Hormone Replacement Therapy (HRT) remains a cornerstone in managing menopausal symptoms, offering relief from hot flushes, night sweats, and mood changes. While HRT is generally safe for women under 60, especially when initiated close to menopause onset, long-term use carries certain risks. These include a slightly increased risk of breast and ovarian cancers, as well as potential cardiovascular concerns if started many years post-menopause. However, for many women, the benefits—such as reduced risk of osteoporosis and improved quality of life—outweigh the risks. It's crucial to have a personalised discussion with a healthcare provider to weigh the pros and cons based on individual health profiles.