On average, women reach menopause at age 51, with perimenopause symptoms often appearing 7–10 years earlier. Patients are encouraged to start hormone replacement therapy (HRT) as soon as they begin to experience uncomfortable symptoms.

Medical associations, including The Medical Association and The Menopause Society, agree that it's safe for women to start HRT within 10 years of menopause and before the age of 60. HRT can be safely continued as long as needed, provided patients are monitored by their doctor and have no contraindications to ongoing treatment.

Studies show an increased risk of cardiovascular issues for women who start HRT after age 60. Therefore, Winona does not prescribe HRT for women 60 and older. Patient safety is our highest priority.