@colt1234 I take bio-identical hormone replacement that was prescribed by an environmental medicine doctor. He also tested me to see how well my body breaks down estrogen and it's byproducts. He said that is where the trouble lies because if your body doesn't break it down, that can increase the cancer risk. There are supplements he prescribed that help in detoxing called Methyl Cpq from Orthomolecular. It aids in the methylation detox pathway. He also told me, bioidentical hormone replacement lowers the risk of colon cancer.

This is something to be discussed with your doctor, and doctors may have differing opinions too. Some people are genetically more prone to get cancer, and cancer can be related to estrogen even if a person never does hormone replacement therapy. My doctor said estrogen needs to be balanced against progesterone and some testosterone, and the estrogen is given at the lowest dose that doesn't produce hot flashes which is lower than it was when my body was producing it.

Bioidentical hormones are made by a compounding pharmacy by prescription. Pharmaceutic companies use the urine from pregnant horses to collect hormones for their products. Here is a link that explains:
https://www.avma.org/javma-news/2002-04-15/veterinary-equine-community-dispel-accusations-against-pregnant-mare-urine
Have you discussed this with your doctor?

Colt1234, I'd like to add my welcome to @jenniferhunter's. I moved your question about the pros and cons of hormone replacement therapy (HRT) to this existing discussion:
- Advice on using HRT please: What are the pros & cons? https://connect.mayoclinic.org/discussion/advice-on-using-hrt-please/

I did this so you can see the previous posts and connect easily with other members talking about HRT.

Are you experiencing menopausal symptoms? Has HRT been recommended for you?