Heather Hirsch MD, MS, MSCP

Expert menopause clinician on a mission to treat, train, and use technology to support women in midlife. Order my new book 'The Perimenopause Survival Guide'

[Heather Hirsch MD, MS, MSCP @heatherhirschMD]

Just one week away from a life-changing event and conversation with Oprah on menopause. I am honored to have been a part of this incredible class. To watch, head to https://t.co/d1CRXl6BSe to check out the live your best life series, and become an O Daily insider!

[Heather Hirsch MD, MS, MSCP @heatherhirschMD]

Read more: https://t.co/z5LSge9AK2

[Heather Hirsch MD, MS, MSCP @heatherhirschMD]

71.8% of women in my survey reported brain fog. Only 24.9% reported hot flashes. So why does menopause research still center almost entirely on the symptom fewer women actually have?

[Heather Hirsch MD, MS, MSCP @heatherhirschMD]

I’m seeing that the latest fear in menopause medicine is no longer “Should I take hormones?”
It has become:
“Am I taking enough? Is my level high enough? Did I pick the perfect estrogen? Am I missing the perfect protocol?”
And here’s the truth: the science is not that precise yet.
Yet, good menopause medicine is not about chasing perfection. It is about thoughtful adjustments, symptom improvement, and personalization over pure optimization.

[Heather Hirsch MD, MS, MSCP @heatherhirschMD]

New survey data from 766 midlife women:
~55% of women on hormone therapy are using BOTH systemic and vaginal estrogen.
Primary care surveys typically show 15-25%.
The gap is not about what's appropriate. It's about what's being prescribed.
Women going to specialty menopause care eventually get both. The ones who don't? Often stuck with incomplete treatment.

[Heather Hirsch MD, MS, MSCP @heatherhirschMD]

https://t.co/04ytodhiep

[Heather Hirsch MD, MS, MSCP @heatherhirschMD]

#SGIM26 Anyone want to talk womens health?

[Heather Hirsch MD, MS, MSCP @heatherhirschMD]

I gave a Grand Rounds live in NYC- "Menopause in 2026", accredited for 2 CEU's. Wash here & learn #menopause #medtwitter #MedX #womenshealth https://t.co/kC6yHfBwRA

[Heather Hirsch MD, MS, MSCP @heatherhirschMD]

If you feel sedated on progesterone, that's because it interacts with brain receptors tied to calm and sleep. For some, it's a huge benefit. For others, it leads to a burden of side effects, which I call "progesterone intolerance." What side are you on?

[Heather Hirsch MD, MS, MSCP @heatherhirschMD]

The Midlife Aches No One Explained https://t.co/GUWxzCzefg

[Heather Hirsch MD, MS, MSCP @heatherhirschMD]

Need a laugh? Listen to my latest podcast, 'Using Humor to Navigate Midlife & Menopause with Lisa Corrao' https://t.co/BSPrKSyJpD

[Heather Hirsch MD, MS, MSCP @heatherhirschMD]

We were never trained to prescribe and manage HRT with confidence, yet it is now essential to caring for midlife women. This course gives clinicians the skills, clarity, and community medical training missed. https://t.co/6Hp4wbvBVn

[Heather Hirsch MD, MS, MSCP @heatherhirschMD]

In my patient practice, The Collaborative, we see this every day: brilliant, hardworking women who have spent years trying to get answers for symptoms that have disrupted their sleep, mood, work, and relationships. And when they finally find a clinician who listens and understands — life changes. Would you, or have you, invested in your healthcare?
Read the article here https://t.co/ll2yPVxfq1

[Heather Hirsch MD, MS, MSCP @heatherhirschMD]

Real clinicians. Real results. From “I finally feel confident prescribing HRT” to “this changed the way I practice,” the Heather Hirsch Academy is reshaping menopause care one clinician at a time. Get your free mini-course for providers to see what all the rave is about: https://t.co/Z47VYSZ01o #MedTwitter

[Heather Hirsch MD, MS, MSCP @heatherhirschMD]

The FDA’s decision to remove the boxed warning from many menopause hormone therapies is sparking overdue conversations. I shared my clinical perspective with USA Today on what this means for women in midlife. Read the full piece: https://t.co/kxK0ULPnm9

[Heather Hirsch MD, MS, MSCP @heatherhirschMD]

The FDA just removed the black box warning on hormone therapy. Twenty-three years of fear and misinformation, finally being corrected. About time we treated women’s health with science, not stigma.

[Heather Hirsch MD, MS, MSCP @heatherhirschMD]

Watch full video here: https://t.co/RwAbrBpDsd

[Heather Hirsch MD, MS, MSCP @heatherhirschMD]

Thanks to @DrMakaryFDA and the @US_FDA for changing the trajectory of midlife women's health care today, and into the future. Truly November 10th, 2025 marks a historic day for women seeking care for perimenopause and menopause

[Heather Hirsch MD, MS, MSCP @heatherhirschMD]

@DrMakaryFDA Thank you @DrMakaryFDA for changing the trajectory of midlife women's health!

[Dr. Marty Makary @DrMakaryFDA]

Getting better information out on HRT is long overdue. 50-70M+ women over the last few decades have been steered away from potentially life-changing therapy due to fear and medical dogma.