About This Evaluation
Menopause can bring a range of changes—physical, emotional, and hormonal. You may be wondering whether Menopause Hormone Therapy (MHT) could help you feel more like yourself again.

This self-assessment is designed to help you understand where you are in your menopause transition and whether you may be a candidate for hormone therapy.

The information shared here is for educational purposes only and is not medical advice. Your results are meant to help you have a more informed conversation with your healthcare provider.

If you’re already a patient at true. Women’s Health, your provider can help you interpret these results as part of your care.

No matter where you are in your menopause journey, know this: you have options, and you don’t have to navigate this alone.

Part I

Your Phase of Ovarian Function

HOW ARE YOU FEELING?

Understanding your phase of ovarian function or menopausal stage helps determine which treatment options may be right for you. The following questions are from the Menopause Transition Scale® (MTS), a validated tool with just seven questions that helps you take an inventory of your symptoms.

Your responses are kept completely confidential.

Learn more about the Menopause Transition Scale® from Dr. Diana Bitner.

Understanding Your MTS® Score
Tracking your MTS® score weekly can help you monitor changes in your symptoms and notice patterns over time. The scale helps you identify your most bothersome symptoms and see how they respond as you make adjustments in your daily life or begin a new treatment or medication.

The MTS® score helps you understand how your symptoms are changing.

A lower score means your symptoms are more frequent or bothersome, while a higher score means your symptoms are less intense or better managed. Your score isn’t “good” or “bad”—it’s simply a way to track how you’re feeling over time so you can see what’s working and what might need attention.

At true. Women’s Health: we use SEEDS®—the Seven Essential Elements for Daily Success—to support your body’s natural hormone balance and overall wellness. Small changes in these areas can make a big difference in how you feel!

TIP: Consider recording your MTS® score in a journal each week, along with notes about your SEEDS® habits. Tracking both together can help you see what’s working and where you may need extra support. Over time, you’ll start to see how changes in your daily routines (like better sleep or more movement) may influence your symptoms.

Part II

Health & Safety Check Questions

Before You Continue: Important Information About Your Medical History

Some health conditions can influence whether Menopause Hormone Therapy (MHT) is the safest option for you. The following questions help identify whether any of these factors might apply.

However, it’s important to know:
A “yes” answer does not automatically mean you can’t use hormone therapy.
Many of these conditions are what healthcare professionals call relative contraindications—think of them like yellow lights, not red stop signs. The right choice depends on the type of condition you’ve had, your age, your timing since menopause, your symptoms, and your overall health.

Because these situations are nuanced, anyone who answers “yes” to the following questions should review their results with a Menopause Society Certified Practitioner. They can help determine what’s safe for your specific history.

This assessment will give you general education and next steps—but your provider can give you the personalized guidance you deserve.

Starting MHT later in the menopause transition may change benefits and risks. A trained provider can help guide this decision.

A history of breast cancer requires careful evaluation, but it does not always rule out every form of hormone therapy.

Some heart conditions are relative contraindications. A menopause specialist can help determine what is safe for you.

Certain types of stroke are compatible with some therapies; others are not. This requires individualized review.

Past clots may limit some forms of estrogen, but not all. An individualized evaluation is recommended.

Migraine with aura is not always an absolute contraindication, but it may require careful hormone selection.

A hysterectomy may change what type of hormone therapy is needed, but it does not exclude you from MHT options.