I honestly didn't want to make it sound all doom and gloom.
There are women who feel great, no real peri with no need for HRT at all. But statistically they are 25%.
However, there are two sides (at least!) to menopause.
The first is the flushes and sweats and everything else that goes with peri.
The length of time they last varies- they say the average is about 7 years, but there are about 10-15% who find they never stop.
The second is how the menopause affects the body long term. This happens even if you had the easiest peri ever!
There is no question that women's health can deteriorate without estrogen.
Bone loss
Heart disease
Increased risk of diabetes
Dementia
The biggest cause of death for women is now dementia, then heart disease, then complications from osteoporosis.
I've loads of friends who never used HRT but now, in their 60s, they are getting other things like osteoporosis, low mood, lots of aches and pains (sometimes osteoarthritis).
I was worried about a poster here who said she had an easy menopause at 44, because now anyone stopping that early would be strongly advised to use HRT up to 51 at least to protect their heart and bones.
Yes, some of this can be prevented with lifestyle, but if anyone in your family has had heart disease or osteoporosis or dementia, you will be at higher risk.
'nuff said!