"If a man with erectile dysfunction experiences stress and anxiety due to performance worries, CBT could help with that, but it wouldn’t open up the blood vessels – the underlying issue – like Viagra would. It’s similar with HRT. The CBT can minimise the stress response but the underlying cause – the drop in oestrogen – is only addressed with HRT."
An excellent description of the menopause from a female GP, even though it features a male-centred analogy to make the core point.
@hesgen it's so depressing... :(