 | Last Reviewed: 22 April 2025. Jean Hailes for Women’s Health https://www.jeanhailes.org.au/health-a-z/menopause/menopause-management Accessed: 29 December 2025
  11. Menopause and Menopause Hormone Therapy: 3. When Should MHT Be Started and Stopped? Long-Term Use. 2024:3. International Menopause Society https://www.imsociety.org/wp-content/uploads/2024/10/2024-WMD-Leaflet_English.pdf Accessed: 29 December 2025
  12. Deciding About Hormone Therapy Use. 2025:1. Menopause Society https://menopause.org/wp-content/uploads/default-document-library/MenoNote-Deciding-About-HT-2025.pdf Accessed: 29 December 2025
Topic Last Updated: 29 December 2025 – Topic Last Reviewed: 29 December 2025

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