Finding the right HRT during perimenopause when you have HS can be tricky, since hormone fluctuations can both trigger and ease symptoms. There isn't a one-size-fits-all answer — the best option really depends on your individual health history, risk factors, and how your HS is currently behaving.
What's important to know Show Full Answer
Finding the right HRT during perimenopause when you have HS can be tricky, since hormone fluctuations can both trigger and ease symptoms. There isn't a one-size-fits-all answer — the best option really depends on your individual health history, risk factors, and how your HS is currently behaving.
What's important to know is that HRT *can* aggravate HS and cause more flare-ups in some people. If you're already on HRT and noticing more flares, let your doctor know right away. Before starting or adjusting HRT, your doctor should review:
- Your personal medical history
- Family history
- Risk of blood clots, stroke, or cardiovascular issues
- How your HS symptoms are currently presenting
Some myHSteam members have had mixed experiences. One member shared that being on HRT for eight years didn't make a noticeable difference in their HS flares, while another noticed a significant flare-up after starting HRT following a hysterectomy. The most important step is having an open conversation with both your dermatologist and gynecologist together, so they can collaborate on the best hormonal approach for your HS specifically. Dermatologists and gynecologists working as a team tends to lead to much better outcomes.
May 29