Heart disease alone kills more women each year (315,000) than the next 16 causes of death including diabetes, all forms of cancer, AIDS and accidents! If you’re now clear about the breast cancer concern, let me answer the second part of the question…why should you consider estrogen? Menopause often begins with hot flashes, night sweats and insomnia that last a few weeks or months and may go away without any treatment. Some women NEVER have a single hot flash but this is a mixed blessing because without symptoms they are less likely to seek help. Many women think if they just suffer through these symptoms, then when the symptoms are gone, they can go back to their normal selves!