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I experience hot flashes, vaginal dryness, and pain on intercourse. My care provider suggested HRT to treat these symptoms. I have a family history of blood clots. Is this treatment appropriate?

Your Menopause Question: I don’t understand risk assessment in medical care. I am 55 years old and three years into menopause. I experience hot flashes, mood swings, vaginal dryness, and pain on intercourse. My care provider suggested hormone replacement therapy (HRT) to treat these symptoms. However, she recalled that in 2002, the Women’s Health Initiative (WHI) reported that of 10,000 women-years, HRT produced 18 more women with blood clots, eight more with stroke, and seven more with heart attacks than those not on HRT. I have a family history of blood clots. Is this treatment appropriate for me?

My doctor tells me that according to the Women’s Health Initiative (WHI), estrogen has been shown to cause breast cancer and that I should avoid it in menopause. Yet, now this concept is being challen

Your Menopause Question: My doctor tells me that according to the Women’s Health Initiative (WHI), estrogen has been shown to cause breast cancer and that I should avoid it in menopause. Yet, now this concept is being challenged. Please explain.

Please discuss what foods should be included or excluded from the diet for women who do not take hormone replacement therapy (HRT).

Question: Please discuss what foods should be included or excluded from the diet for women
who do not take hormone replacement therapy (HRT).

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