Menopause Talks
Are You Too Old for Hormone Therapy?
Recently, I received a letter from a woman who is 65 years young.
She had been to three doctors, all with the same concern: because of her age, they were not comfortable continuing her hormone therapy.
But that wasn’t the part of her letter that stayed with me.
It was what she described about her life before and after treatment.
Before hormones, she had begun withdrawing. Her motivation was gone. She didn’t feel like herself.
Then something changed.
She felt happier. More engaged. More like the woman she remembered being.
And she was terrified of losing that.
As I read her letter, I thought, How many other women are quietly wondering the same thing?
Sometimes Menopause Doesn’t Look the Way You Expect
When most people think about menopause, they think about hot flashes and night sweats.
But that’s not always what brings a woman into my office.
Sometimes she says, “I don’t know what’s wrong. I just don’t feel like myself.”
She’s still getting through her day.
Still going to work.
Still taking care of her family.
Still showing up when people need her.
But the things she used to enjoy don’t light her up in the same way. She has less motivation. She turns down invitations. She finds herself wanting to be alone more often.
Nothing may look dramatically wrong from the outside.
But she knows something has changed.
And when a woman tells me that, I don’t think it should be brushed aside simply because her symptoms don’t fit neatly into the usual picture of menopause.
🤔 Is There an Age When Hormone Therapy Should Stop?
This is where the conversation becomes more complicated.
The woman who wrote to me had been told that, at 65, she might be too old to continue hormone therapy.
I understand why some physicians are cautious. They are trying to make careful, safe decisions, and there are real risks and individual factors that deserve thoughtful consideration.
But I also believe there is more to consider than age alone.
There isn’t one age when every woman’s health needs suddenly become the same.
🌿 Menopause care is personal.
Hormone therapy may not be appropriate for every woman, and age is certainly part of the conversation. But it should not be the only thing we look at.
The real question is: What is happening with you?
I Don’t Look at Your Age First. I Look at You.
When a woman comes to me with questions about hormones, I want to hear her whole story.
What was going on before treatment?
What changed after?
How do you feel now?
What symptoms are affecting your day-to-day life?
What does your personal health history tell us?
And what are the potential benefits and risks for your specific situation?
I don’t want to make assumptions based on a number before I’ve even heard your story.
Because your age is part of your health history.
It is not the whole story.
💬 Your Experience Deserves to Be Part of the Conversation
One thing I care deeply about is quality of life.
Not in an abstract way. In the everyday moments that make life feel like yours.
💛 Do you have the energy to enjoy time with your family?
🤝 Do you feel connected to the people you love?
✨ Are you still interested in the things that used to bring you joy?
🌿 Do you feel like yourself?
Those questions matter to me.
Feeling vibrant doesn’t stop being important at 65.
It doesn’t stop being important at 75, either.
That doesn’t mean every symptom has a single answer or that a single treatment is right for everyone.
But it does mean I believe women deserve to be heard.
📝 Two Things You Can Do Before Your Next Appointment
If you have questions about your menopause treatment, start with your own story.
🔍 Pay attention to what has changed.
Don’t just focus on the symptoms you think you are supposed to mention. Notice your sleep, mood, energy, motivation, and how you’re feeling in your relationships and daily life.
✍️ Write down the questions you don’t want to forget.
If you’ve been told something is “normal” but you’re still struggling, ask for more information. Ask what is being considered and why.
Sometimes the most important step is simply allowing yourself to say, “I want to understand this better.”
Your Story Is Worth the Conversation
This woman’s letter reminded me of something I see again and again.
Many women are carrying questions they haven’t asked.
Maybe they don’t want to be a bother.
Maybe they assume nothing can be done.
Maybe they’ve been told, “That’s just part of getting older.”
But if something has changed and you don’t feel like yourself, your experience is worth talking about.
Please don’t assume your question is too small or that you’re the only one wondering.
If you have a question about perimenopause or menopause, send me an email. I can’t promise that I’ll be able to answer every message personally, but your question may lead to a future conversation that helps another woman, too.
Because chances are, if you’re wondering about it, you’re probably not the only one.
Ready to Better Understand Your Menopause Journey?
Your age is one part of your story. Your symptoms, health history, and quality of life matter, too.
📘 Download my FREE Perimenopause Power Guide. It’s a helpful place to start if you want to better understand the changes that can happen during perimenopause and begin asking more informed questions about your health.
And if you’re looking for more personalized guidance:
📅 Schedule a Free Discovery Call. I’d love to hear more about what you’ve been experiencing and talk about whether working together may be the right next step.
Because you deserve more than a quick answer based on your age.
You deserve a conversation that starts with YOU.
DISCLAIMER: The information in this blog is not intended nor implied to be a substitute for professional medical advice, diagnosis, or treatment. All content is for general informational purposes only and does not replace a consultation with your physician or qualified healthcare provider.
