05/04/2026
With commercially available estrogen and progesterone products now covered by the BC government, we are seeing growing mainstream recognition of the importance of hormone replacement therapy in women’s health.
For far too long, many women were told to simply “push through” symptoms of perimenopause and menopause that can profoundly affect quality of life, sleep, mood, cognition, metabolic health, bone density, cardiovascular health, relationships, and overall wellbeing.
The increasing acceptance of HRT represents meaningful progress.
That said, hormone therapy should still be approached thoughtfully and individually.
While more physicians are thankfully becoming comfortable prescribing estrogen and progesterone, I strongly encourage women to seek out a medical doctor who is appropriately trained in hormone health and who personalizes treatment.
There is far more to hormone optimization than simply prescribing estrogen and progesterone.
All of the s*x and neurosteroid hormones matter, including:
• pregnenolone
• DHEA
• testosterone
• progesterone
• and the various forms of estrogen
Hormones exist in a dynamic and interconnected system, and treatment should reflect the uniqueness of the individual patient.
Testing, symptom patterns, age, goals, sensitivities, metabolism, risk factors, and stage of life all matter.
Good hormone medicine is personalized medicine — not one-size-fits-all medicine.
I’m encouraged to see women’s hormonal health finally receiving the attention and legitimacy it deserves. 💛