Hormone Replacement Therapy: Perspectives and Practices Among Female Dermatologists

Background: Menopause, marked by hormonal changes, impacts women’s health, including skin. Hormone Replacement Therapy (HRT) remains controversial following safety concerns from the Women’s Health Initiative study. Recent research highlights HRT’s benefits, such as reduced cardiovascular risks, fewer fractures and improved quality of life. However, the personal practices and recommendations of peri- and post-menopausal dermatologists regarding HRT remain understudied, despite their role in addressing hormone-related skin and hair issues. Objective: This study aims to explore the perceptions, personal practices and patient recommendations regarding HRT among female peri and post-menopausal dermatologists worldwide. Methods: An electronic questionnaire survey was conducted using internet-based platforms. The questionnaire was distributed to 250 female dermatologists globally. Data collected from complete questionnaires were analyzed statistically. Results: Regarding the personal practices of peri and post-menopausal dermatologists regarding HRT for themselves, we observed that half of the clinicians are under HRT which is mainly medicinal based. The reasons for their HRT initiation are heterogenous. The recommendations made by dermatologists to their female patients regarding HRT are mainly positives, but a minority have prescribed HRT for potential benefits beyond traditional indications. Conclusion: This study offers insight into the perspectives and practices of female dermatologists who are themselves experiencing menopause and who provide care to menopausal patients. Understanding the stance of these healthcare professionals on HRT may shed light on the broader discussions surrounding the use of HRT for women’s health and its potential impact on skin and hair-related concerns.