Not necessarily. Age is a factor, but it’s not a hard no, it just means we need to consider things a little more carefully.
If you’re over 60 or it’s been more than 10 years since your last period, starting MHT can carry a slightly higher risk of things like blood clots or stroke depending on your overall health. But for many women, the benefits, like reduced hot flushes, improved sleep, vaginal comfort, bone protection, and better quality of life still outweigh the risks.
I take a case-by-case approach, looking at your personal and family history, heart health, and lifestyle. Sometimes I’ll suggest starting low and slow, or exploring other treatments first. But being older doesn’t automatically rule you out.
If symptoms are affecting your quality of life, it’s always worth having the conversation.