Beyond “HRT or Not?”: Supporting the Bodies of Future Wise & Well Grandmothers - Jane Hardwicke Collings

On Spotify On Spotify On Apple On Apple Perimenopause & menopause are often framed as a problem to fix- and the conversation quickly collapses into a single question: HRT or not? But women’s bodies are rarely that simple. In this episode, Jane Hardwicke Collings and I explore a more expansive and grounded approach to the menopause transition. Rather than asking whether hormones are the right answer for everyone, we look at a deeper question: how can we support the complex physiological process the body is already moving through? Our conversation examines the growing tendency to position hormone replacement therapy as a universal solution for perimenopause symptoms, and how that pattern echoes earlier chapters in women’s healthcare, such as when the pill was prescribed for nearly every hormonal concern or when medical intervention became the default in birth. This isn’t an anti-HRT conversation. It’s an invitation to widen the lens. We talk about the many systems that influence the menopause transition and why supporting the body’s foundations can be just as important as the hormonal conversation itself. For some women, HRT may become a meaningful part of their path. For others, it may not. But reducing the entire transition to a single intervention risks overlooking the complexity and intelligence of the female body. Just as we’ve begun shifting the conversation around menstruation and birth toward working with the body instead of overriding it, it’s time to bring that same perspective to menopause. LINKS: Medicine Stories Patreon extended conversation- The Red Thread: Stories of Our Motherlines The Womancraft Way Quiz: Find Your Wise Woman Archetype Healing Waters Nature Immersion Retreat in Costa Rica Nov 3-8 The Mythic Medicine herb shop Jane on Instagram Amber on Instagram Medicine Stories Facebook group Music by Mariee Siou (from her beautiful song Wild Eyes)

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Beyond “HRT or Not?”: Supporting the Bodies of Future Wise & Well Grandmothers - Jane Hardwicke Collings is an episode from Medicine Stories by Amber Hill.

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This episode was published on Mar 18, 2026.

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