This presentation provides a comprehensive comparison between Hormone Replacement Therapy (HRT) and natural medicines for managing menopause symptoms. It begins with an overview of menopause and its background, including the physiological changes and the emergence of HRT. The presentation delves into the specifics of HRT, detailing its indications, drug options (such as conjugated equine estrogen and micronised estradiol), pharmacokinetic and pharmacodynamic properties, and various regimens. It also discusses the adverse effects, risks, and contraindications associated with HRT, along with considerations for drug interactions and adherence. The presentation then shifts focus to natural medicines, highlighting herbal remedies like Black Cohosh, Red Clover, and others. It explores the advantages and disadvantages of both approaches, comparing factors such as dosage, first-pass metabolism, allergic reactions, and potential cancer risks. The presentation concludes by emphasizing the importance of informed decision-making, suggesting that while HRT might be cost-effective, natural remedies should be the primary choice if adverse effects are a concern. The presentation also includes a discussion of the cost of HRT and relevant references.