Getting back to the original question !!!!
If you want some scientific reporting rather than misinformation and opinions this article is worth reading.
International Menopause Society
[[https://www.imsociety.org/wp-content/uploads/2020/07/wmd-2014-white-pages-english.pdf
This is the first paragraph which is relevant to your question @AlpacaThePicnic
ABSTRACT
Women may expect to spend more than a third of their lives after menopause. Beginning in the sixth decade, many chronic diseases will begin to emerge, which will affect both the quality and quantity of a woman’s life. Thus, the onset of menopause heralds an opportunity for prevention strategies to improve the quality of life and enhance longevity. Obesity, metabolic syndrome and diabetes, cardiovascular disease, osteoporosis and osteoarthritis, cognitive decline, dementia and depression, and cancer are the major diseases of concern. Prevention strategies at menopause have to begin with screening and careful assessment for risk factors, which should also include molecular and genetic diagnostics, as these become available. Identification of certain risks will then allow directed therapy. Evidence-based prevention for the diseases noted above include lifestyle management, cessation of smoking, curtailing excessive alcohol consumption, a healthy diet and moderate exercise, as well as mentally stimulating activities. Although the most recent publications from the follow-up studies of the Women’s Health Initiative do not recommend menopause hormonal therapy as a prevention strategy, these conclusions may not be fully valid for midlife women, on the basis of the existing data. For healthy women aged 50–59 years, estrogen therapy decreases coronary heart disease and all-cause mortality; this interpretation is entirely consistent with results from other randomized, controlled trials and observational studies.
Thus. as part of a comprehensive strategy to prevent chronic disease after menopause, menopausal hormone therapy, particularly estrogen therapy may be considered as part of the armamentarium
INTRODUCTION
As the world population increases, along with an increase in life expectancy, many millions of women will be spending a third or more of their lives after menopause. Several of the topics for World Menopause Day in the past have focused on treatment. This year, our focus is on Prevention. Indeed, from a medical economics perspective, although still debated, it is our view that preventing disease is much preferred over waiting to treat a condition once it manifests. Here we seek to outline the major chronic diseases that occur after menopause and suggest strategies that could be put in place to prevent these occurrences. Some of these conditions (cardiovascular disease) accelerate in women after menopause, and others (cancer) increase as a function of age in both men and women. Nevertheless, in the final analysis, our goal is to suggest strategies to combat all diseases after menopause with the aim of improving not only the quantity, but the quality of life for postmenopausal women world-wide. Women presenting to their medical providers during the menopausal transition provide a unique opportunity for risk assessment, counseling and the institution of various prevention measures. Our perspective of happier and healthier women around the world is a lofty goal. We are cognizant that the prevalences of various diseases are different in various regions of the world, and therefore the emphasis for specific strategies will vary. Further, it is anticipated that, in the near future, we will have different tools for risk assessment, which will be personalized. Molecular tools and pharmacogenomics will enable us to determine individual risks and the appropriateness of various preventative therapies; some of these concepts will be explored later