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Who Should NOT Take HRT History of hormone-receptor-positive breast cancer History of blood clots (DVT or pulmonary embolism) Active or history of endometrial cancer Undiagnosed vaginal bleeding Active liver disease Known or suspected pregnancy Uncontrolled hypertension Our Approach to Female HRT Comprehensive Consultation We discuss your symptoms, menstrual history, health history, family history (including breast cancer and cardiovascular disease), current medications, and goals