Closing the Gap: Menopause Care Disparities and Why Expert Guidance Matters

The Reality of Disparities

• Earlier onset and longer duration: African-American and Hispanic women often enter menopause two years earlier than the national median age of 51 and experience symptoms for longer periods. Black women, for example, may begin the transition 8.5 months earlier than white women and report more severe hot flashes and sleep issues.
• Lower treatment rates: Women of Black, Asian, and minority ethnic backgrounds are up to 80% less likely to receive hormone replacement therapy (HRT) compared to white women.
• Barriers to care: Cultural stigma, lack of awareness, and systemic inequities contribute to delays in diagnosis—45% of Black and minority ethnic women reported delays, compared to 31% overall.
• Knowledge gaps: In a recent national survey, 52% of Black women said they didn’t know which medical recommendations to follow, and 43% reported discrimination when seeking care.

FDA Removes “Black Box” Warning on Hormone Therapy

For over two decades, hormone therapy carried a “black box” warning—the FDA’s most serious safety alert—based on early studies suggesting increased risks of breast cancer and heart disease. These warnings led to a sharp decline in HRT use, even for women who could benefit.

What changed?

• On November 10, 2025, the FDA announced the removal of most black box warnings from menopausal hormone therapies after reviewing updated evidence.
• Current research shows that starting HRT within 10 years of menopause onset or before age 60 can provide significant benefits, including symptom relief, improved bone health, and reduced risk of cardiovascular disease and cognitive decline.
• Risks remain individualized, which is why expert consultation is essential.

Why See a Board-Certified  Specialist?

Menopause care is complex, and most providers receive little formal training in this area. A Board Certified professional like the providers at Botany Wellness have expertise in:

• Personalized treatment plans (hormonal and non-hormonal)
• Risk assessment for heart, bone, and cognitive health
• Evidence-based guidance on FDA-approved therapies and alternatives

Seeing a certified provider ensures you receive safe, individualized care—not a one-size-fits-all approach.

Key Takeaways

• Minority women face significant disparities in menopause care, from delayed diagnosis to lower treatment rates.
• The FDA’s removal of outdated warnings on hormone therapy opens the door for more women to access effective treatments.
• Expert guidance matters—seek a board-certified professional to discuss your options and improve your quality of life.

Call to Action:
If you’re experiencing perimenopausal or postmenopausal symptoms, don’t wait. Schedule an appointment with us at Botany Wellness. Your health and well-being deserve expert attention.