New guidelines back use of hormone therapy for menopause, perimenopause symptoms. Here’s what to know.

October 16, 2026 / 11:01 AM EDT / CBS News

The American College of Obstetricians and Gynecologists has released new guidance for the treatment of common menopause and perimenopause symptoms, including recommending hormone replacement therapy for many women with hot flashes and night sweats.

It's the first time in more than a decade that the group, which is the leading OB-GYN professional organization in the United States, is changing its advice on the use of hormone therapy for menopause and perimenopause.

"Hormone replacement therapy is now the first line" for vasomotor symptoms including hot flashes, night sweats and sleep issues, said Dr. Kameelah Phillips, an OB-GYN and menopause specialist.

"Before, we used to say, 'Here's an antidepressant. Make sure you work out. Why don't you try a glass of wine?' All of those were not helpful," Phillips said in an interview on "CBS Mornings." "We're using hormones mainstream now."

Most menopause symptoms are caused by steep drops in the hormones estrogen and progesterone, typically in a woman's late 40s or early 50s. Those hormone drops result in hot flashes, night sweats and other symptoms. Low levels of estrogen and progesterone can also lead to reduced bone density, increasing the risk…

Original source: https://www.cbsnews.com/entertainment/