A 44 year old woman was put on HRT (hormone replacement therapy) at 41 years old to relieve dysmenorrhea and she also has ovarian cysts. She wants to get off the HRT but is afraid the pain will come back. What would you suggest?

Wean off HRT slowly, i.e., 3-6 months. Simultaneously take Cramp Bark Plus or Unlocking with heat signs. If there is liver qi stagnation, add Bupleurum Entangled Qi which will help reduce the cysts. She may need to add a tonic instead of Bupleurum Entangled Qi such as Backbone, Astra Essence or Eight Treasure if she is deficient.