HRT without hot flashes: appointment note
The HRT Index Editorial Team · Evidence checked October 14, 2026

Fill this out privately and bring it to your clinician. Leave uncertain answers as "not sure." You do not need hot flashes to ask for help, and this note does not determine whether HRT is appropriate. Do not send completed health information to site analytics or affiliate links.

I don't have hot flashes. Here's what I need help with.

My main concern is: ______
It started: ______
It happens about ______ days or nights a week.
It affects my daily life by: ______
My periods or bleeding have changed this way: ______ / not sure
Night sweats: yes / no / not sure
Medicines, birth control and supplements I use: ______
What I've tried, for how long, and what happened: ______
Health history or operations to discuss: ______
My main goal for this visit: ______

Questions for my clinician

What are the likely causes of this, and does anything else need checking?
What evidence supports HRT for my main concern — not for hot flashes in general?
Would local treatment, whole-body treatment or a non-hormonal approach fit my goal?
What's the exact medicine? Is it an FDA-approved product, and is this an approved use?
If whole-body estrogen is suggested, how will my uterus lining be protected?
Which risks or side effects matter most with my history?
How will we decide whether it's helping, and when will we review it?
What should make me contact you sooner?
What will the visit, medicines, tests and follow-up cost?
How do refills work, and what happens if I leave the service?
This is our original preparation aid based on the evidence on this page. It isn't a validated questionnaire, a diagnosis or a treatment plan.

Sources and purpose
This original editorial preparation aid organizes questions; it does not reproduce a validated questionnaire or recommend a drug or dose.

[The Menopause Society, 2022 hormone therapy statement](https://menopause.org/wp-content/uploads/professional/nams-2022-hormone-therapy-position-statement.pdf) · [NICE NG23](https://www.nice.org.uk/guidance/ng23/chapter/Recommendations) · [International POI guideline](https://www.asrm.org/practice-guidance/practice-committee-documents/evidence-based-guideline-premature-ovarian-insufficiency--2024/).

Talk to a licensed clinician before starting, stopping or changing hormone therapy. Do not wait for a planned review to ask about unexplained bleeding, a possible infection or other concerning symptoms.