For most menopausal women, the benefits of hormone replacement therapy
outweigh the risks, despite the fears aroused by the unproven link to
breast cancer. If the goal is solely to relieve menopausal symptoms,
the treatment duration is generally 2 to 3 years and then gradually ta
pered off. If the goal is to provide cardiac protection and prevent os
teoporosis, long-term, possibly lifetime, treatment is needed.