@izziesue
Progestin was and is tied to cardio problems and cancers.
But as you imply the new BHRT topical/vaginal do not have the same links.
Indeed, in the largest population study on hormones ever done the only group with no, 0% increase in breast cancer was the one on bioidentical progesterone.
https://cemcor.ubc.ca/resources/does-taking-progesterone-alone-or-estrogen-increase-womens-risk-breast-cancer/
Also, the new standards do not link age or time from menopause with hormone use. They do link use with need and a good medical support and work up.
Many women deep into menopause are beginning BHRT and having good results.
https://menopause.org/press-releases/ongoing-individualized-hormone-therapy-appears-to-have-no-age-limit