New guidelines back use of hormone therapy for menopause, perimenopause symptoms. Here's what to know.

TL;DR

ACOG now recommends hormone replacement therapy (HRT) as the first-line treatment for hot flashes and night sweats associated with menopause and perimenopause.
This marks the first significant change in guidance from the leading OB-GYN organization in over a decade.
HRT aims to alleviate symptoms caused by drops in estrogen and progesterone and can help prevent osteoporosis.
Eligibility for HRT excludes women with a history of blood clots, stroke, liver disease, or breast cancer.
Newer research suggests HRT can be safe and effective for many women when started before age 60 or within 10 years of menopause onset, with some studies indicating potential benefits in slowing biological aging.
Non-hormonal options are available for women not eligible for HRT, and consultation with a menopause-trained specialist is advised.

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