Matters of Life and Death Unlocking the menopause, with Dr Rosslyn Perkins
Dec 17, 2025
Dr. Rosslyn Perkins, a seasoned GP and medical educator, dives into the complexities of menopause and hormone replacement therapy (HRT) from a Christian perspective. She addresses the skepticism some Christians have about using HRT and its implications on faith. The discussion covers the history of HRT, its risks versus benefits, and the importance of individualized health decisions. Rosslyn emphasizes the need for open conversations about menopause in churches, encouraging support for women experiencing this natural phase of life.
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Menopause Is A Retrospective Diagnosis
- Menopause is diagnosed retrospectively after 12 months without a period during a preceding perimenopause phase.
- Perimenopause causes irregular hormone bursts producing symptoms like hot flushes and brain fog.
HRT's Reputation Has Evolved
- HRT's reputation has swung between enthusiasm and caution since studies like the 2002 Women's Health Initiative.
- Later analysis and better hormones have softened earlier fears and revived appropriate HRT use.
Make HRT Decisions Individually
- Discuss HRT with your doctor using pictorial risk tools and take time to read and reflect before deciding.
- Consider personal and family history because risks and benefits must be individualized.