Knowledge
Can HRT help with menopausal weight gain?
Your steps to a happier, healthier you

Here at Newson Clinic, we understand that hormonal health in women encompasses the balance and function of various hormones, particularly oestrogen and progesterone, which influence reproductive health, mood, metabolism, and overall well-being. Fluctuations and imbalances can lead to a range of symptoms and affect various life stages, including menstruation, pregnancy, and menopause. We have been providing support and advice to our patients using evidence-based research to enrich their lives at every stage.

Find out more about how hormones affect you…

Book an appointment

It’s common to put weight on during perimenopause and menopause – can hormone replacement therapy help?

Many women find that they gain weight during perimenopause or menopause.

Sometimes there can be no obvious cause – no change in diet, exercise or routine – but other times menopausal symptoms can play their part, for example by affecting motivation or ability to exercise. If you’ve put on the pounds you’ll want to explore possible solutions but first it can help to understand some reasons behind weight gain.

Why does menopause cause weight gain?

During perimenopause, fluctuating oestrogen levels can lead to an increase in body fat, particularly around your tummy. You may also develop cravings for sugary or fatty foods. Symptoms such as muscle and joint pain or vaginal dryness may contribute to you reducing your activity levels, while hot flushes and night sweats can disturb your sleep. Sleep can help to regulate two hormones (leptin and ghrelin) that influence your appetite.

The hormones oestradiol, progesterone and testosterone all help to regulate how your body uses insulin, and low hormone levels can make your body less sensitive to insulin, causing insulin resistance. Insulin resistance is often accompanied by weight gain. Metabolic changes also occur during menopause – lean muscle mass reduces and affects metabolism, for example.

You can book an appointment to speak to a Newson Clinic healthcare professional about your perimenopause or menopause symptoms below.

Can HRT help me lose weight?

If you are experiencing perimenopausal or menopausal symptoms, HRT is usually the first-line treatment to improve both symptoms and improve future health. There is evidence that women who take HRT lose weight as well as improve their metabolism and reduce their future risk of developing type 2 diabetes [1].

A study found that women taking HRT had less visceral fat, lower glucose and insulin levels [2]. Testosterone and weight loss has not been studied in women but it is known that testosterone in men can improve metabolism and reduce weight [3]. Many women find that with the right dose and type of HRT, their weight improves and their body shape changes so they lose fat and gain muscle more easily.

Also, many women who take HRT, sometimes including testosterone, find that as their menopause symptoms become more manageable, they feel better and have more energy to look after themselves, exercise and have a healthy diet, which helps with their weight.

Book an appointment
Last Reviewed:
May 8, 2025
Time to read:
reading time
Author(s):
Newson Clinic clinicians
You might also like...
Is bloating on HRT normal?
All about bloating and hormone replacement therapy
More
Natural or synthetic HRT: understanding the difference
Synthetic HRT and natural hormone replacement therapy - learn the differences
More
How does menopause affect heart health?
Find out what happens to your heart during menopause when hormone levels fall, and advice on ways to keep your healthy during perimenopause and menopause
More