Print this page before your appointment. Type or write your answers as you talk — the fields are editable on screen too.
Questions about MHT
Questions marked ⚠️ are especially important if you have risk factors — migraine with aura, BMI 30+, or family history of breast cancer.
1.Is hormone therapy right for me — given my symptoms and my health history? If not, why?
2. ⚠️Which delivery method would you recommend — patch, gel, or pill — and why?
3.Which progestogen are you planning to prescribe — micronized progesterone or a synthetic one? And why that one?
4. ⚠️What are the specific risks for me — given my family history, weight, and lifestyle? What are the absolute numbers?
5.How often do I need to come in for review? What tests or screenings do I need while I'm on therapy?
Questions about non-hormonal options
1.I've tried lifestyle changes (exercise, sleep hygiene, nutrition adjustments) and they haven't been enough. What non-hormonal prescription options would you recommend for my specific symptoms?
2.I've read about newer non-hormonal prescription medications for hot flashes — including NK3R antagonists like fezolinetant. Are any of these available here and appropriate for me?
3.Are there any supplements where the evidence is encouraging enough that you'd consider recommending them — for example, magnesium for sleep or a standardized isoflavone product for mild hot flashes?
If the conversation gets difficult
If your doctor dismisses your concerns:
"I understand this might not be your area of expertise. Could you refer me to a doctor who specializes in menopause?"
If they suggest only an antidepressant without discussing other options:
"I'd like to understand why you're recommending an antidepressant rather than MHT. Can we discuss both options and compare them for my situation?"
If they say "let's wait and see":
"I'd like to understand what specific criteria we'd need to see before revisiting this conversation. Can we set a clear timeline — say, three to six months — so I know when to come back?"