@jozer

May I ask how old you are? I ask because at 78 I consider myself to be in quality of life over quantity of life mode. I went into spontaneous early menopause at 38....just like a faucet turned off and never turned on again. I didn't have a clue about osteoporosis risks due to loss of hormones nor how menopause would effect other important parts of my life especially loss of libido. Decades later came osteopenia the docs advice for dealing with it..... don't fall. I just went on with my life and about 12 years ago began drug treatment for Osteoporosis. When the information began to break about the flawed women's health initiative study I began to wake up. I was pissed that I had lost so much because doctor's were using that study to deny women hrt/bhrt rather than look at the whole picture. So at 77 I found a functional medicine provider who was delighted to start me on bhrt with testosterone. It is important that I mention that my mother died of ovarian cancer at 48. I was never tested but I felt confident in my choice to start bhrt . I desperately wanted my libido back and wanted any other positives that came along with it.
My path is not for everyone. I had to explore how I might feel if I did develop breast cancer that Might repeat Might be related to use of bhrt. The actuarial tables speculate that the average age of death for someone like me is 84. I am a devout pragmatic when it comes to my own death. I have no desire to live until 85 or 90 let alone 100 (ghastly thought). So I dove in and am very happy. I'm having better sex than I did in my 20s or 30s. I don't have urine incontinence or senile purpura any more. For me this is quality of life. It is obviously not for everyone. Just offering my story if it is helpful in any way. Good luck in your decision making.