11/24/2025
Hi perimenopause/menopause friends! I get asked this all the time. Unfortunately, hormone therapy does NOT help with that pesky menopause weight gain BUT hormone therapy doesn’t worsen the weight gain either and will make you feel much better overall! The menopause society is the best resource for your research on all things menopause. We are in this together! 💙💙
Question: Should hormone therapy be used for weight loss?
No. Hormone therapy has favorable effects on body composition but typically does not result in weight loss.
There is a link between adiposity and menopause symptoms. Adiposity, and particularly central adiposity, is associated with increased vasomotor symptom severity. Although weight loss via lifestyle intervention has been associated with decreased frequency and severity of vasomotor symptoms, the effect of weight loss medications on vasomotor symptoms is limited.
There is preliminary evidence that hormone therapy use may augment response to weight loss medications, but additional study is needed before this can be recommended as standard practice in clinical care.
References:
The 2022 Hormone Therapy Position Statement of The Menopause Society available at https://tinyurl.com/22v85s8f
Practice Pearl: Pharmacologic Options for the Treatment of Overweight and Obesity