Is My HRT Actually Working? 5 Signs You're On The Wrong Dose – With Dr Naomi Potter

Is It Hot In Here? Midlife Podcast

March 30, 2026 ∙ 11 mins
Episode 21

About

How do you know if your HRT dose is right?


In this week’s episode, Dr Naomi Potter explains how to tell whether your HRT is actually working - and why finding the right dose is rarely as simple as 'more or less'.


Naomi breaks down the biggest signs that your Hormone Replacement Therapy may need adjusting, why HRT is always a little bit of trial and error, and how your symptoms, lifestyle, absorption and medical history all shape what dose is right for you.


💬 Topics include:

• How to know if your HRT dose is right

• Signs your HRT is working

• When your oestrogen dose may be too low

• Why some women need a higher HRT dose

• How side effects can guide HRT adjustments

• Why HRT is never one-size-fits-all

• Poor absorption of transdermal HRT

• How swimming, heat, moisturiser and routine can affect HRT

• Why HRT needs can change over time in perimenopause

• How to find the best HRT regime for your lifestyle


Follow Is It Hot In Here? podcast on Instagram at @podcast_naomipotter


Stay up to date with the podcast by following us on Instagram at: @podcast_naomipotter


Follow Dr. Naomi Potter below:

Naomi’s Instagram: @dr_naomipotter

Naomi’s TikTok: @dr_naomipotter


For more information and support about menopause, you can go to: https://www.menopausecare.co.uk/


00:00 – Introduction: How to know if your HRT dose is right00:32 – How doctors decide your starting HRT dose01:30 – When you might need a different approach (medical history)02:20 – Why HRT dosing is trial and error03:25 – No “perfect dose” – how to find what works for you04:16 – Tip 1: Are your symptoms improving?04:48 – Tip 2: Feeling like yourself again05:30 – Tip 3: Finding an HRT routine that fits your life06:47 – Lifestyle factors that affect HRT (exercise, swimming, heat)07:34 – Tip 4: Choosing the right HRT regimen for your body08:48 – Tip 5: Are you a “poor absorber”?09:56 – Final sign: When symptoms quietly disappear10:42 – Why HRT needs change over time


#menopause #perimenopause #hrt

Information

Podcast

Is It Hot In Here? Midlife Podcast

Episode

21

Date

March 30, 2026

Length

11 mins
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Is It Hot In Here? Midlife Podcast

Part open-clinic, part talk show, this is the podcast for women navigating perimenopause, menopause, and midlife health. Each week, menopause Doctor Naomi Potter is joined by a new guest to explore the real-life impact of their hormonal changes. From hot flushes and anxiety, to brain fog and sleep problems, no topic is off limits. Whether […]

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