Empowered Perimenopause With Francesca Liparoti

Episode 85: Understanding HRT in Perimenopause: A Practical, Balanced Perspective

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If you’ve been hearing mixed messages about HRT lately, you’re not the only one.

One minute it’s being described as risky, the next it’s being widely recommended, and it can leave you wondering what’s actually true, and what it means for YOU.

In this episode, I’m revisiting one of the most requested topics: hormone therapy in perimenopause, but this time, with an updated lens.

A listener reached out feeling confused about HRT, especially with friends having completely different experiences and recent conversations around updated US guidelines. And I know so many of you are in that same place, trying to make sense of it all.

So today, we’re going to calmly unpack it.

We’ll talk about what HRT actually is, how it works in perimenopause, and why the messaging around it has felt so inconsistent, and at times, quite alarming.

Importantly, we’ll also explore what’s changed in recent years, what we now understand differently about the research, and what this means for women navigating this phase today.

This isn’t about telling you what you should do.

And just to say, I’m not a medical doctor, so I can’t prescribe or advise you on HRT and what to take…but I can help you make sense of all of this so you feel more confident going into that conversation with your GP or menopause specialist.

In this episode, I cover:

• The difference between HRT, MHT and hormone therapy
• Why women can have very different experiences on HRT
• What recent guideline updates actually mean (and what they don’t)
• The history of HRT research and why it caused so much fear
• Body-identical vs synthetic hormones (and why this matters)
• Whether HRT is necessary or optional
• The truth about the “10-year rule”
• Common concerns around side effects and hormone sensitivity
• How to know when it might be time to speak to your GP

And as always, I bring it back to the bigger picture, because whether you choose to use HRT or not, your nutrition, lifestyle and daily habits still play a huge role in how you feel through perimenopause.

If you’re feeling unsure, overwhelmed, or just want clarity without the noise, this episode is for you.

Listen now and take the first step towards understanding what your body might need.

If you’d like more personalised support, you can explore working with me through Midlife Thrive, or start with my free hormone health quiz to understand what might be going on for you.

Take the Free Perimenopause Quiz!

• Find your perimenopause stage, uncover your priority health pillars, and get instant steps to feel better, all in one free quiz, here.

Join the Midlife Thrive Membership here.

Other Resources & Support

• Download my free Perimenopause Blueprint Guide
• Watch the Thriving Through Perimenopause Masterclass
• Explore 1:1 personalised support
• Listen to more episodes about perimenopause hormones and midlife health on the Empowered Perimenopause Podcast.
• Mira Hormone Tracking At-Home Testing Kit: 20% Off Discount Code: 2FRANLIPAROTI20

All available via my website, or feel free to email or DM me on Instagram if you’re unsure what support you need.

Support for the Empowered Perimenopause Podcast

Your support in listening to these episodes means the absolute world to me and helps me make an impact with my work, which is why I’m here. I’d be so grateful if you could subscribe/follow the show wherever you listen to podcasts, leave a review – 5 stars would be amazing and so helpful, if you’re happy to!