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The 5 Reasons HRT Fails to Deliver Desired Results for Women

June 03, 20252 min read

The 5 Reasons HRT Fails to Deliver Desired Results for Women

By Rowan Sanderson, FDNP, Functional Diagnostic Nutrition Practitioner

If you’re like many of the women I’ve worked with, you were hopeful when your doctor first recommended HRT (Hormone Replacement Therapy). You wanted relief—from the exhaustion, the brain fog, the sudden weight gain, the libido drop, or the emotional ups and downs that left you feeling like a stranger in your own body.

But instead of the reprieve, your symptoms actually got worse!

If this happened to you, you're not alone.

The truth:
85% of the women we see at The Hormone Balance Clinic tell us HRT didn’t work—or even made them feel worse.

This doesn’t mean HRT is bad. In fact, it’s a super tool when used correctly. But far too often, it's deployed without the context your body needs to truly heal.

After interpreting over 1,000+ DUTCH hormone labs and spending more than 3,000 hours in 1:1 client sessions, I’ve seen clear patterns emerge.

In this article, I’ll walk you through the 5 most common reasons HRT fails—and what to do instead.


Pitfall #1 - Not determining if you are perimenopausal or menopausal.

Learn more in this short video:

Pitfall #2 - Inadequate and inaccurate testing

Learn more in this short video:

Pitfall #3&4 - Not managing stress & inflammation

Learn more in this short video:

Pitfall #5- Poorly understood use of testosterone

Learn more in this short video:

So… Is HRT Bad?

Absolutely not. When used in the right context, bioidentical HRT can be life-changing.

But it’s not a magic fix—and it's not meant to carry the weight of what’s really going on in your body.

If you’ve tried HRT and felt like it backfired—or you’re considering it but want to do it right—you’re not alone.


Next Step: Learn How to Use HRT the Smart Way

We formed this clinic precisely to offer a different solution that avoids these pitfalls and makes HRT work for you!

At The Hormone Balance Clinic, we specialize in guiding high-achieving women through the complexity of perimenopause & menopause with a clinically developed protocol that restores balance, promotes fat loss, improves focus and libido, and brings joy back into your body.

Click below to learn more about our “Balance, Quench, Calm” program and book a consultation:

👉 Learn About Balance, Quench, Calm

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