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FDA Reverses Decades-Old Warning on Hormone Therapy Products for Menopause

  • On Nov. 10, the U.S. Food and Drug Administration announced it will remove boxed warnings from all hormone replacement therapies, a change presented by HHS Secretary Robert F. Kennedy Jr. and FDA Commissioner Dr. Marty Makary.
  • The 2002 Women’s Health Initiative trial was halted early after links to higher stroke, blood clot and breast cancer rates, prompting caution and a boxed warning that reduced hormone therapy prescriptions for more than 20 years.
  • The FDA convened an expert panel in July to review evidence, and officials say the decision followed a comprehensive literature review and public input, while recent analyses found fewer risks for early hormone therapy users.
  • Alongside the announcement, the FDA approved a newly approved generic Premarin and a non-hormonal therapy for hot flashes, while updating prescribing information with lower boxed warnings and guidance to start treatment in women younger than age 60 or within 10 years of onset of menopause.
  • Advocates say the move could change care for millions because more than 40% of U.S. women are in perimenopause or beyond, and hormone therapy use fell from about 40% to about 5%.
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Ms. Magazine broke the news in on Monday, November 10, 2025.
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