The Dose What’s new in menopause treatments?
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Feb 5, 2026 Dr. Kelsey Mills, a consultant ob-gyn and menopause specialist in Victoria, BC, who sits on national menopause organizations, discusses modern menopause care. She covers why hormone therapy is considered the gold standard. She explores new non-hormonal drugs for hot flashes, myths around bioidentical hormones, practical prescribing choices, exercise and diet tips, and when symptoms may signal other conditions.
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Match Treatment To Symptom Type
- Assess whether symptoms are systemic (hot flashes, sleep, mood, joints) or local (vaginal dryness, bladder) before choosing treatment.
- Consider route and cost: oral is cheaper, patch/gel may suit those with vascular risk factors.
Know When Not To Prescribe HRT
- Avoid HRT in people with recent blood clots, uncontrolled high blood pressure, significant heart disease, or active breast cancer.
- Also avoid starting HRT in those over 60 or more than 10 years past menopause without careful assessment.
Don't Use Vaginal Estrogen On Your Face
- Do not use vaginal estrogen creams on the face or non–Health Canada approved facial estrogen products.
- They can irritate skin and cause systemic side effects like vaginal bleeding or breast soreness.