Navigating Menopause: Understanding Hormone Replacement Therapy with Dr. Maureen O. Khoo, MD, FACOGMenopause is a natural biological process that marks the end of a woman’s reproductive years. While every woman experiences menopause differently, many face symptoms that can significantly impact their quality of life. Hormone Replacement Therapy (HRT) has emerged as a safe and effective treatment option to alleviate symptoms and support overall well-being. At the practice of Dr. Maureen O. Khoo, MD, FACOG, women can find expert care and individualized guidance through this important life stage.

What Is Menopause?

Menopause typically occurs between the ages of 45 and 55 and is diagnosed after a woman has gone 12 consecutive months without a menstrual period. It is caused by a natural decline in the reproductive hormones estrogen and progesterone.

Common Symptoms Include:

  • Hot flashes and night sweats

  • Sleep disturbances

  • Mood swings and irritability

  • Vaginal dryness

  • Decreased libido

  • Memory and concentration issues

  • Weight gain

  • Bone density loss

For many, these symptoms can interfere with daily life, relationships, and emotional well-being.

What Is Hormone Replacement Therapy (HRT)?

Hormone Replacement Therapy (HRT) replenishes estrogen and, in some cases, progesterone, to levels that ease menopausal symptoms. HRT can be delivered in several forms including pills, patches, creams, gels, and vaginal rings.

There are two main types:

  • Estrogen-only HRT – for women who have had a hysterectomy.

  • Combined HRT – for women who still have their uterus, combining estrogen and progesterone to protect the uterine lining.

Benefits of HRT

When administered under expert supervision, such as by Dr. Khoo, HRT offers several key benefits:

  • Reduction of hot flashes and night sweats

  • Improved sleep and mood stability

  • Increased bone density and fracture prevention

  • Relief from vaginal dryness and improved sexual function

  • Enhanced quality of life during and after menopause

Is HRT Safe?

Safety concerns related to HRT are often based on older studies that have since been reevaluated. Current guidelines support the use of HRT for healthy women under the age of 60 or within 10 years of the onset of menopause. Dr. Khoo carefully evaluates each patient’s medical history, risk factors, and personal preferences to ensure the safest and most effective treatment plan.

Frequently Asked Questions About Menopause & HRT

Q: How do I know if I’m in menopause?

A: If you’ve gone 12 consecutive months without a period and are experiencing symptoms like hot flashes, mood changes, or vaginal dryness, you may be in menopause. Dr. Khoo can confirm this with a review of your symptoms and, if needed, hormone level testing.

Q: What is the best age to start HRT?

A: The ideal time to begin HRT is typically within 10 years of menopause onset or before the age of 60. Starting within this window is associated with the most benefit and the lowest risk.

Q: How long can I stay on hormone replacement therapy?

A: The duration of HRT is personalized. Some women use it for a few years to manage symptoms, while others may continue longer under medical supervision. Dr. Khoo will monitor your health regularly and adjust your plan as needed.

Q: Are there natural alternatives to HRT?

A: Yes. Lifestyle changes, dietary supplements, and herbal remedies may help mild symptoms. However, they may not be as effective for moderate to severe symptoms. Dr. Khoo can help you evaluate natural options and how they compare to HRT.

Q: Can HRT increase the risk of breast cancer or heart disease?

A: For most healthy women under 60, the benefits of HRT outweigh the risks. Some studies have linked long-term HRT use with a slight increase in breast cancer risk, but this depends on the type of HRT and how long it’s used. Dr. Khoo will discuss all risks and benefits to help you make an informed decision.

Q: What lifestyle changes can help ease menopause symptoms?

A: Regular exercise, a balanced diet, stress management, and good sleep hygiene can significantly ease symptoms. Avoiding alcohol, caffeine, and spicy foods may reduce hot flashes. Dr. Khoo can help tailor a wellness plan that works for you.

Personalized Menopause Care with Dr. Maureen O. Khoo

Dr. Maureen O. Khoo brings compassionate, evidence-based care to women navigating menopause. With board certification in obstetrics and gynecology and years of experience, she ensures each woman receives tailored support that prioritizes safety, comfort, and quality of life.

Whether you’re seeking relief from symptoms, want to explore HRT options, or are looking for a natural approach, Dr. Khoo offers trusted guidance every step of the way.

Contact Information

Maureen O. Khoo, MD, FACOG
📞 Phone: (408) 364-2440
📍 Locations:

  • 320 Dardanelli Lane, Suite 20, Los Gatos, CA 95032

  • 2490 Hospital Drive, Suite 209, Melchor Pavilion, Mountain View, CA 94040
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Don’t let menopause disrupt your life. Schedule a consultation with Dr. Khoo today and take the first step toward balanced hormones and renewed vitality.

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