All women should explore contraception methods with their healthcare provider to identify the most appropriate approach. Hormone replacement therapy is successful in the symptomatic treatment of hot flashes, insomnia, depression, vaginal dryness, sexual difficulties and urinary problems experienced with menopause. It also decreases the development of osteoporosis and cardiovascular disease. The decision to take hormones is an individual decision that should be made by a woman and her healthcare provider. The decision is usually based on the results of a physical exam, family history and considerations of the risks and benefits for each woman.
Many women remain in good health for many years after menopause without taking hormones.
Much depends on how you feel about the treatment and on your personal risk factors for heart disease, breast cancer and osteoporosis. You certainly get your greatest gains if you start therapy at menopause, though there's some evidence that HRT can also be beneficial if started later. 2001 Sioux Valley Hospital USD Medical Center.