There is an argument that menopause is a physiological and normal event and so should not be treated as an illness – with medication. While this is true, it is also worth considering that women now live for many years beyond the menopause and that these changes in life expectancy are relatively recent.

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It has been established that there are risks associated with living for many years with low levels of oestrogen in the body. These risks most importantly affect the bones and the heart.

Most women approaching the menopause now start to consider whether or not they should take any sort of therapy to counteract both the symptoms and the potential long-term effects of lack of oestrogen.

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