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 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 .