Matters of Life and Death Unlocking the menopause, with Dr Rosslyn Perkins
Dec 17, 2025
Dr. Rosslyn Perkins, a seasoned GP and medical educator, dives into the complexities of menopause and hormone replacement therapy (HRT) from a Christian perspective. She addresses the skepticism some Christians have about using HRT and its implications on faith. The discussion covers the history of HRT, its risks versus benefits, and the importance of individualized health decisions. Rosslyn emphasizes the need for open conversations about menopause in churches, encouraging support for women experiencing this natural phase of life.
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Make HRT Decisions Individually
- Discuss HRT with your doctor using pictorial risk tools and take time to read and reflect before deciding.
- Consider personal and family history because risks and benefits must be individualized.
HRT Risks Depend On Regimen
- The main headline risk for systemic HRT is a small increase in breast cancer detection rather than a clear increase in mortality.
- Risk profiles differ between estrogen-only and combined estrogen-progesterone regimens.
Use Local Treatments Before Systemic Options
- Consider topical vaginal estrogen for local urogenital symptoms because it's safe and effective without systemic HRT.
- Reserve systemic testosterone for specialist-managed loss of libido after optimizing estrogen.