Thanks for your query.
Frankly, HRT ( hormone replacement therapy
) is not supposed to be used for more than 3 - 5 years.
is as effective as Premarin
, so dont worry on that score.
However, I personally would not recommend use of hormones for so long after menopause
, well into your sixties.
The risks outweigh the benefits with prolonged use.
You are the best judge however, and yes oral estradiol is cheaper than the patch definitely.
Do discuss it with your doctor though, and do not start anything on your own.