@littleoaksc52 That would be a good question to ask the doctor who is prescribing your hormone replacement. What it does is replace hormones that are deficient because of aging and menopause, and kind of "resets" the body so it functions similar to when you were younger. Depending on what levels of hormones you have, it can improves dryness by increasing secretions. Typically doctors prescribe just enough hormones to stop hot flashes and try not to over do it and set you back to the way things were functioning in your 20's. It can also cause cycles if there is too much estrogen causing growth of the lining inside the uterus. They try not to create that situation because it can obscure the presence of a tumor on imaging. They try to only allow a very thin lining to grow, and if that cycles, it isn't much to deal with.