Up until a decade ago, life used to be easy for physicians counseling & treating women going through menopause: take estrogen +/- progestin as the benefits are innumerable and the risks minimal if existent. Then came the first in a series of analyses of the Women's Health Initiative . Immediately, we threw the baby out with the bath water as a large percentage of women gave up their hormone therapy or refused to start. From one end of the pendulum to the other. The good news is that in the past few years, we've discovered that nuances exist as to hormone therapy, eg route, dose, timing, etc, possibly type, eg bio-identical vs non-bio-identical. These are exciting times as we learn more & more about hormones. Stay tuned!