Hormone replacement therapy is not for everyone. You can not use hormone replacement therapy if you have certain medical illnesses including but not limited to: history of heart attack or stroke, estrogen receptor positive breast cancer, uncontrolled diabetes or hypertension, or smoke. This is based upon two large studies done, Women's Health Initiative and Nurse's Health Study, which showed a higher rate of heart attack and strokes in women with certain risk factors on hrt. The issue about breast cancer is still controversial.

Your doctor will discuss with you the specific options available based upon what he/she thinks is safe and effective for you specifically.