This is what most women don’t know about hormone replacement therapy (HRT): Timing matters more than age. The key isn’t whether you’re 45 or 55 when you start HRT; it’s when you start relative to your menopause transition.
This concept, called the “therapeutic window” or “timing hypothesis,” accounts for nearly all of the modern controversy surrounding hormones. The wrong therapy, given to the wrong patients, at the wrong time, created decades of confusion.





