What is the rationale behind widespread hormone treatment for menopause?

Some medical researchers, health care providers, and drug companies have defined menopause as a hormone "condition due to ovarian." According to this view, menopause is a condition similar to thyroid deficiency or diabetes. If untreated, we will be at greater risk for many chronic diseases, a lower quality of life, and premature death.

This view was the rationale for the widespread use of long-term hormone treatment for postmenopausal women from the 1960s to early in this century. After all, if our ovaries had failed us and we had become deficient, it made sense to replace our hormones, hence the term "hormone replacement therapy." For decades, many doctors and women were convinced that boosting estrogen levels would treat all signs of menopause, make women feel younger, and ward off diseases of aging.

This belief persisted even though no well-designed long-term clinical trial of hormone treatment had been conducted. We now know that hormone treatment is likely to carry more risks than benefits for most women.

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