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Hormone replacement therapy (HRT) is the most commonly used treatment for managing menopausal symptoms and has been shown to be the most effective intervention in this context. The decision whether to take HRT, the dose of HRTused and the duration of its use should be made on an individualised basis after discussing the benefits and risks with each patient. Arbitrary limits should not be placed on the duration of usage of HRT.

The British Menopause Society & Women’s Health Concern 2020 recommendations on hormone replacement therapy in menopausal women