Hormone replacement therapy (HRT) is a treatment used to relieve symptoms of menopause, particularly helpful for osteoporosis. For adults over 65, HRT has its pros and cons. Benefits include relieving hot flashes, reducing bone loss, and improving vaginal dryness and atrophy. However, there are risks such as increased chances of heart disease, stroke, and breast cancer. The age at which you start and the duration of the therapy affect the risks and benefits. Generally, starting HRT over the age of 60 carries greater risks. It is recommended to discuss with your doctor to evaluate your individual health condition to decide if HRT is suitable for you.