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Menopause Symptoms & HRT Treatment Guides

Menopause affects every woman differently. Explore our expert-reviewed guides for each symptom below — each one explains the hormonal cause, how HRT helps, what improvement realistically looks like, and which telehealth providers are best suited to treating it.

13 guides · Updated August 2026 · Reviewed by our editorial team

Hot Flashes
Compare top-rated telehealth providers that specialize in treating hot flashes — starting with the most recommended options for this symptom.
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Night Sweats
Compare top telehealth providers offering hormone therapy that specifically targets night sweats and restores sleep quality.
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Vaginal Dryness
Compare providers offering local and systemic estrogen therapy for vaginal dryness — the most overlooked and undertreated menopause symptom.
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Mood Swings
Compare providers offering combined estrogen and progesterone therapy — the most effective hormonal approach to menopause mood instability.
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Perimenopause
Compare providers with expertise in early hormonal transition — when symptoms are real but cycles haven't stopped yet.
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Estrogen Therapy
Compare providers offering estrogen pills, patches, creams, and bioidentical options — the foundational treatment for most menopause symptoms.
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Progesterone Therapy
Compare providers offering bioidentical and micronized progesterone — essential for complete menopause HRT and uterine protection.
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Menopause Weight Gain
Compare providers that address the hormonal and metabolic root causes of weight gain during menopause — not just the symptoms.
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Menopause Insomnia
Compare providers whose protocols target the two hormonal drivers of midlife sleep loss — progesterone withdrawal and vasomotor sleep fragmentation.
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Menopause Brain Fog
Compare providers that treat cognitive symptoms as a real part of the menopause transition — not something to dismiss or wait out.
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Low Libido
Compare providers that treat the full picture behind reduced desire — hormonal, physical, and the sleep and mood symptoms that drive it.
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Menopause Joint Pain
Compare providers that recognise menopausal arthralgia — the widespread aching and morning stiffness that estrogen loss produces.
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Hair Thinning
Compare providers that evaluate the hormonal and nutritional causes of midlife hair loss rather than treating it as cosmetic.
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Understanding Menopause Symptoms

As estrogen and progesterone decline during perimenopause and menopause, women can experience a wide range of symptoms — from hot flashes and night sweats to insomnia, brain fog, mood swings, joint pain, vaginal dryness, and weight gain. Hormone Replacement Therapy (HRT) is the most evidence-backed treatment for most of these symptoms and is endorsed by major medical organizations including the Menopause Society (NAMS).

Symptoms rarely appear in isolation. Progesterone typically falls first, driving sleep disruption and premenstrual anxiety, while erratic estrogen later produces the vasomotor and cognitive symptoms most women recognise as menopause. Each guide explains where its symptom sits in that sequence.

Where to Go Next

References

This article draws on peer-reviewed research and guidance from recognized medical organizations. Sources are current as of the last review date.

  1. 1.The Menopause Society (formerly NAMS). The 2022 Hormone Therapy Position Statement of The North American Menopause Society. Menopause. 2022;29(7):767–794.
  2. 2.American College of Obstetricians and Gynecologists (ACOG). Management of Menopausal Symptoms (Clinical Practice Guideline No. 8). Obstet Gynecol. 2023.
  3. 3.The Menopause Society. The 2023 Nonhormone Therapy Position Statement of The North American Menopause Society. Menopause. 2023;30(6):573–590.
  4. 4.The Menopause Society. The 2020 Genitourinary Syndrome of Menopause Position Statement of The North American Menopause Society. Menopause. 2020;27(9):976–992.
  5. 5.National Institute for Health and Care Excellence (NICE). Menopause: Identification and Management (NICE Guideline NG23). NICE. Updated 2024.
  6. 6.National Institute on Aging (NIH). Hormones and Menopause. U.S. National Institutes of Health.
  7. 7.Mayo Clinic Staff. Hormone Therapy: Is It Right for You?. Mayo Clinic.

HRT.so is an independent educational resource and is not affiliated with the organizations cited above. Links are provided for verification and further reading. This content is not medical advice — always consult a qualified healthcare provider.