Another point to consider
Previous generations may have due to several pregnancies and breast feeding not had a menopause in the same way as experienced nowadays.Indeed the menopause may have been a relief due to the hard work of carrying multiple children.Life span was also shorter and epidemics rife.Grief through child death would also figure.
The physical toll on a womans pelvis in itself must have been a trial.In a time when open discussion about incontinence/prolapse was restricted few womens magazines..no internet life could have been fraught with discomfort.
Marie Stopes when she opened clinics was frowned upon by many.
On balance we do have choice...and I agree hormones should be researched .