Can I pause or stop BHRT?
BHRT can be paused or tapered under provider review. Symptoms may return over weeks. Some patients use BHRT for a defined window; others continue long term. Decisions integrate symptoms, biomarkers, and personal/family history.
Full answer
BHRT is discontinued or tapered under provider review. Symptoms (vasomotor, sleep, mood, genitourinary) may return over weeks. Duration decisions integrate symptom burden, biomarkers, time since menopause onset, personal and family history, and patient goals. Some patients use BHRT for a defined symptomatic window; others continue long term with periodic risk-benefit review. Local vaginal estradiol may be continued independently. Every decision is synchronous-video reviewed.
Educational. Not a substitute for individualized provider review.
- BHRT Optimization pathway — Primary source · oMeds
- Reviewed by Dr. Laura Purdy, MD, MBA · Clinical Director, oMeds · Last reviewed 2026-06-03