Which specialist performs hormone replacement therapy?

The specialist reviews symptoms such as hot flushes, night sweats, vaginal dryness, or sleep disruption alongside your menstrual and medical history. They discuss whether oestrogen, a progestogen, or another plan fits your situation. The form may be a tablet, patch, gel, spray, or local vaginal treatment. If you have a uterus, the clinician considers womb-lining protection when systemic oestrogen is prescribed.

Book an appointment with an obstetrician-gynaecologist and bring a list of medicines, previous diagnoses, surgeries, allergies, and the date of your last menstrual period if relevant. Mention migraine, blood-clot history, liver disease, unexplained vaginal bleeding, breast concerns, or a history of hormone-sensitive cancer. The clinician may suggest examination or tests before choosing treatment and will explain follow-up.

Seek urgent care for sudden chest pain, trouble breathing, one-sided leg swelling or pain, new weakness, or heavy unexpected bleeding. Contact the prescribing clinician promptly for new bleeding after treatment has settled, severe headache, jaundice, or a new breast change. These symptoms need assessment rather than an automatic change to your hormones.

Ask which symptom the treatment is intended to improve, whether local or systemic therapy is appropriate, how risks may relate to your history, when benefits should be reviewed, and what bleeding pattern or side effect should trigger a call.