At Dallas Cosmetic Center, we’re dedicated to helping you feel confident, vibrant, and in control of your wellness journey. That’s why the recent landmark update from the U.S. Food and Drug Administration (FDA) regarding hormone replacement therapy (HRT) is the kind of news that truly matters to our patients.
What changed?
In November 2025, the FDA announced that it is initiating the removal of the broad “black box” warnings from menopausal HRT products that treat symptoms such as hot flashes, night sweats, and vaginal dryness.
These warnings had long communicated major risks like cardiovascular disease, breast cancer, and dementia — warnings placed after the landmark 2002 Women’s Health Initiative (WHI) trial.
The updated labeling is based on a comprehensive review of current scientific evidence, reflecting a more nuanced understanding that the benefit-risk profile of HRT differs depending on timing (relative to menopause onset), formulation (systemic vs. topical), and individual health status.
Why this matters to you
• Reduced stigma, improved access: For years, many women avoided HRT due to outdated warnings, even when they were good candidates. The FDA’s decision opens the door for more informed, evidence-based conversations.
• Timing matters: Research shows that women who begin HRT within about 10 years of menopause (or before age 60) often experience more favorable outcomes — including fewer fractures, improved cognition, and better quality of life.
• Tailored therapy: At Dallas Cosmetic Center, we specialize in individualized hormone treatment based on your age, symptoms, health history, and goals. The new FDA labeling supports this personalized approach rather than a one-size-fits-all fear-based model.
• Enhanced wellness: When used appropriately, HRT may support bone health, heart health, and cognitive function — benefits that past black box warnings did not fully communicate.
What you should know
HRT remains a prescription therapy, and while the broadest warnings are being removed, it is still essential to review your medical history with a knowledgeable clinician — especially regarding breast cancer, clotting disorders, or uterine status.
Some boxed warnings remain; for example, systemic estrogen-alone therapy in women with a uterus still carries a warning about endometrial cancer risk.
Multiple formulations exist — oral, transdermal patches, and localized vaginal therapies — each with different absorption levels and risk profiles. The updated labeling reflects these distinctions.
Choosing to begin HRT should be a thoughtful, collaborative decision based on your symptoms, timing of menopause, personal medical history, and wellness goals. At Dallas Cosmetic Center, we specialize in bioidentical hormone therapy and personalized care, guiding you every step of the way.
How Dallas Cosmetic Center can help
We provide expert support for women in perimenopause and menopause, including:
• Comprehensive hormone testing and individualized treatment plans
• Bioidentical hormone replacement therapy tailored to your needs
• Holistic wellness services, including optional body-contouring and weight-management support
• Clear discussions about benefits, risks, and monitoring
• Affordable financing through CareCredit with low-interest plans, no upfront costs, and no pre-payment penalties
Next steps for you
If you’re experiencing symptoms such as hot flashes, night sweats, mood changes, sleep disturbances, vaginal or urinary discomfort, low energy, or changes in body composition, now is an ideal time to explore whether hormone therapy is right for you.
Call us at 972-279-9000 to schedule your consultation. We’ll help you understand the evolving science and create a treatment plan that reflects your personal needs and wellness goals.
At Dallas Cosmetic Center, our mission is to empower you with up-to-date information, personalized care, and confidence in your health journey. With the FDA’s recent action, the conversation around hormone replacement therapy has changed — and we’re here to help you benefit from it.