02/03/2026
I was asked today whether hormone replacement therapy (HRT) can only be used for 10 years.
The short answer: not necessarily—especially if you are my patient.
Some current guidelines suggest limiting HRT to about 10 years because of a perceived shift toward higher risks versus benefits. However, more recent evidence shows that appropriately prescribed HRT can be cardioprotective, bone-protective, and protective for genitourinary health when used in the right patient, at the right time, and with proper monitoring.
Functional Medicine follows the evidence—but it also individualizes care. This is not a one-size-fits-all approach or a single pill for everyone. Treatment is tailored to what each patient actually needs. We collaborate, monitor risks closely, and make informed decisions when the benefits clearly outweigh the risks, always prioritizing quality of life.
Women also do not need to wait until symptoms become severe to consider HRT. Bioidentical hormones can help reduce symptoms and may also play a role in preventing longer-term health issues when started appropriately.
I am a Family Nurse Practitioner and a Psychiatric Mental Health Nurse Practitioner specializing in Functional Medicine and Integrative Psychiatry.