Today, the evidence suggests that for many people younger than 60 and within 10 years of menopause, the potential benefits of HRT might outweigh the risks.
Anyone who gets a period will likely go through menopause too. But just because it’s a natural process, doesn’t mean it doesn’t suck. Just when you reach the life stage when you should be throwing yourself a little party—no more riding the crimson wave, overpriced period products, or birth control, for that matter—you might be hit with hot flashes, painful sex, and other unpleasant symptoms.
As one of the experts we talked to put it, “vaginal estrogen stays in the vagina,” so it’s not considered a good option for hot flashes. How long should you use HT? That depends on why you’re using it. If you’re taking a vaginal product, Dr. Christmas says, there’s no time limit. It’s a different story if you’re on systemic HT for hot flashes. Those symptoms, Dr. Christmas says, almost always go away at some point—plus, the risk/benefit picture changes as you get older.
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