Listening First: Why Menopause Care Should Be Symptom-Driven, Not Lab-Driven

Menopause is a deeply personal experience, and each woman’s journey is unique. For many, the earliest signs—hot flashes, night sweats, sleep disruption, mood changes, and vaginal dryness—are what prompt the first conversations about care. Although hormone tests may seem like a natural next step, the truth is that your symptoms, not your lab results, are the most reliable guide to effective treatment.

In recent years, there’s been a cultural shift. Menopause is no longer whispered about; it’s being discussed openly in media, on social platforms, and by high-profile advocates. Women are empowered to seek relief, and as a result, the use of menopausal hormone therapy (MHT) has risen sharply across the globe. Despite this growing awareness, many primary care providers still feel unprepared, and some patients are being swayed by trendy testing and wellness services rather than evidence-based care.

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