
Most Women Enter Menopause in the Dark: New Survey Reveals Stark Gaps in Hormone Health Education
BRIDGEWATER, N.J.--(BUSINESS WIRE)-- The HRT Club, a leading pioneer of direct-to-consumer hormone replacement therapies, today unveiled findings from a national survey of 1,000 women aged 45-60, uncovering a widespread crisis in menopause education and care. The results show that most women in the U.S. are entering this major life stage underinformed, underserved and unsupported with limited access to accurate information, treatment options or doctors who take their symptoms seriously.
According to the data, 86% of women are not fully confident in their understanding of the menopausal journey and 84% say they don't feel adequately informed about available treatments.
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According to the data, 86% of women are not fully confident in their understanding of the menopausal journey and 84% say they don't feel adequately informed about available treatments. 60% of women didn't learn about menopause until they were already in it. Compounding the issue, 70.5% say their doctor was not fully adequate in preparing them for menopause or discussing treatment options.
Menopause disrupts every aspect of daily life
The survey also revealed the profound effects menopause has on day-to-day life:
73.1% of women report disrupted sleep, with 86.9% citing trouble falling or staying asleep and 68% impacted by night sweats.
44.6% say menopause has negatively affected their relationships with 83.2% reporting a diminished sex drive and 60% experiencing mood swings.
11.6% say their career growth has taken a hit, due to issues like workplace distraction from hot flashes (57.5%) and strained colleague relationships (68.5%).
Overall, 72.1% say they 'don't feel like themselves,' due to weight gain (57.4%) and aging appearance (51.6%).
'We're witnessing a healthcare blind spot,' said Lauren Darisse, COO and General Counsel of The HRT Club. 'Menopause impacts half the population, yet it's often ignored, mischaracterized and left out of mainstream medical conversations. We believe women deserve better and we're here to make that happen.'
A powerful treatment still out of reach for too many women
Hormone replacement therapy (HRT), when prescribed by experienced providers, can be life-changing, yet it remains widely misunderstood and underutilized. Just 13.5% of women feel deeply familiar with HRT. While nearly 30% learned about it from a healthcare provider, 21.9% had to turn to online research. Even then, 50.8% report being left confused by conflicting information and just 13.8% feel confident in their understanding of HRT's potential benefits.
For those who do use HRT, the results are encouraging:
76.5% say HRT got their life back on track.
63.9% reported symptom relief within two months.
Among current users, 87.4% report a strong positive impact.
Yet access remains a barrier. More than 66% of women believe HRT should be more affordable, as over 25% of users have stopped treatment due to cost and more than 40% struggled to get HRT covered by their insurance at all.
A new standard of care
The HRT Club is making hormone health easier than ever with access to affordable treatments and HRT-knowledgeable, U.S. physician experts. By offering affordable, physician-prescribed treatments and personalized care plans via a direct-to-consumer platform, The HRT Club is making hormone health easier to access and easier to understand. By providing access to licensed U.S. physician experts and science-backed education, The HRT Club is on a mission to demystify menopause and give women back control of their health, their confidence and their lives.
Learn more about how The HRT Club is redefining the future of hormonal care at https://thehrtclub.com.
Methodology
The HRT Club commissioned a nationwide survey with Propeller Insights, polling 1,000 U.S. women aged 45 to 60 in April 2025 to evaluate their knowledge, perceptions and experiences surrounding menopause, hormone replacement therapy and access to care.
About Propeller Insights
Propeller Insights is a full-service market research firm based in Los Angeles. Using quantitative and qualitative methodologies to measure and analyze marketplace and consumer opinions, they work extensively across industries such as travel, brand intelligence, entertainment/media, retail and consumer packaged goods.
About The HRT Club
The HRT Club is on a mission to make hormonal treatments accessible to everyone. Since its launch in April 2024, The HRT Club has quickly become the leading doctor-recommended platform for hormone replacement therapy (HRT). With a network of over 1,300 prescribers and strategic partnerships across the healthcare industry, we are transforming how people access and afford hormonal treatments. Our members enjoy savings of up to 90% on their HRT prescriptions, ensuring that life-changing care is within reach for all who need it. For more information, visit https://thehrtclub.com.

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With this new treatment now approved in multiple markets including the EU and U.S., I'm thrilled to be able to see its meaningful impact in the real world.' PROF. 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In Japan, nemolizumab is marketed as Mitchga ® and is approved for the treatment of prurigo nodularis, as well as pruritus associated with atopic dermatitis in pediatric, adolescent, and adult patients. 12,13 About prurigo nodularis Prurigo nodularis is a chronic, debilitating, and distinct neuroimmune skin disease characterized by the presence of intense itch and thick skin nodules covering large body areas. 5-7 It is an underrecognized and underdiagnosed skin condition, and there are limited studies investigating its prevalence. 11,14,15 About Galderma Galderma (SIX: GALD) is the pure-play dermatology category leader, present in approximately 90 countries. We deliver an innovative, science-based portfolio of premium flagship brands and services that span the full spectrum of the fast-growing dermatology market through Injectable Aesthetics, Dermatological Skincare and Therapeutic Dermatology. Since our foundation in 1981, we have dedicated our focus and passion to the human body's largest organ – the skin – meeting individual consumer and patient needs with superior outcomes in partnership with healthcare professionals. Because we understand that the skin we are in shapes our lives, we are advancing dermatology for every skin story. For more information: References Ständer S, et a. Nemolizumab long-term efficacy and safety up to 100 weeks in the OLYMPIA open-label extension study in patients with prurigo nodularis: An interim analysis. Presented at International Congress of Dermatology; June 18-21, 2025; Rome, Italy. A Study to Assess the Efficacy and Safety of Nemolizumab (CD14152) in Participants With Prurigo Nodularis (PN) (NCT04501679). Available online. Accessed May 2025 Study to Assess the Efficacy and Safety of Nemolizumab (CD14152) in Participants With Prurigo Nodularis (PN) (NCT04501666). Available online. Accessed May 2025 Silverberg, JI, et al. Nemolizumab long-term safety and efficacy up to 104 weeks in the ARCADIA open-label extension study in adolescents and adults with moderate-to-severe atopic dermatitis. Presented at Revolutionizing Atopic Dermatitis Conference 2025; June 6-7; Nashville, United States. Huang AH, et al. Prurigo nodularis: epidemiology and clinical features. J Am Acad Dermatol. 2020;83(6):1559-1565. doi: 10.1016/ Pereira MP, et al. European Academy of Dermatology and Venereology European prurigo project: expert consensus on the definition, classification and terminology of chronic prurigo. J Eur Acad Dermatol Venereol. 2018;32(7):1059-1065. doi: 10.1111/jdv.14570 Ständer S, et al. IFSI-guideline on chronic prurigo including prurigo nodularis. Itch. 2020;5(4):e42. doi: 10.1097/itx.0000000000000042 Silverberg JI, et al. Phase 2B randomized study of nemolizumab in adults with moderate-to-severe atopic dermatitis and severe pruritus. J Allergy Clin Immunol. 2020;145(1):173-182. doi: 10.1016/ Nemluvio U.S. Prescribing Information. Available online. Accessed May 2025 Nemluvio European Medicines Agency. Summary of Product Characteristics. Available online. Accessed May 2025 Bewley A, et al. Prurigo Nodularis: A Review of IL-31RA Blockade and Other Potential Treatments. Dermatol Ther (Heidelb). 2022;12(9):2039–2048. doi: 10.1007/s13555-022-00782-2 Chugai Pharmaceutical Co., Ltd. Maruho Obtained Regulatory Approval for Mitchga, the first Antibody Targeting IL-31 for Itching Associated with Atopic Dermatitis. Available online. Accessed May 2025 Chugai Pharmaceutical Co., Ltd. Mitchga Approved for Itching in Pediatric Atopic Dermatitis and Prurigo Nodularis, for its Subcutaneous Injection 30mg Vials. Available online. Accessed May 2025 Ständer S, et al. Prevalence of prurigo nodularis in the United States of America: a retrospective database analysis. JAAD Int. 2020;2:28-30. doi: 10.1016/ Huang AH, et al. 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