HRT
Confused about HRT? Get clear, evidence-based guidance on safety, dosing, benefits, and who is eligible according to the 2025 BMS and NICE updates.
HRT Explained: What the Latest Guidelines Really Say (2025 Update)
HRT is one of the most misunderstood treatments in women’s health. Many women are unsure whether it’s safe, whether they’re “allowed” it, or which type they need.
Here’s the good news: the latest BMS and NICE guidelines confirm that HRT is safe and effective for most women under 60. Let’s break it down simply, clearly, and with zero scaremongering.
H2: Key Facts Every Woman Should Know
1. Transdermal oestrogen is the safest option This includes patches and gels and carries the lowest clot risk.
2. Micronised progesterone is body-identical It is usually much better tolerated and has a favourable safety profile.
3. Testosterone can help some women It supports libido, energy and cognition in women with low levels.
4. A family history of breast cancer doesn’t always mean “no HRT” Most women can still use HRT safely with the right guidance.
Practical Tips for Using HRT Well
Apply gels/patches at consistent times
Don’t be afraid of adjusting the dose — “low dose” isn’t always enough
Review your treatment every 6–12 months
Always use progesterone if you have a uterus
Not sure which HRT is right for you? Book your HRT review with Bristol Menopause Clinic and get a personalised treatment plan.