@dvargo The faulty study interpretation from 20 years ago re: HRT has done a lot of damage and scared off many patients that may have benefited greatly from that option. They've actually found that some of the HRT actually protects against breast cancer. Anyways, they say the younger doctors are going to be very slow with accepting this change, as they were not educated well on HRT, due to the previous (faulty) black box warningsm for over two decades. I guess the new guidelines are high-lighting the best benefits by targeting patients 60 years old or younger and reaching menopause within the last 10 years. I've also read there is a push to encourage doctors to take each individual patient on a case-by-case basis to allow more flexibility for people beyond 10 years post-menopause and over 60 years old. (?) Sadly, it may take years and years for the damage to be undone and for changes in medicine to catch up. The research is already lacking terribly with OP, so it can be discouraging and confusing for many. Trust in guidelines seems to be an issue as well nowadays.