Cumulative consequences of the menopause build up inexorably when HRT is avoided.

 Complications that grow over the long term included osteoporosis leading to bone pain, fractures, loss of height and the bent-over effect as well as difficulty getting around; weight gain from insulin resistance, increased heart disease risk (the commonest cause of death, even premature death in women), high blood pressure, stroke, dementia, & accelerating physical aging of the face & body.This serious set of problems can be deferred & it's severity reduced, by taking wise hormonal precautions proactively.