Episode 72 - Clearing the Air: The FDA Removes the Black Box on Estrogen
Description
For over two decades, the “black box” warning on hormone replacement therapy (HRT) has scared many women away from a treatment that can improve symptoms and protect long-term health. In this episode, I break down the history of the Women’s Health Initiative (WHI) study, how its results were misinterpreted, and what led to the widespread fear of HRT.
We’ll discuss the difference between bioidentical vs synthetic hormones, systemic vs vaginal estrogen, and the real risks versus benefits based on modern research. I also cover the FDA’s recent decision to remove the black box warning, why this is a game-changer for women’s health, and how you can have an informed conversation with your doctor to make the best choice for your body.
Whether you’ve been hesitant about HRT or are simply curious about the latest science, this episode gives you clarity, context, and empowerment to navigate menopause confidently.
Listen in to understand:
- What really happened after the WHI study and why HRT use plummeted
- The differences in hormone types and delivery methods
- How the FDA’s updated labeling changes the conversation
- Real-life impacts of HRT on women’s health, including mental health and sexual wellness
Thank you for listening and I would like to remind you that I have an amazing event coming up!
Registration is now OPEN for our next Flip Flops & Hot Flashes retreat in Cahuita, Costa Rica January 31 - February, 2026.
If you want to learn more, just go to flipflopsandhotflashes.com
Thank you for listening.



