Personally, I don't unless a woman is adamant about it. Feel free to type your answer to screen. 3-4 over the last 2 months. Sometimes fluid retention may be due to the estrogen. I became quite ill on oral Prometrium.
Side effects can differ from one person to the next.
The only way to know if a particular medication is causing certain side effect is to stop it for a while, of course with the help of your health-care provider. Her beliefs, lifestyle, family and personal history, relief of symptoms as well as disease prevention are to be taken into consideration. Menopause is defined as not having menses for one year. Beware that many women may have no periods for a while and it can return months later. Blood test are even more confusing.