A 65-year-old postmenopausal women comes into the office with concerns of vaginal dryness and hot flashes. She recounts numerous nights waking up drenched in sweat and days spent trying to find the coolest rooms at work. She reluctantly mentions that she and her partner have difficulty with intimacy because she has found intercourse to be painful because of vaginal dryness. She is distraught and frustrated seeking something to alleviate her menopause symptoms. As you begin a conversation about hormone therapy, she immediately becomes concerned and reluctant because she has seen many commercials indicating that this unsafe for women.