HRT and Menopause: FAQs from Our Vancouver & Abbotsford Clinic
“I’m 44 and in perimenopause. Lately I’ve been putting on weight around my stomach even though I’m eating well and staying active. I used to love doing cardio, but had to cut back because of the cortisol. I miss feeling strong in my body.”
She didn’t post this looking for attention. She shared it in a private group of women going through the same thing, hoping someone might understand what she was feeling.
This is what hormonal change can look like in midlife. It’s often gradual, sometimes sudden, and almost always dismissed. But what many people don’t realize is that these changes can be supported — and hormone replacement therapy may be part of that support.
What Is Hormone Replacement Therapy?
What is HRT? Hormone Replacement Therapy is a medical treatment that restores important hormones when the body begins to produce less of them. This often includes estrogen, progesterone, and in some cases, testosterone.
When hormone levels shift during perimenopause or menopause, it can affect every part of daily life. When things feel out of balance, even getting through the day can take more effort than it used to. HRT is one way to help bring things back into alignment.
Is It Safe?
That’s one of the most common questions, and for good reason.
When HRT is prescribed by a medical professional who understands your health history and monitors your progress, it can be a safe and effective option. That’s why Dr. Mark Godley takes a comprehensive approach to hormone care.
“We don’t base treatment on age or averages,” says Dr. Godley. “We look at how you feel, what your body is showing us, and how to restore balance in a way that works for your goals.”
At Godley Clinic, with offices in Vancouver and Abbotsford, each patient receives a personalized care plan. Some patients also choose to do DUTCH hormone testing for deeper insight into how their body processes hormones.
What People Often Ask during their consultation with Dr. Godley
How do I know if hormone therapy is right for me?
If you’re noticing changes in your energy, mood, sleep, memory, or weight — and nothing seems to help — it might be worth having your hormones assessed. You don’t need to wait for menopause to have this conversation.
Is HRT only used for menopause?
It’s commonly used during menopause, but many patients begin during perimenopause. It can also support men experiencing age-related hormone decline.
Can HRT help with weight gain?
HRT is not a weight loss treatment, but many people find that it supports other changes. When hormones are imbalanced, it’s harder to build muscle, manage blood sugar, or sleep well. Restoring balance can make it easier for your body to respond to movement and nutrition again.
What about mood or anxiety?
Hormones have a direct effect on how we feel. Estrogen and progesterone influence serotonin and other brain chemicals that affect mood and stress response. Some patients report feeling more emotionally steady once their hormones are supported.
What’s the difference between HRT and BHRT?
HRT is a general term. BHRT refers specifically to bioidentical hormone replacement therapy. These are hormones designed to match the structure of what your body naturally produces. They’re often plant-based and are available in several forms, including creams, patches, and capsules. At the clinic, both options are offered depending on your needs.
Do I need a prescription in Canada?
Yes. All forms of hormone replacement therapy require a prescription and medical supervision in Canada. At Godley Clinic, your care is overseen by a licensed medical doctor with expertise in hormone health.
How long before I feel better?
Some people notice changes in a few weeks. For others, it may take a little longer. The process is closely monitored, and adjustments can be made as your body responds.
Is it covered by insurance?
Some private health plans do offer coverage for certain prescriptions or lab tests. We’re happy to help you check what’s included in your plan.
You’re Not Imagining It
If you’re feeling like something’s off and you’ve been told everything looks “normal,” you’re not the only one. These symptoms are real, and they’re worth paying attention to.
At Godley Clinic in Vancouver and Abbotsford, we take your experience seriously. Whether you're just starting to wonder about perimenopause or you've been dealing with symptoms for a while, you don’t need to figure it out alone.
If you’re ready to feel more like yourself again, we’re here to help you take that first step. Book your consultation with Dr. Godley.
