I agree that the risk is lower than oral estrogen. Sometimes we just take the risk. I was in so much pain that if the coconut oil had not worked I would have used the cream, too. I am not against drugs, I just look for safer alternatives if such exists. I am so happy you have never had any problems with it, but someone else might be the person that gets cancer from it.

This from the Mayo Clinic:
Elderly women greater than 65 years of age may have an increased risk of certain side effects during treatment, especially stroke, invasive breast cancer, and memory problems.