fda black box warning hrt

The FDA Finally Removes the Black Box Warning on Hormone Therapy — Here’s What It Means for Women

For decades, women going through perimenopause and menopause have been stuck between two extremes: suffer in silence or feel scared of hormone therapy because of outdated warning labels.

But that changed this month.

The FDA officially removed the long-standing black box warning from many menopausal hormone therapy medications.
And for millions of women, this update brings long-overdue clarity.

At Aqua, we’ve supported women through perimenopause and menopause for years — and while this news isn’t surprising to us, it does help ease worry and open the door for better conversations.

Let’s break down what this means, why it matters, and how hormone therapy can help you feel like yourself again.


Why the FDA Update Matters

For years, many women believed hormone therapy was unsafe or only a “last resort.”
The old black box warning created fear and confusion — despite growing research showing that, when prescribed appropriately, hormone therapy can be a safe and effective option for midlife women.

With the warning removed, the FDA is now aligned with what many providers (including Hollie at Aqua) have already known:

Hormone therapy can be a personalized, powerful tool for relieving perimenopause and menopause symptoms.

This includes:

  • Hot flashes and night sweats
  • Mood swings and irritability
  • Low libido and vaginal dryness
  • Poor sleep
  • Fatigue
  • Brain fog
  • Weight changes

No woman should have to suffer through these symptoms alone — and now, the path to relief is clearer than ever.


“It’s About Time” — What Women Are Saying

The FDA update didn’t change the science — it simply removed a barrier that made countless women hesitate to ask for help.

At Aqua, we hear things like this all the time:

“I thought I just had to power through. I wish I’d started sooner.”

“My brain fog is gone. I feel clear again.”

“My energy and libido came back. My whole life feels lighter.”

These stories aren’t rare — they’re common.
Women deserve relief, and they deserve accurate information.


Aqua’s Approach: Personalized, Bioidentical, and Evidence-Based

Long before the FDA update, Aqua has taken a balanced, patient-centered approach to hormone therapy.

Here’s what makes our program different:

1. Bioidentical Hormones

We use bioidentical hormones — formulations designed to match your body’s natural chemistry.

2. Physician Assistant–Led Care

Hollie oversees every plan, monitors labs, adjusts doses, and ensures safety through the entire process.

3. Personalized for Your Life

Every woman’s experience with perimenopause and menopause is unique.
Your treatment should be too.

4. Support for the Whole Picture

Beyond symptom relief, hormone balance can support:

  • Sleep
  • Mood stability
  • Libido
  • Energy
  • Cognitive clarity
  • Weight management

Hormone therapy is not a “quick fix” — it’s a personalized medical approach designed to help you feel like yourself again.


If You’ve Been Nervous or Unsure… This Update Is Your Sign

If the old warning label ever made you pause or worry, you’re not alone.

This new FDA stance brings relief, clarity, and permission for women to take their hormone health seriously — without stigma or fear.

You deserve to feel balanced, confident, and fully yourself again.
You deserve clear information.
You deserve options.

And we’re here to guide you.


Ready to Learn More About Hormone Therapy?

Your next step is simple: start with a consultation and lab work.

We’ll talk through your symptoms, your goals, your health history, and whether hormone therapy is right for you.

Book Your Free Hormone Consultation or
Call/Text (517) 230-8437

And be sure to watch Hollie’s short video breaking down the FDA update in plain English — it’s linked in our newsletter and on our socials this week.


Aqua — Live Brighter
Helping women move through midlife with clarity, confidence, and real support.