Big news if you haven't heard: in November 2025, the FDA announced it would remove the "black box" warnings from most estrogen hormone therapy products, and the new labels note that starting within 10 years of menopause may bring long-term benefits. (One warning stays: women who still have a uterus need progesterone with estrogen to protect the uterine lining.) That means more providers are open to the conversation. Here's how to make the most of it. Screenshot this and bring it with you. About you 1. Based on my symptoms, am I a good candidate for hormone therapy? 2. Do I need labs first, or can we start based on my symptoms? 3. How does my personal and family history (breast cancer, blood clots, stroke, heart disease, migraines with aura) affect my options? 4. How does my age and time since my last period affect the benefits and risks for me? About the options 5. Patch, gel, spray or pill: which form of estrogen is best for me, and why? (Ask about clot risk; skin forms are generally considered lower risk than pills.) 6. I still have my uterus. Which progesterone will I take? Is micronized (body-identical) progesterone an option? 7. Would vaginal estrogen help my dryness, painful sex or bladder symptoms? Can I use it with or without systemic HRT? 8. Is testosterone an option for low libido, and how would we monitor it? About what to expect 9. How soon should I notice a difference, and which symptoms usually improve first? 10. What side effects are normal at the start, and which ones should I call you about? 11. What bleeding is expected, and what isn't? 12. When is my follow-up, and will we adjust based on symptoms, labs or both? 13. If I take thyroid medication, should we recheck my thyroid after I start? If HRT isn't right for you 14. What non-hormonal options are there for hot flashes, sleep and mood? Tips: Bring your symptom log, your current medications and supplements, and the dates of your last mammogram and Pap test. If you feel rushed or dismissed, it's okay to ask for a referral to a menopause-trained provider.