On its own, MHT is not a reliable treatment for joint and muscle pain. Here is what the 2026 evidence actually shows, and the one situation where it still belongs in the conversation.

There is no single menopause pain protocol. Here is an evidence-graded guide to exercise, sleep, pain education, CBT, medicines and MHT, tied to diagnosis.

The research on menopause and pain is neither nothing nor settled. Here is what has been observed, what has been tested, and where the real gaps remain.