What i am noticing is this: rather than clinging to the pronouncement that "experts agree that HT helps to control moderate to severe menopause symptoms such as hot flashes when initiated within 10 years of onset of menopause or under age 60 years." I see more of find a provider well trained in the area of menopause and hormone therapy. Also mor discussion of increased safety with transdermal treatment. Also more attention to issues other than just hot flashes such as vaginal atrophy and dryness, loss of or decreased libido, protection against cognitive decline, senile purpura, uti, muscle tone, etc. I dont know your age or philosophy on quality of life versus quantity. At 76 it was right up my alley and wirth any supposed risks. Life is risk in my book. Also, I take into consideration the absolute pittance provided for research on womens health especially menopause compared to money for mens health. Note: I did not begin taking it for my osteoporosis but believe it may offer some benefit. I take osteoporosis meds.