• Only about one-fifth of women diagnosed with menopause initiated systemic hormone therapy (HT) within one year.
• Younger age, prior hysterectomy, and local hormone use increase likelihood of HT initiation.
• Black racial and Hispanic ethnic identities predict lower initiation rates and faster HT discontinuation.
• Median duration of first HT episode is 6.6 months, with less than 40% continuation at 12 months, highlighting persistence challenges.
Study Background
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This article was created using several editorial tools, including AI, as part of the process. Human editors reviewed this content before publication.