Hormones & HRT - Working with a clinician
The right questions to ask about HRT
Last reviewed 13 August 2026. How we write this .
A set of questions that help you get honest, individual answers about HRT from a qualified clinician - so the decision is informed, shared and reviewed over time.
Start here A set of questions that help you get honest, individual answers about HRT from a qualified clinician - so the decision is informed, shared and reviewed over time.
By the end, you will understand Questions worth asking Making it a shared decision
Where this information comes from Claim-cited evidence. Central research claims on this lesson are linked to specific studies or official guidance.
This lesson links the specific studies and guidance used for its central claims.
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The best hormone decisions are made in conversation with a doctor who knows your history. Good questions make that conversation more useful. The point is not to arrive with a conclusion, but to understand the reasoning - why something is being suggested, what the trade-offs are for you specifically, and how it will be watched over time. This lesson offers prompts, not answers, and certainly not doses.
Questions worth asking
Given my history, what benefits might I realistically expect, and how likely are they? What are the risks in my case, and how do my age and medical history change them? Are there non-hormonal options worth considering first or alongside? Why this particular form, and what makes it suitable for me? How will we check whether it is helping, and how will we monitor for problems? What would make us reconsider, pause or stop?
Making it a shared decision
A good clinician will welcome these questions and will be candid about uncertainty, because honest medicine includes saying what is not known. If benefits are presented with no mention of risk, or if you feel rushed toward a decision, that is a reason to ask for more time or a second opinion. A decision about hormones is one you should understand, not just consent to.
It also helps to treat any HRT decision as something that gets reviewed, not settled once. Bodies, circumstances and evidence all change, and a plan that made sense at one point may be worth revisiting later - which is another reason this belongs in an ongoing clinical relationship rather than a single transaction.
This classroom is educational and is not medical advice. These prompts are to help you talk with a qualified doctor, not to reach a decision on your own or to suggest that HRT is right or wrong for you. Any starting, stopping or changing of hormone therapy must happen with, and be monitored by, your clinician.
Related in this classroom The studies behind this page Recommendations: discussing management options and reviewing treatment - NICE guideline NG23, updated 2026
Sources for this classroom
Educational content only. Not medical advice, diagnosis or treatment. Always consult a qualified healthcare professional before changing your health regimen.