To know if a higher dose of hormone replacement therapy (HRT) is needed, the primary indicator is whether menopause symptoms have not improved or have returned after a few months on the current dose. Common symptoms to watch for include persistent hot flashes, night sweats, mood swings, trouble sleeping, vaginal dryness, fatigue, and brain fog. If symptoms are only partially relieved or come back, it suggests the dose may be too low or not well absorbed by the body. A practical step is to monitor symptom patterns carefully. If after about three months on HRT the symptoms persist or return, it is advisable to consult a doctor about the possibility of increasing the dose. A doctor may also consider blood tests measuring hormone levels to check absorption, although symptoms and overall well-being remain the most important guide. Adjustments are often made gradually to find the lowest effective dose that eliminates symptoms without causing side effects. Additionally, if side effects such as mood swings or headaches occur, this could indicate a need for dose review or changes in hormone balance. Overall, the decision to increase HRT dosage should be based on ongoing symptoms, their severity, and medical guidance rather than self-assessment alone.
